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Clinical Benefit of Mixed Reality Holographic Cholangiography for Image-Guided Laparoscopic Cholecystectomy

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Surgery and Operating Room Innovation

Abstract

In an operative room, medical images serve as intraoperative navigation or support for surgeons to ensure safe surgery. However, conventional two-dimensional images from drip infusion cholangiography with CT (DIC-CT) or magnetic resonance cholangiopancreatography (MRCP) are difficult to understand the anatomy intuitively. Then, we have developed a virtual reality (VR)/mixed reality (MR) system to offer a noninvasive laparoscopic surgery as well as to minimize serious complications. We also performed the MR-guided surgery with favorable outcome. In MR-guided laparoscopic cholecystectomy, using HoloLens can display precise three-dimensional models of the cystic duct, biliary tree, cystic artery, and hepatic artery stably on the real visual field as hologram.

This method helps less-experienced surgeons to reinforce their spatial awareness and to achieve a deep understanding of the anatomy. As a result, we could completed this operation without bile duct and arterial injuries.

An MR device is commercially available; thus, the way of laparoscopic surgery may potentially move forward, as it may provide not only shorter operation times and reduction of patient burden but also effective education for younger surgeons.

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Correspondence to Michiko Kitagawa .

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Kitagawa, M., Sugimoto, M., Umezawa, A., Kurokawa, Y. (2021). Clinical Benefit of Mixed Reality Holographic Cholangiography for Image-Guided Laparoscopic Cholecystectomy. In: Takenoshita, S., Yasuhara, H. (eds) Surgery and Operating Room Innovation. Springer, Singapore. https://doi.org/10.1007/978-981-15-8979-9_11

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  • DOI: https://doi.org/10.1007/978-981-15-8979-9_11

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