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Image-guided laparoscopic surgery in an open MRI operating theater

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Abstract

Background

The recent development of open magnetic resonance imaging (MRI) has provided an opportunity for the next stage of image-guided surgical and interventional procedures. The purpose of this study was to evaluate the feasibility of laparoscopic surgery under the pneumoperitoneum with the system of an open MRI operating theater.

Methods

Five patients underwent laparoscopic surgery with a real-time augmented reality navigation system that we previously developed in a horizontal-type 0.4-T open MRI operating theater.

Results

All procedures were performed in an open MRI operating theater. During the operations, the laparoscopic monitor clearly showed the augmented reality models of the intraperitoneal structures, such as the common bile ducts and the urinary bladder, as well as the proper positions of the prosthesis. The navigation frame rate was 8 frames per min. The mean fiducial registration error was 6.88 ± 6.18 mm in navigated cases. We were able to use magnetic resonance–incompatible surgical instruments out of the 5-Gs restriction area, as well as conventional laparoscopic surgery, and we developed a real-time augmented reality navigation system using open MRI.

Conclusions

Laparoscopic surgery with our real-time augmented reality navigation system in the open MRI operating theater is a feasible option.

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Acknowledgments

Supported in part by Grants-in-Aid from the Japanese Ministry of Education, Culture, Sports, Science and Technology (17200035, 19500422, 24650298).

Disclosures

Norifumi Tsutsumi, Morimasa Tomikawa, Munenori Uemura, Tomohiko Akahoshi, Yoshihiro Nagao, Kozo Konishi, Satoshi Ieiri, Jaesung Hong, Yoshihiko Maehara, and Makoto Hashizume have no conflicts of interest or financial ties to disclose.

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Authors and Affiliations

  1. Department of Advanced Medicine and Innovative Technology, Kyushu University Hospital, 3-1-1 Maidashi, Higashi-ku, Fukuoka, 812-8582, Japan

    Norifumi Tsutsumi, Morimasa Tomikawa, Yoshihiro Nagao, Kozo Konishi, Satoshi Ieiri & Makoto Hashizume

  2. Department of Advanced Medical Initiatives, Kyushu University, Fukuoka, Japan

    Munenori Uemura, Tomohiko Akahoshi & Makoto Hashizume

  3. Innovation Center for Medical Redox Navigation, Kyushu University, Fukuoka, Japan

    Jaesung Hong

  4. Department of Surgery and Science, Kyushu University, Fukuoka, Japan

    Yoshihiko Maehara

Authors
  1. Norifumi Tsutsumi
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  2. Morimasa Tomikawa
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  3. Munenori Uemura
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  4. Tomohiko Akahoshi
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  5. Yoshihiro Nagao
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  6. Kozo Konishi
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  7. Satoshi Ieiri
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  8. Jaesung Hong
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  9. Yoshihiko Maehara
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  10. Makoto Hashizume
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Corresponding author

Correspondence to Norifumi Tsutsumi.

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Tsutsumi, N., Tomikawa, M., Uemura, M. et al. Image-guided laparoscopic surgery in an open MRI operating theater. Surg Endosc 27, 2178–2184 (2013). https://doi.org/10.1007/s00464-012-2737-y

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  • DOI: https://doi.org/10.1007/s00464-012-2737-y

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