Skip to main content

Advertisement

SpringerLink
Log in

Efficacy of DynaCT for surgical navigation during complex laparoscopic surgery: an initial experience

  • Published:
Surgical Endoscopy Aims and scope Submit manuscript

Abstract

Background

Precise understanding of surgical anatomy is required during complex laparoscopic surgery (CLS). The purpose of this study was to present our initial operative experience with CLS facilitated by surgical navigation through DynaCT technology.

Methods

Intraoperative computed tomography (CT) images of two CLS cases were obtained by a C-arm DynaCT system (Artis Zeego, Siemens Healthcare, Erlangen, Germany). Image reconstruction was performed on a workstation to define particular anatomical structures of the target tumor. The reconstructed CT images were repeatedly displayed on a submonitor. The surgeon then compared the CT images with a laparoscopic image of the surgical field, thus providing a virtual map to the surgeon.

Results

Using the near-real-time surgical navigation system, the surgeon could visualize the surgical anatomy and easily perform the CLS. All procedures were performed successfully with a satisfactory diagnostic yield.

Conclusion

This novel technology has great potential for application in CLS because it enables generation of accurate depictions of small target tumors and increases the surgeon’s confidence during the procedure.

This is a preview of subscription content, log in via an institution to check access.

Access this article

Log in via an institution

Price excludes VAT (USA)
Tax calculation will be finalised during checkout.

Instant access to the full article PDF.

Institutional subscriptions

Fig. 1
Fig. 2
Fig. 3
Fig. 4
Fig. 5
Fig. 6

Similar content being viewed by others

References

  1. Calestroupat JP, Sanchez-Salas R, Cathelineau X, Rozet F, Galiano M, Smyth G, Kasraeian A, Barret E, Vallancien G (2009) Postchemotherapy laparoscopic retroperitoneal lymph node dissection in nonseminomatous germ-cell tumor. J Endourol 23:645–650

    Article  PubMed  Google Scholar 

  2. Kenney PA, Tuerk IA (2008) Complications of laparoscopic retroperitoneal lymph node dissection in testicular cancer. World J Urol 26:561–569

    Article  PubMed  Google Scholar 

  3. Fastrez M, Vandromme J, George P, Rozenberg S, Degueldre M (2009) Robot assisted laparoscopic transperitoneal para-aortic lymphadenectomy in the management of advanced cervical carcinoma. Eur J Obstet Gynecol Reprod Biol 147:226–229

    Article  PubMed  Google Scholar 

  4. Tam A, Mohamed A, Pfister M, Rohm E, Wallace MJ (2009) C-arm cone beam computed tomographic needle path overlay for fluoroscopic-guided placement of translumbar central venous catheters. Cardiovasc Intervent Radiol 32:820–824

    Article  PubMed  Google Scholar 

  5. Morimoto M, Numata K, Kondo M, Nozaki A, Hamaguchi S, Takebayashi S, Tanaka K (2010) C-arm cone beam CT for hepatic tumor ablation under real-time 3D imaging. Am J Roentgenol 194:452–454

    Article  Google Scholar 

  6. Mizuno S, Iida T, Fujita S (2010) Adult-onset adrenal ganglioneuroblastoma — bone metastasis 2 years after surgery: report of a case. Surg Today 40:482–486

    Article  PubMed  Google Scholar 

  7. Yamanaka J, Okada T, Saito S, Kondo Y, Yoshida Y, Suzumura K, Hirano T, Iimuro Y, Fujimoto J (2009) Minimally invasive laparoscopic liver resection: 3D MDCT simulation for preoperative planning. J Hepatobiliary Pancreat Surg 16:808–815

    Article  PubMed  Google Scholar 

  8. Sauer B, Flocquet M, Batch T, Blum A, Hubert J (2008) Vascular renal anatomy and the ureteropelvic junction: preoperative multidetector CT scanning with split-bolus injection as a predictor of laparoscopic findings. J Endourol 22:13–18

    Article  PubMed  Google Scholar 

  9. Våpenstad C, Rethy A, Langø T, Selbekk T, Ystgaard B, Hernes TA, Mårvik R (2010) Laparoscopic ultrasound: a survey of its current and future use, requirements, and integration with navigation technology. Surg Endosc 24:2944–2953

    Article  PubMed  Google Scholar 

  10. Solberg OV, Langø T, Tangen GA, Mårvik R, Ystgaard B, Rethy A, Hernes TA (2009) Navigated ultrasound in laparoscopic surgery. Minim Invasive Ther Allied Technol 18:36–53

    Article  PubMed  CAS  Google Scholar 

  11. Bai M, Liu B, Mu H, Liu X, Jiang Y (2012) The comparison of radiation dose between C-arm flat-detector CT (DynaCT) and multi-slice CT (MSCT): A phantom study. Eur J Radiol. doi:10.1016/j.ejrad.2011.09.006

    Google Scholar 

Download references

Disclosures

Drs. Tetsuo Nozaki, Yasuyoshi Fujiuchi, Akira Komiya, and Hideki Fuse have no conflicts of interest or financial ties to disclose.

Author information

Authors and Affiliations

  1. Department of Urology, Graduate School of Medicine and Pharmaceutical Sciences for Research, University of Toyama, 2630 Sugitani, Toyama, 930-0194, Japan

    Tetsuo Nozaki, Yasuyoshi Fujiuchi, Akira Komiya & Hideki Fuse

Authors
  1. Tetsuo Nozaki
    View author publications

    You can also search for this author in PubMed Google Scholar

  2. Yasuyoshi Fujiuchi
    View author publications

    You can also search for this author in PubMed Google Scholar

  3. Akira Komiya
    View author publications

    You can also search for this author in PubMed Google Scholar

  4. Hideki Fuse
    View author publications

    You can also search for this author in PubMed Google Scholar

Corresponding author

Correspondence to Tetsuo Nozaki.

Rights and permissions

Reprints and permissions

About this article

Cite this article

Nozaki, T., Fujiuchi, Y., Komiya, A. et al. Efficacy of DynaCT for surgical navigation during complex laparoscopic surgery: an initial experience. Surg Endosc 27, 903–909 (2013). https://doi.org/10.1007/s00464-012-2531-x

Download citation

  • Received:

  • Accepted:

  • Published:

  • Issue Date:

  • DOI: https://doi.org/10.1007/s00464-012-2531-x

Keywords

Search

Navigation