Royal Society/Wolfson Foundation Medical Image Computing Laboratory, Institute of Biomedical Engineering, Imperial College London, London SW7 2AZ, United Kingdom.
Comput Med Imaging Graph. 2010 Jan;34(1):33-45. doi: 10.1016/j.compmedimag.2009.07.007. Epub 2009 Aug 20.
Minimally invasive surgery has been established as an important way forward in surgery for reducing patient trauma and hospitalization with improved prognosis. The introduction of robotic assistance enhances the manual dexterity and accuracy of instrument manipulation. Further development of the field in using pre- and intra-operative imaging guidance requires the integration of the general anatomy of the patient with clear pathologic indications and geometrical information for preoperative planning and intra-operative manipulation. It also requires effective visualization and the recreation of haptic and tactile sensing with dynamic active constraints to improve consistency and safety of the surgical procedures. This paper describes key technical considerations of tissue deformation tracking, 3D reconstruction, subject-specific modeling, image guidance and augmented reality for robotic assisted minimally invasive surgery. It highlights the importance of adapting preoperative surgical planning according to intra-operative data and illustrates how dynamic information such as tissue deformation can be incorporated into the surgical navigation framework. Some of the recent trends are discussed in terms of instrument design and the usage of dynamic active constraints and human-robot perceptual docking for robotic assisted minimally invasive surgery.
微创手术已经成为减少患者创伤和改善预后的重要手术方法。机器人辅助技术的引入提高了器械操作的灵活性和准确性。在使用术前和术中成像引导方面,该领域的进一步发展需要将患者的一般解剖结构与明确的病理指征和几何信息相结合,以便进行术前规划和术中操作。它还需要有效的可视化和触觉及触感的再现,并具有动态主动约束,以提高手术过程的一致性和安全性。本文描述了机器人辅助微创手术中组织变形跟踪、3D 重建、特定于主体的建模、图像引导和增强现实的关键技术考虑因素。它强调了根据术中数据调整术前手术计划的重要性,并说明了如何将组织变形等动态信息纳入手术导航框架中。还讨论了一些最新趋势,涉及仪器设计以及动态主动约束和人机感知对接的使用,用于机器人辅助微创手术。
Comput Med Imaging Graph. 2009-8-20
Curr Opin Urol. 2009-1
Comput Aided Surg. 2006-9
Comput Aided Surg. 2012
Semin Laparosc Surg. 2004-6
Comput Aided Surg. 2008-3
Heart Surg Forum. 2000
Int J Comput Assist Radiol Surg. 2021-5
World J Urol. 2018-1-25
J Med Imaging (Bellingham). 2015-10
Surg Endosc. 2013-2
J Gastrointest Surg. 2010-8-19
Surg Endosc. 2010-2-23