Graduate School of Information Science and Technology, The University of Tokyo, 7-3-1 Hongo, Bunkyo, Tokyo, Japan.
Surg Endosc. 2013 May;27(5):1642-7. doi: 10.1007/s00464-012-2645-1. Epub 2012 Dec 12.
During endoscopic surgical procedures, surgeons must manipulate an endoscope inside the body cavity to observe a surgical area while estimating the distance between that area and the surgical instruments by reference to a monitor on which the movement and size of the surgical instruments are displayed in 2-D endoscopic images. Therefore, there is a risk of the endoscope or instruments physically damaging body tissues. To overcome this problem, we developed a Ø5-mm, 3-D endoscope using a single 1/10-inch CCD camera and pneumatic vibration mechanism.
The 3-D endoscope proposed in this paper consists of an outer and inner sleeve, a 1/10-inch CCD camera attached to its distal end, and a pneumatic vibration mechanism attached to its proximal end. This endoscope can acquire left and right endoscopic images for stereovision in synchrony with the periodical motion generated by the vibration mechanism. We measured the displacement at the proximal and distal end of the 3-D endoscope simultaneously, and evaluated the feasibility of its use in vivo.
The displacement at the distal end of the endoscope to which the CCD camera is attached was approximately ±0.25 mm. The timing when the displacement of the CCD camera was at maximal amplitude coincided with the timing when the displacement of its proximal end was at maximal amplitude. In the in vivo experiment, this 3-D endoscope can provide clear 3-D images of the surgical area.
The developed 3-D endoscope that uses a single CCD camera and pneumatic vibration mechanism can successfully visualize internal organs inside the body even though the CCD camera is moved by the vibration. Therefore, the risk of damage to fragile body tissues can be significantly decreased.
在进行内镜手术时,外科医生必须在内窥镜的引导下在体腔内进行操作,同时通过观察监视器上显示的二维内镜图像中手术器械的运动和大小来估计手术部位与器械之间的距离。因此,存在内窥镜或器械对身体组织造成物理损伤的风险。为了克服这个问题,我们开发了一种使用单个 1/10 英寸 CCD 相机和气动振动机构的 5 毫米 3-D 内窥镜。
本文提出的 3-D 内窥镜由外管和内管、远端附有 1/10 英寸 CCD 相机以及近端附有气动振动机构组成。该内窥镜可以与振动机构产生的周期性运动同步获取左、右内镜图像以进行立体视觉。我们同时测量了 3-D 内窥镜近端和远端的位移,并评估了其在体内使用的可行性。
附有 CCD 相机的内窥镜远端的位移约为±0.25 毫米。当 CCD 相机的位移达到最大幅度时,其近端的位移也达到最大幅度。在体内实验中,该 3-D 内窥镜可以提供清晰的手术区域 3-D 图像。
使用单个 CCD 相机和气动振动机构的开发的 3-D 内窥镜可以成功地观察到体内的内脏器官,即使 CCD 相机受到振动的影响。因此,可以显著降低对脆弱身体组织造成损伤的风险。