Saito Yu, Shimada Mitsuo, Morine Yuji, Yamada Shinichiro, Sugimoto Maki
Department of Surgery Tokushima University Tokushima Japan.
Okinaga Research Institute Teikyo University Chiyoda-ku Japan.
Ann Gastroenterol Surg. 2021 Dec 23;6(2):190-196. doi: 10.1002/ags3.12542. eCollection 2022 Mar.
With the development of three-dimensional (3D) simulation software, preoperative simulation technology is almost completely established. The remaining issue is how to recognize anatomy three-dimensionally. Extended reality is a newly developed technology with several merits for surgical application: no requirement for a sterilized display monitor, better spatial awareness, and the ability to share 3D images among all surgeons. Various technology or devices for intraoperative navigation have also been developed to support the safety and certainty of liver surgery. Consensus recommendations regarding indocyanine green fluorescence were determined in 2021. Extended reality has also been applied to intraoperative navigation, and artificial intelligence (AI) is one of the topics of real-time navigation. AI might overcome the problem of liver deformity with automatic registration. Including the issues described above, this article focuses on recent advances in simulation and navigation in liver surgery from 2020 to 2021.
随着三维（3D）模拟软件的发展，术前模拟技术几乎完全确立。剩下的问题是如何进行三维解剖识别。扩展现实是一项新开发的技术，在外科手术应用中有几个优点：无需无菌显示监视器、更好的空间感知以及能够在所有外科医生之间共享3D图像。还开发了各种用于术中导航的技术或设备，以支持肝脏手术的安全性和确定性。关于吲哚菁绿荧光的共识性建议于2021年确定。扩展现实也已应用于术中导航，人工智能（AI）是实时导航的主题之一。人工智能可能通过自动配准克服肝脏变形的问题。包括上述问题，本文重点介绍2020年至2021年肝脏手术模拟和导航的最新进展。
