Leberchirurgie 4.0 - OP-Planung, Volumetrie, Navigation und Virtuelle Realität

Zusammenfassung

Durch die Optimierung der konservativen Behandlung, die Verbesserung der bildgebenden Verfahren und die Weiterentwicklung der Operationstechniken haben sich das operative Spektrum sowie der Maßstab für die Resektabilität in Bezug auf die Leberchirurgie in den letzten Jahrzehnten deutlich verändert.

Dank zahlreicher technischer Entwicklungen, insbesondere der 3-dimensionalen Segmentierung, kann heutzutage die präoperative Planung und die Orientierung während der Operation selbst, vor allem bei komplexen Eingriffen, unter Berücksichtigung der patientenspezifischen Anatomie erleichtert werden.

Neue Technologien wie 3-D-Druck, virtuelle und augmentierte Realität bieten zusätzliche Darstellungsmöglichkeiten für die individuelle Anatomie. Verschiedene intraoperative Navigationsmöglichkeiten sollen die präoperative Planung im Operationssaal verfügbar machen, um so die Patientensicherheit zu erhöhen.

Dieser Übersichtsartikel soll einen Überblick über den gegenwärtigen Stand der verfügbaren Technologien sowie einen Ausblick in den Operationssaal der Zukunft geben.

Abstract

Due to the optimisation of conservative treatment, the improvement of imaging methods and the continuous development of surgical techniques, the borders of resectability in liver surgery have changed significantly in recent decades.

Thanks to numerous technical developments, in particular three-dimensional segmentation, preoperative planning and orientation during the operation itself, can now be facilitated, especially in complex procedures.

New technologies such as 3D printing as well as virtual and augmented reality offer additional display options for the patients’ individual anatomy. Various intraoperative navigation options are intended to make preoperative planning available in the operating room in order to increase patient safety.

This review article is intended to provide an overview of the current state of available technologies and an outlook into the operating theatre of the future.

Schlüsselwörter

Abdominalchirurgie - Leberchirurgie - Operationsplanung - Virtuelle Realität - 3D-Druck

Keywords

abdominal surgery - liver surgery - virtual reality - 3D printing - surgical planning

Publikationsverlauf

Eingereicht: 17. März 2022

Angenommen: 03. Mai 2022

Artikel online veröffentlicht:
06. Juli 2022

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