Laparoscopic ultrasound navigation in liver surgery: Technical aspects and accuracy

M. Kleemann; P. Hildebrand; M. Birth; H. P. Bruch

doi:10.1007/s00464-005-0196-4

Laparoscopic ultrasound navigation in liver surgery: Technical aspects and accuracy

M. Kleemann^*, P. Hildebrand, M. Birth, H. P. Bruch

^*Corresponding author for this work

Clinic of Surgery

37 Citations (Scopus)

Abstract

The functional-anatomic structure of the liver according to Couinaud classification based on the intrahepatical course of the vascular structures is the basis of all modern liver surgery. Consequently, the use of intraoperative ultrasound is an undisputed requirement for every liver resection. Exact following of the planned resection plane can be realized only with the application of permanent online navigation based on intraoperative ultrasound during the dissection of the hepatical tissue. Now that the authors have established ultrasound navigated resection in open liver surgery using a navigated parenchymal dissecting instrument, they intend to transfer this technique from open to laparoscopic liver surgery. A special adapter was developed to connect an ultrasound-based navigation system to laparoscopic instruments. The authors present the first results in terms of technical aspects and feasibility.

Original language	English
Journal	Surgical Endoscopy and Other Interventional Techniques
Volume	20
Issue number	5
Pages (from-to)	726-729
Number of pages	4
ISSN	0930-2794
DOIs	https://doi.org/10.1007/s00464-005-0196-4
Publication status	Published - 05.2006

Research Areas and Centers

Research Area: Luebeck Integrated Oncology Network (LION)

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10.1007/s00464-005-0196-4

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AB - The functional-anatomic structure of the liver according to Couinaud classification based on the intrahepatical course of the vascular structures is the basis of all modern liver surgery. Consequently, the use of intraoperative ultrasound is an undisputed requirement for every liver resection. Exact following of the planned resection plane can be realized only with the application of permanent online navigation based on intraoperative ultrasound during the dissection of the hepatical tissue. Now that the authors have established ultrasound navigated resection in open liver surgery using a navigated parenchymal dissecting instrument, they intend to transfer this technique from open to laparoscopic liver surgery. A special adapter was developed to connect an ultrasound-based navigation system to laparoscopic instruments. The authors present the first results in terms of technical aspects and feasibility.

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Laparoscopic ultrasound navigation in liver surgery: Technical aspects and accuracy

Abstract

Research Areas and Centers

UN SDGs

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