by Tobias Huber, Edin Hadzijusufoviç, Christian Hansen, Markus Paschold, Hauke Lang, Werner Kneist
Abstract:
INTRODUCTION:Head-mounted mixed-reality technologies may enable advanced intraoperative visualization during visceral surgery. In this technical note, we describe an innovative use of real-time mixed reality during robotic-assisted transanal total mesorectal excision. TECHNIQUE:Video signals from the robotic console and video endoscopic transanal approach were displayed on a virtual monitor using a head-up display. The surgeon, assistant, and a surgical trainee used this technique during abdominal and transanal robotic-assisted total mesorectal excision. We evaluated the feasibility and usability of this approach with the use of validated scales. RESULTS:The technical feasibility of the real-time visualization provided by the current setup was demonstrated for both the robotic and transanal parts of the surgery. The surgeon, assistant, and trainee each used the mixed-reality device for 15, 55, and 35 minutes. All participants handled the device intuitively and reported a high level of comfort during the surgery. The task load was easily manageable (task load index: \textbackslashtextbackslashtextless4/21), although the surgeon and assistant both noted a short delay in the real-time video. CONCLUSION:The implementation of head-mounted mixed-reality technology during robotic-assisted transanal total mesorectal excision can benefit the operating surgeon, assistant, and surgical trainee. Further improvements in display quality, connectivity, and systems integration are necessary.
Reference:
Head-Mounted Mixed-Reality Technology During Robotic-Assisted Transanal Total Mesorectal Excision (Tobias Huber, Edin Hadzijusufoviç, Christian Hansen, Markus Paschold, Hauke Lang, Werner Kneist), In Diseases of the Colon & Rectum, volume 62, 2019.
Bibtex Entry:
@article{huber_head-mounted_2019,
title = {Head-{Mounted} {Mixed}-{Reality} {Technology} {During} {Robotic}-{Assisted} {Transanal} {Total} {Mesorectal} {Excision}},
volume = {62},
doi = {10.1097/DCR.0000000000001282},
abstract = {INTRODUCTION:Head-mounted mixed-reality technologies may enable advanced intraoperative visualization during visceral surgery. In this technical note, we describe an innovative use of real-time mixed reality during robotic-assisted transanal total mesorectal excision. TECHNIQUE:Video signals from the robotic console and video endoscopic transanal approach were displayed on a virtual monitor using a head-up display. The surgeon, assistant, and a surgical trainee used this technique during abdominal and transanal robotic-assisted total mesorectal excision. We evaluated the feasibility and usability of this approach with the use of validated scales. RESULTS:The technical feasibility of the real-time visualization provided by the current setup was demonstrated for both the robotic and transanal parts of the surgery. The surgeon, assistant, and trainee each used the mixed-reality device for 15, 55, and 35 minutes. All participants handled the device intuitively and reported a high level of comfort during the surgery. The task load was easily manageable (task load index: {\textbackslash}textbackslashtextless4/21), although the surgeon and assistant both noted a short delay in the real-time video. CONCLUSION:The implementation of head-mounted mixed-reality technology during robotic-assisted transanal total mesorectal excision can benefit the operating surgeon, assistant, and surgical trainee. Further improvements in display quality, connectivity, and systems integration are necessary.},
number = {2},
journal = {Diseases of the Colon \& Rectum},
author = {Huber, Tobias and Hadzijusufoviç, Edin and Hansen, Christian and Paschold, Markus and Lang, Hauke and Kneist, Werner},
month = jan,
year = {2019},
pages = {258--261}
}