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生物医学工程评论综述™
SJR: 0.26 SNIP: 0.375 CiteScore™: 1.4

ISSN 打印: 0278-940X
ISSN 在线: 1943-619X

生物医学工程评论综述™

DOI: 10.1615/CritRevBiomedEng.v40.i3.40
pages 199-220

Computer-Assisted Liver Surgery: Clinical Applications and Technological Trends

Matthias Peterhans
ARTORG Center for Computer-Aided Surgery, University of Bern, Switzerland
Thiago Oliveira
Institute for Surgical Technology & Biomechanics, University of Bern, Switzerland
Vanessa Banz
Department of Visceral Surgery and Medicine, Clinic for Visceral and Transplantation Surgery, Inselspital, Bern University Hospital and University of Bern, Switzerland
Daniel Candinas
Department of Visceral Surgery and Medicine, Clinic for Visceral and Transplantation Surgery, Inselspital, Bern University Hospital and University of Bern, Switzerland
Stefan Weber
ARTORG Center for Computer-Aided Surgery, University of Bern, Switzerland

ABSTRACT

Oncological liver surgery and interventions aim for removal of tumor tissue while preserving a sufficient amount of functional tissue to ensure organ regeneration. This requires detailed understanding of the patient-specific internal organ anatomy (blood vessel system, bile ducts, tumor location). The introduction of computer support in the surgical process enhances anatomical orientation through patient-specific 3D visualization and enables precise reproduction of planned surgical strategies though stereotactic navigation technology. This article provides clinical background information on indications and techniques for the treatment of liver tumors, reviews the technological contributions addressing the problem of organ motion during navigated surgery on a deforming organ, and finally presents an overview of the clinical experience in computer-assisted liver surgery and interventions. The review concludes that several clinically applicable solutions for computer aided liver surgery are available and small-scale clinical trials have been performed. Further developments will be required more accurate and faster handling of organ deformation and large clinical studies will be required for demonstrating the benefits of computer aided liver surgery.


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