Virtual reality‐based preoperative planning for optimized trocar placement in thoracic surgery: A preliminary study

Abstract Video‐assisted thoracic surgery (VATS) is a minimally invasive approach for treating early‐stage non‐small‐cell lung cancer. Optimal trocar placement during VATS ensures comprehensive access to the thoracic cavity, provides a panoramic endoscopic view, and prevents instrument crowding. Whil...

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Main Authors: Arash Harirpoush, George Rakovich, Marta Kersten‐Oertel, Yiming Xiao
Format: Article
Language:English
Published: Wiley 2024-12-01
Series:Healthcare Technology Letters
Subjects:
Online Access:https://doi.org/10.1049/htl2.12114
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author Arash Harirpoush
George Rakovich
Marta Kersten‐Oertel
Yiming Xiao
author_facet Arash Harirpoush
George Rakovich
Marta Kersten‐Oertel
Yiming Xiao
author_sort Arash Harirpoush
collection DOAJ
description Abstract Video‐assisted thoracic surgery (VATS) is a minimally invasive approach for treating early‐stage non‐small‐cell lung cancer. Optimal trocar placement during VATS ensures comprehensive access to the thoracic cavity, provides a panoramic endoscopic view, and prevents instrument crowding. While established principles such as the Baseball Diamond Principle (BDP) and Triangle Target Principle (TTP) exist, surgeons mainly rely on experience and patient‐specific anatomy for trocar placement, potentially leading to sub‐optimal surgical plans that increase operative time and fatigue. To address this, the authors present the first virtual reality (VR)‐based pre‐operative planning tool with tailored data visualization and interaction designs for efficient and optimal VATS trocar placement, following the established surgical principles and consultation with an experienced surgeon. In the preliminary study, the system's application in right upper lung lobectomy is demonstrated, a common thoracic procedure typically using three trocars. A preliminary user study of the system indicates it is efficient, robust, and user‐friendly for planning optimal trocar placement, with a great promise for clinical application while offering potentially valuable insights for the development of other surgical VR systems.
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spelling doaj-art-6064859e70e942e4a9bfc3ea8fdd60b52024-12-23T18:23:23ZengWileyHealthcare Technology Letters2053-37132024-12-0111641842610.1049/htl2.12114Virtual reality‐based preoperative planning for optimized trocar placement in thoracic surgery: A preliminary studyArash Harirpoush0George Rakovich1Marta Kersten‐Oertel2Yiming Xiao3Department of Computer Science and Software Engineering Concordia University Quebec CanadaMaisonneuve Rosemont Hospital University of Montreal Quebec CanadaDepartment of Computer Science and Software Engineering Concordia University Quebec CanadaDepartment of Computer Science and Software Engineering Concordia University Quebec CanadaAbstract Video‐assisted thoracic surgery (VATS) is a minimally invasive approach for treating early‐stage non‐small‐cell lung cancer. Optimal trocar placement during VATS ensures comprehensive access to the thoracic cavity, provides a panoramic endoscopic view, and prevents instrument crowding. While established principles such as the Baseball Diamond Principle (BDP) and Triangle Target Principle (TTP) exist, surgeons mainly rely on experience and patient‐specific anatomy for trocar placement, potentially leading to sub‐optimal surgical plans that increase operative time and fatigue. To address this, the authors present the first virtual reality (VR)‐based pre‐operative planning tool with tailored data visualization and interaction designs for efficient and optimal VATS trocar placement, following the established surgical principles and consultation with an experienced surgeon. In the preliminary study, the system's application in right upper lung lobectomy is demonstrated, a common thoracic procedure typically using three trocars. A preliminary user study of the system indicates it is efficient, robust, and user‐friendly for planning optimal trocar placement, with a great promise for clinical application while offering potentially valuable insights for the development of other surgical VR systems.https://doi.org/10.1049/htl2.12114lungsurgeryvirtual reality
spellingShingle Arash Harirpoush
George Rakovich
Marta Kersten‐Oertel
Yiming Xiao
Virtual reality‐based preoperative planning for optimized trocar placement in thoracic surgery: A preliminary study
Healthcare Technology Letters
lung
surgery
virtual reality
title Virtual reality‐based preoperative planning for optimized trocar placement in thoracic surgery: A preliminary study
title_full Virtual reality‐based preoperative planning for optimized trocar placement in thoracic surgery: A preliminary study
title_fullStr Virtual reality‐based preoperative planning for optimized trocar placement in thoracic surgery: A preliminary study
title_full_unstemmed Virtual reality‐based preoperative planning for optimized trocar placement in thoracic surgery: A preliminary study
title_short Virtual reality‐based preoperative planning for optimized trocar placement in thoracic surgery: A preliminary study
title_sort virtual reality based preoperative planning for optimized trocar placement in thoracic surgery a preliminary study
topic lung
surgery
virtual reality
url https://doi.org/10.1049/htl2.12114
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AT georgerakovich virtualrealitybasedpreoperativeplanningforoptimizedtrocarplacementinthoracicsurgeryapreliminarystudy
AT martakerstenoertel virtualrealitybasedpreoperativeplanningforoptimizedtrocarplacementinthoracicsurgeryapreliminarystudy
AT yimingxiao virtualrealitybasedpreoperativeplanningforoptimizedtrocarplacementinthoracicsurgeryapreliminarystudy