An Improved Attachment of Surgical Navigation System for the Target during Robot-Assisted Partial Nephrectomy

DOI
  • 月野 圭治
    九州大学大学院医学研究院　泌尿器科学分野
  • 小林 聡
    九州大学大学院医学研究院　泌尿器科学分野
  • 牟田口 淳
    九州大学大学院医学研究院　泌尿器科学分野
  • 塚原 茂大
    九州大学大学院医学研究院　泌尿器科学分野
  • 種子島 時祥
    九州大学大学院医学研究院　泌尿器科学分野
  • 後藤 駿介
    九州大学大学院医学研究院　泌尿器科学分野
  • 松元 崇
    九州大学大学院医学研究院　泌尿器科学分野
  • 塩田 真己
    九州大学大学院医学研究院　泌尿器科学分野
  • 江藤 正俊
    九州大学大学院医学研究院　泌尿器科学分野

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Other Title
  • ロボット支援腎部分切除術の手術ナビゲーションにおける自動追尾用アタッチメントの改良

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<p>In our institution, we have developed and implemented an automated tracking surgical navigation system for RAPN (robot-assisted partial nephrectomy), and its clinical usefulness has been demonstrated. However, challenges have emerged with this system, precisely the blind spots in the surgical field and temporary interruptions of the optical tracking to chase the target. These issues compromise the stability and accuracy of navigation. As a result, multiple registrations (alignment) between the 3D images and endoscopic images were required to maintain navigation, potentially interrupting image guidance for the surgeon and hindering the progression of surgery. We report the improvement of a da Vinci Xi-compatible attachment designed to address these ‘blind spots’ and tracking ‘interruptions’ in the surgical field.</p>

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