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Surgical Endoscopy
Erschienen in: Surgical Endoscopy 6/2013

01.06.2013 | Review

Advanced intraoperative imaging methods for laparoscopic anatomy navigation: an overview

verfasst von: Rutger M. Schols, Nicole D. Bouvy, Ronald M. van Dam, Laurents P. S. Stassen

Erschienen in: Surgical Endoscopy | Ausgabe 6/2013

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Abstract

Background

Safety and efficiency are important topics in minimally invasive surgery. Apart from its advantages, laparoscopic surgery has the following drawbacks: two-dimensional imaging, challenging eye–hand coordination, and absence of tactile feedback. Enhanced imaging with earlier and clearer identification of essential tissue types can partly overcome these disadvantages. Research groups worldwide are investigating new technologies for image-guided surgery purposes. This review article gives an overview of current developments in surgical optical imaging for improved anatomic identification and physiologic tissue characterization during laparoscopic gastrointestinal surgery.

Methods

A systematic literature search in the PubMed database was conducted. Eligible studies reported on any kind of novel optical imaging technique applied for anatomic identification or physiologic tissue characterization in laparoscopic gastrointestinal surgery. Gynecologic and urologic procedures also were included whenever vascular, nerve, ureter, or lymph node imaging was concerned.

Results

Various surgical imaging techniques for enhanced intraoperative visualization of essential tissue types (i.e., blood vessel, bile duct, ureter, nerve, lymph node) and for tissue characterization purposes such as assessment of blood perfusion were identified. An overview of preclinical and clinical experiences is given as well as the potential added value for intraoperative anatomic localization and characterization during laparoscopy.

Conclusion

Implementation of new optical imaging methods during laparoscopic gastrointestinal surgery can improve intraoperative anatomy navigation. This may lead to increased patient safety (preventing iatrogenic functional tissue injury) and procedural efficiency (shorter operating time). Near-infrared fluorescence imaging seems to possess the greatest potential for implementation in clinical practice in the near future.
Literatur
1.
Schwenk W, Haase O, Neudecker J, Muller JM (2005) Short term benefits for laparoscopic colorectal resection. Cochrane Database Syst Rev:CD003145
2.
Sauerland S, Walgenbach M, Habermalz B, Seiler CM, Miserez M (2011) Laparoscopic versus open surgical techniques for ventral or incisional hernia repair. Cochrane Database Syst Rev:CD007781
3.
Stassen LP, Bemelman WA, Meijerink J (2010) Risks of minimally invasive surgery underestimated: a report of the Dutch Health Care Inspectorate. Surg Endosc 24:495–498PubMedCrossRef
4.
Cadeddu JA, Jackman SV, Schulam PG (2001) Laparoscopic infrared imaging. J Endourol 15:111–116PubMedCrossRef
5.
Roberts WW, Dinkel TA, Schulam PG, Bonnell L, Kavoussi LR (1997) Laparoscopic infrared imaging. Surg Endosc 11:1221–1223PubMedCrossRef
6.
Shussman N, Abu Gazala M, Schlager A, Elazary R, Khalaileh A, Zamir G, Kushnir D, Rivkind AI, Mintz Y (2011) Laparoscopic infrared imaging: the future vascular map. J Laparoendosc Adv Surg Tech A 21:797–801PubMedCrossRef
7.
Kim K, Schwaitzberg S, Onel E (2001) An infrared ureteral stent to aid in laparoscopic retroperitoneal lymph node dissection. J Urol 166:1815–1816PubMedCrossRef
8.
Hanna BV, Gorbach AM, Gage FA, Pinto PA, Silva JS, Gilfillan LG, Kirk AD, Elster EA (2008) Intraoperative assessment of critical biliary structures with visible range/infrared image fusion. J Am Coll Surg 206:1227–1231PubMedCrossRef
9.
Liu JJ, Alemozaffar M, McHone B, Dhanani N, Gage F, Pinto PA, Gorbach AM, Elster E (2008) Evaluation of real-time infrared intraoperative cholangiography in a porcine model. Surg Endosc 22:2659–2664PubMedCrossRef
10.
Nagata K, Endo S, Hidaka E, Tanaka J, Kudo SE, Shiokawa A (2006) Laparoscopic sentinel node mapping for colorectal cancer using infrared ray laparoscopy. Anticancer Res 26:2307–2311PubMed
11.
Ishikawa K, Yasuda K, Shiromizu A, Etoh T, Shiraishi N, Kitano S (2007) Laparoscopic sentinel node navigation achieved by infrared ray electronic endoscopy system in patients with gastric cancer. Surg Endosc 21:1131–1134PubMedCrossRef
12.
Yano K, Nimura H, Mitsumori N, Takahashi N, Kashiwagi H, Yanaga K (2011) The efficiency of micrometastasis by sentinel node navigation surgery using indocyanine green and infrared ray laparoscopy system for gastric cancer. Gastric Cancer 15(3):287–291PubMedCrossRef
13.
Swijnenburg RJ, Crane LM, Buddingh KT, van de Velde CJ, Vahrmeijer AJ, van Dam GM (2012) Intraoperative imaging using fluorescence. Ned Tijdschr Geneeskd 156:A4316PubMed
14.
Cahill RA, Ris F, Mortensen NJ (2011) Near-infrared laparoscopy for real-time intraoperative arterial and lymphatic perfusion imaging. Colorectal Dis 13(Suppl 7):12–17PubMedCrossRef
15.
Stiles BM, Adusumilli PS, Bhargava A, Fong Y (2006) Fluorescent cholangiography in a mouse model: an innovative method for improved laparoscopic identification of the biliary anatomy. Surg Endosc 20:1291–1295PubMedCrossRef
16.
Holzinger F, Krahenbuhl L, Schteingart CD, Ton-Nu HT, Hofmann AF (2001) Use of a fluorescent bile acid to enhance visualization of the biliary tract and bile leaks during laparoscopic surgery in rabbits. Surg Endosc 15:209–212PubMedCrossRef
17.
Mohsen AA, Elbasiouny MS, Fawzy YS (2012) Fluorescence-guided laparoscopic cholecystectomy: a new technique for visualization of biliary system by using fluorescein. Surg Innov. doi:10.​1177/​1553350612442794​
18.
Figueiredo JL, Siegel C, Nahrendorf M, Weissleder R (2010) Intraoperative near-infrared fluorescent cholangiography (NIRFC) in mouse models of bile duct injury. World J Surg 34:336–343PubMedCrossRef
19.
Figueiredo JL, Nahrendorf M, Vinegoni C, Weissleder R (2011) Intraoperative near-infrared fluorescent cholangiography (NIRFC) in mouse models of bile duct injury: reply. World J Surg 35:694–695PubMedCrossRef
20.
Tagaya N, Shimoda M, Kato M, Nakagawa A, Abe A, Iwasaki Y, Oishi H, Shirotani N, Kubota K (2010) Intraoperative exploration of biliary anatomy using fluorescence imaging of indocyanine green in experimental and clinical cholecystectomies. J Hepatobiliary Pancreat Sci 17:595–600PubMedCrossRef
21.
Matsui A, Tanaka E, Choi HS, Winer JH, Kianzad V, Gioux S, Laurence RG, Frangioni JV (2010) Real-time intraoperative near-infrared fluorescence identification of the extrahepatic bile ducts using clinically available contrast agents. Surgery 148:87–95PubMedCrossRef
22.
Ishizawa T, Bandai Y, Ijichi M, Kaneko J, Hasegawa K, Kokudo N (2010) Fluorescent cholangiography illuminating the biliary tree during laparoscopic cholecystectomy. Br J Surg 97:1369–1377PubMedCrossRef
23.
Ishizawa T, Kaneko J, Inoue Y, Takemura N, Seyama Y, Aoki T, Beck Y, Sugawara Y, Hasegawa K, Harada N, Ijichi M, Kusaka K, Shibasaki M, Bandai Y, Kokudo N (2011) Application of fluorescent cholangiography to single-incision laparoscopic cholecystectomy. Surg Endosc 25:2631–2636PubMedCrossRef
24.
Aoki T, Murakami M, Yasuda D, Shimizu Y, Kusano T, Matsuda K, Niiya T, Kato H, Murai N, Otsuka K, Kusano M, Kato T (2010) Intraoperative fluorescent imaging using indocyanine green for liver mapping and cholangiography. J Hepatobiliary Pancreat Sci 17:590–594PubMedCrossRef
25.
26.
Ashitate Y, Stockdale A, Choi HS, Laurence RG, Frangioni JV (2011) Real-time simultaneous near-infrared fluorescence imaging of bile duct and arterial anatomy. J Surg Res 176(1):7–13PubMedCrossRef
27.
Mitsuhashi N, Kimura F, Shimizu H, Imamaki M, Yoshidome H, Ohtsuka M, Kato A, Yoshitomi H, Nozawa S, Furukawa K, Takeuchi D, Takayashiki T, Suda K, Igarashi T, Miyazaki M (2008) Usefulness of intraoperative fluorescence imaging to evaluate local anatomy in hepatobiliary surgery. J Hepatobiliary Pancreat Surg 15:508–514PubMedCrossRef
28.
Matsui A, Tanaka E, Choi HS, Kianzad V, Gioux S, Lomnes SJ, Frangioni JV (2010) Real-time, near-infrared, fluorescence-guided identification of the ureters using methylene blue. Surgery 148:78–86PubMedCrossRef
29.
Tanaka E, Ohnishi S, Laurence RG, Choi HS, Humblet V, Frangioni JV (2007) Real-time intraoperative ureteral guidance using invisible near-infrared fluorescence. J Urol 178:2197–2202PubMedCrossRef
30.
Ankersmit M, van der Pas MH, van Dam DA, Meijerink WJ (2011) Near-infrared fluorescence lymphatic laparoscopy of the colon and mesocolon. Colorectal Dis 13(Suppl 7):70–73PubMedCrossRef
31.
Cahill RA, Anderson M, Wang LM, Lindsey I, Cunningham C, Mortensen NJ (2012) Near-infrared (NIR) laparoscopy for intraoperative lymphatic road-mapping and sentinel node identification during definitive surgical resection of early-stage colorectal neoplasia. Surg Endosc 26:197–204PubMedCrossRef
32.
van der Pas MH, van Dongen GA, Cailler F, Pelegrin A, Meijerink WJ (2010) Sentinel node procedure of the sigmoid using indocyanine green: feasibility study in a goat model. Surg Endosc 24:2182–2187PubMedCrossRef
33.
Miyashiro I, Miyoshi N, Hiratsuka M, Kishi K, Yamada T, Ohue M, Ohigashi H, Yano M, Ishikawa O, Imaoka S (2008) Detection of sentinel node in gastric cancer surgery by indocyanine green fluorescence imaging: comparison with infrared imaging. Ann Surg Oncol 15:1640–1643PubMedCrossRef
34.
Miyashiro I, Kishi K, Yano M, Tanaka K, Motoori M, Ohue M, Ohigashi H, Takenaka A, Tomita Y, Ishikawa O (2011) Laparoscopic detection of sentinel node in gastric cancer surgery by indocyanine green fluorescence imaging. Surg Endosc 25:1672–1676PubMedCrossRef
35.
Tajima Y, Murakami M, Yamazaki K, Masuda Y, Kato M, Sato A, Goto S, Otsuka K, Kato T, Kusano M (2010) Sentinel node mapping guided by indocyanine green fluorescence imaging during laparoscopic surgery in gastric cancer. Ann Surg Oncol 17:1787–1793PubMedCrossRef
36.
Yoshida M, Kubota K, Kuroda J, Ohta K, Nakamura T, Saito J, Kobayashi M, Sato T, Beck Y, Kitagawa Y, Kitajima M (2012) Indocyanine green injection for detecting sentinel nodes using color fluorescence camera in the laparoscopy-assisted gastrectomy. J Gastroenterol Hepatol 27(Suppl 3):29–33PubMedCrossRef
37.
van der Poel HG, Buckle T, Brouwer OR, Valdes Olmos RA, van Leeuwen FW (2011) Intraoperative laparoscopic fluorescence guidance to the sentinel lymph node in prostate cancer patients: clinical proof of concept of an integrated functional imaging approach using a multimodal tracer. Eur Urol 60:826–833PubMedCrossRef
38.
Harada K, Miwa M, Fukuyo T, Watanabe S, Enosawa S, Chiba T (2009) ICG fluorescence endoscope for visualization of the placental vascular network. Minim Invasive Ther Allied Technol 18:1–5PubMedCrossRef
39.
Tobis S, Knopf J, Silvers C, Yao J, Rashid H, Wu G, Golijanin D (2011) Near-infrared fluorescence imaging with robotic assisted laparoscopic partial nephrectomy: initial clinical experience for renal cortical tumors. J Urol 186:47–52PubMedCrossRef
40.
Horstmann R, Palmes D, Rupp D, Hohlbach G, Spiegel HU (2002) Laparoscopic fluorometry: a new minimally invasive tool for investigation of the intestinal microcirculation. J Invest Surg 15:343–350PubMedCrossRef
41.
McGinty JJ Jr, Hogle N, Fowler DL (2003) Laparoscopic evaluation of intestinal ischemia using fluorescein and ultraviolet light in a porcine model. Surg Endosc 17:1140–1143PubMedCrossRef
42.
Huang D, Swanson EA, Lin CP, Schuman JS, Stinson WG, Chang W, Hee MR, Flotte T, Gregory K, Puliafito CA et al (1991) Optical coherence tomography. Science 254:1178–1181PubMedCrossRef
43.
Aron M, Kaouk JH, Hegarty NJ, Colombo JR Jr, Haber GP, Chung BI, Zhou M, Gill IS (2007) Second prize: preliminary experience with the Niris optical coherence tomography system during laparoscopic and robotic prostatectomy. J Endourol 21:814–818PubMedCrossRef
44.
Chitchian S, Weldon TP, Fried NM (2009) Segmentation of optical coherence tomography images for differentiation of the cavernous nerves from the prostate gland. J Biomed Opt 14:044033PubMedCrossRef
45.
Chitchian S, Weldon TP, Fiddy MA, Fried NM (2010) Combined image-processing algorithms for improved optical coherence tomography of prostate nerves. J Biomed Opt 15:046014PubMedCrossRef
46.
Cahill RA (2009) Regional nodal staging for early stage colon cancer in the era of endoscopic resection and NOTES. Surg Oncol 18:169–175PubMedCrossRef
47.
Cahill RA, Asakuma M, Trunzo J, Schomisch S, Wiese D, Saha S, Dallemagne B, Marks J, Marescaux J (2010) Intraperitoneal virtual biopsy by fibered optical coherence tomography (OCT) at natural orifice transluminal endoscopic surgery (NOTES). J Gastrointest Surg 14:732–738PubMedCrossRef
48.
Durduran T, Choe R, Yu G, Zhou C, Tchou JC, Czerniecki BJ, Yodh AG (2005) Diffuse optical measurement of blood flow in breast tumors. Opt Lett 30:2915–2917PubMedCrossRef
49.
Curran S, McMurdy JW, Carr SR, Muratore CS, O’Brien BM, Crawford GP, Luks FI (2010) Reflectance spectrometry for real-time hemoglobin determination of placental vessels during endoscopic laser surgery for twin-to-twin transfusion syndrome. J Pediatr Surg 45:59–64PubMedCrossRef
50.
51.
Akbari H, Kosugi Y (2009) Hyperspectral imaging: a new modality in surgery. In: Naik GR (ed) Recent advances in biomedical engineering. Intech—Open Acces Company, New York City, NY, pp 223–240
52.
Zuzak KJ, Naik SC, Alexandrakis G, Hawkins D, Behbehani K, Livingston EH (2007) Characterization of a near-infrared laparoscopic hyperspectral imaging system for minimally invasive surgery. Anal Chem 79:4709–4715PubMedCrossRef
53.
Zuzak KJ, Naik SC, Alexandrakis G, Hawkins D, Behbehani K, Livingston E (2008) Intraoperative bile duct visualization using near-infrared hyperspectral video imaging. Am J Surg 195:491–497PubMedCrossRef
54.
Best SL, Thapa A, Holzer MJ, Jackson N, Mir SA, Cadeddu JA, Zuzak KJ (2011) Minimal arterial in-flow protects renal oxygenation and function during porcine partial nephrectomy: confirmation by hyperspectral imaging. Urology 78:961–966PubMedCrossRef
55.
Tang MX, Elson DS, Li R, Dunsby C, Eckersley RJ (2010) Photoacoustics, thermoacoustics, and acousto-optics for biomedical imaging. Proc Inst Mech Eng H 224:291–306PubMed
56.
Ntziachristos V, Razansky D (2010) Molecular imaging by means of multispectral optoacoustic tomography (MSOT). Chem Rev 110:2783–2794PubMedCrossRef
57.
Wang LV (2003) Ultrasound-mediated biophotonic imaging: a review of acousto-optical tomography and photo-acoustic tomography. Dis Markers 19:123–138PubMed
58.
Beziere N, Ntziachristos V (2011) Optoacoustic imaging: an emerging modality for the gastrointestinal tract. Gastroenterology 141:1979–1985PubMedCrossRef
Metadaten
Titel
Advanced intraoperative imaging methods for laparoscopic anatomy navigation: an overview
verfasst von
Rutger M. Schols
Nicole D. Bouvy
Ronald M. van Dam
Laurents P. S. Stassen
Publikationsdatum
01.06.2013
Verlag
Springer-Verlag
Erschienen in
Surgical Endoscopy / Ausgabe 6/2013
Print ISSN: 0930-2794
Elektronische ISSN: 1432-2218
DOI
https://doi.org/10.1007/s00464-012-2701-x

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