Abstract
Purpose
Minimally invasive surgery (MIS) using a thoraco- or laparoscope is becoming a more common surgical technique. In MIS, a magnified view from a thoracoscope helps surgeons conduct precise operations. However, there is a risk of the visible area becoming narrow. To confirm that the operation field is safe, the surgeon will draw the thoracoscope back to check the marginal area of the target and insert it again many times during MIS. To reduce the surgeon’s load, we aim to visualize the entire thoracic cavity using a newly developed device called “panorama vision ring” (PVR).
Method
The PVR is used instead of a wound retractor or a trocar. It is a ring-type socket with one big hole for the thoracoscope and four small holes for tiny cameras placed around the big hole. The views from the tiny cameras are fused into one wider view that visualizes the entire thoracic cavity. A surgeon can proceed with an operation by checking what exists outside of the thoracoscopic view. Also, she/he can check whether or not bleeding has occurred from the image of the entire cavity.
Results
We evaluated the view-expansion ability of the PVR by using a three-dimensional full-scale thoracic model. The experimental results showed that the entire thoracic cavity could be visible in a panoramic view generated by the PVR. We also demonstrated pulmonary lobectomy in virtual MIS using the PVR. Surgeons could perform a pulmonary lobectomy while checking the entire cavity.
Conclusion
We developed the PVR, which uses tiny auxiliary cameras to create a panoramic view of the entire thoracic cavity during MIS. We aim to make MIS safer for patients and more comfortable for surgeons through the development of the PVR.
This is a preview of subscription content, log in via an institution to check access.
Similar content being viewed by others
References
Chen-Yoshikawa TF, Fukui T, Nakamura S, Ito T, Kadomatsu Y, Tsubouchi H, Ueno H, Sugiyama T, Goto M, Mori S, Ozeki N, Hakiri S, Kawaguchi K (2020) Current trends in thoracic surgery. Nagoya J Med Sci 82(2):161–174. https://doi.org/10.18999/nagjms.82.2.161
Lerotic M, Chung AJ, Clark J, Valibeik S and Yang GZ (2008) Dynamic view expansion for enhanced navigation in natural orifice transluminal endoscopic surgery, MICCAI 2008, Part II, LNCS 5242, pp 467–475
Totz J, Fujii K, Mountney P, Yang GZ (2012) Enhanced visualisation for minimally invasive surgery. Int J CARS 7:423–432. https://doi.org/10.1007/s11548-011-0631-z
Okubo T, Nakaguchi T, Hayashi H, Tsumura N (2011) Abdominal view expansion by retractable camera. J Signal Process 15(4):311–314
Afifi A, Takada C, Yoshimura Y, Nakaguchi T (2021) Real-time expanded field-of-view for minimally invasive surgery using multi-camera visual simultaneous localization and mapping. Sensors 21(6):2106. https://doi.org/10.3390/s21062106
Tamadazte B, Agustinos A, Cinquin P, Fiard G, Voros S (2015) Multi-view vision system for laparoscopy surgery. Int J CARS 10:195–203. https://doi.org/10.1007/s11548-014-1064-2
Bardaro SJ, Swanstrom L (2006) Development of advanced endoscopes for natural orifice transluminal endoscopic surgery (NOTES). Minim Invasive Ther Allied Technol 15(6):378–383. https://doi.org/10.1080/13645700601038069
Mountney P, Stoyanov D, Davison A and Yang GZ (2006) Simultaneous stereoscope localization and soft-tissue mapping for minimal invasive surgery, MICCAI 2006. LNCS 419, pp 347–354
Mur-Artal R, Montiel JMM, Tardós JD (2015) ORB-SLAM: a versatile and accurate monocular SLAM system. IEEE Trans Robot 31(5):1147–1163. https://doi.org/10.1109/TRO.2015.2463671
Zhang Z (2000) A flexible new technique for camera calibration. IEEE Trans Pattern Anal Mach Intell 22(11):1330–1334
FasoLab THORA, https://fasolab.jp/en/products/trainigbox/fasolabthora/
FasoLab Right Lobectomy Model, https://fasolab.jp/en/products/organ/lobectomy_r/
Yun J, Lee J, Shin S, Kim HK, Choi YS, Kim J, Zo J, Shim YM, Cho JH (2022) Video-assisted thoracoscopic lobectomy versus open lobectomy in the treatment of large lung cancer: propensity-score matched analysis. J Cardiothorac Surg 17(1):2
Acknowledgements
This research is supported by Grants from the Japan Agency for Medical Research and Development (AMED) under Grant Numbers JP20lm0203005 and JP21ym0126011, JSPS KAKENHI Grant Number JP21H03020, and the Department of Advanced Medicine, Nagoya University Hospital.
Author information
Authors and Affiliations
Corresponding author
Ethics declarations
Conflict of interest
Takayuki Kitasaka, Shota Nakamura, Yuichiro Hayashi, Tsuyoshi Nakai, Yasuhiro Nakai, Kensaku Mori and Toyofumi Fengshi Chen-Yoshikawa declare that they have no conflict of interest.
Ethical approval
None.
Additional information
Publisher's Note
Springer Nature remains neutral with regard to jurisdictional claims in published maps and institutional affiliations.
Supplementary Information
Below is the link to the electronic supplementary material.
Supplementary file1 (MP4 34344 kb)
Rights and permissions
Springer Nature or its licensor (e.g. a society or other partner) holds exclusive rights to this article under a publishing agreement with the author(s) or other rightsholder(s); author self-archiving of the accepted manuscript version of this article is solely governed by the terms of such publishing agreement and applicable law.
About this article
Cite this article
Kitasaka, T., Nakamura, S., Hayashi, Y. et al. Development of panorama vision ring for thoracoscopy. Int J CARS 18, 945–952 (2023). https://doi.org/10.1007/s11548-023-02859-5
Received:
Accepted:
Published:
Issue Date:
DOI: https://doi.org/10.1007/s11548-023-02859-5