INNOVATIVE TECHNOLOGY - INTRAOPERATIVE NAVIGATION - ARTIFICIAL INTELLIGENCE
Undoubtedly, next day in surgery will exceed the limits of Robotic Surgery as applied today. Already, multiple robotic systems are ready to hit the market with innovative designs, state-of-the-art technology and impressive biomechanical and biotechnology applications.
In 2010 our team successfully presented at the MIRA 2010 World Conference on Robotic Surgery in San Diego, the unlimited possibilities of robotics in the use of patient examination information intraoperatively as a navigation tool, through the TILE-PRO system and a simple connection to a DICOM terminal. During our presentation, we showed that the surgeon could consult CT and MRI scans or other examinations during the operation. The use of these graphic models in combination with the real image of the surgery provides the surgeon with important information for the safe completion of the operation and marks the beginning of the era of "Augmented-Reality Surgery". The Medical Robotic Surgery team, at the initiative and design of surgeon Savvas K. Chiridis, used for the first-time three-dimensional reconstructions of the patient's anatomy from axial angiography for Intraoperative Navigation through the Robotic Surgical System.
Today, Tile-Pro technology is used by our team in surgeries that have high requirements for intraoperative angiography.
Volumetric images of axial angiography that we reconstruct preoperatively in our DICOM terminal, and channel through the TILEPRO to the robotic system, proved to be particularly useful in clinical practice, for example during the complete robotic removal of an 18 cm spleen in a 35-year-old patient with Mediterranean of 2020.
Of great interest is the possibility of new robotic systems to offer another type of early, dynamic real-time navigation, similar to the one we have in the car to orient ourselves through GPS systems. In the robotic system this technology takes on flesh and blood thanks to the property of the chemical compound indocyanine (ICG) to fluoresce when a laser beam falls on it, and to display the tissues green with a special infrared camera.
In this way, during the robotic operation, we can visualize the hidden anatomy of the lymph nodes, the extrahepatic bile duct, the branches of the arteries, or even assess the adequacy of the perfusion of the intestine before the attempt to anastomosis.
The characteristic shimmer of this substance through its tissues has earned it the name Firefly and studies are constantly increasing for its importance and role in intraoperative navigation in major urological surgeries, but also in other upper and lower digestive oncological surgeries related to General Surgery.
(text automatically translated from Greek)
Last Update : 21/4/2022