Navigation in Liver Surgery

Project Description

Laparoscopic surgery presents a minimally invasive alternative for liver surgery and has a number of clinical advantages. However, it is complicated by reduced depth perception and the loss of tactile feedback, which can be compensated with a navigation system.

In sub - project PNT–4 (Laparoscopy-Assistant), an assistance system for navigated laparoscopic liver surgery has been developed. By integrating ultrasound, laparoscopic images and instruments the system compensates for the loss of tactile feedback and reduced depth perception.

Moreover, it helps the surgeon to fuse the preoperative planning data with intra-operative ultrasound and video images and to navigate the surgical instruments and laparoscopic ultrasound probe using an electromagnetic tracking system. The system fulfills all requirements presented at the beginning or during the project and was validated with respect to quality and risk aspects. It was approved for a clinical investigation according to annex VIII of the Medical Devices Act.

Planning tool for high precision navigation in the liver
Planning tool for high precision navigation in the liver
Presentation of our system at the MEDICA
Presentation of our system at the MEDICA

Publications

2010

Volker Martens, Armin Beširević, Osama Shahin, and Markus Kleemann,
LapAssistent -- computer assisted laparoscopic liver surgery, Rostock , 2010.

2008

Volker Martens, Floris Ernst, Thomas Fränkler, Lars Matthäus, Stefan Schlichting, and Achim Schweikard,
Ein Client-Server Framework für Trackingsysteme in medizinischen Assistenzsystemen, Bartz, Dirk and Bohn, S. and Hoffmann, J., Eds. Leipzig, Germany , 2008. pp. 7-10.
Volker Martens, Stefan Schlichting, Armin Beširević, and Markus Kleemann,
LapAssistent - a laparoscopic liver surgery assistence system, Magjarevic, Ratko and Sloten, Jos and Verdonck, Pascal and Nyssen, Marc and Haueisen, Jens, Eds. Antwerpen, Belgium: Springer, 2008. pp. 121-125.
DOI:10.1007/978-3-540-89208-3_31
File: 978-3-540-89208-3_31

2007

Volker Martens, Stefan Schlichting, Armin Beširević, Philipp Hildebrand, Markus Kleemann, Hans-Peter Bruch, and Achim Schweikard,
Der LapAssistent - Ein System zur Navigation bei laparoskopischen Leberoperationen, Berlin , 2007.
Philipp Hildebrand, Armin Beširević, Markus Kleemann, Stefan Schlichting, Volker Martens, Achim Schweikard, and Hans-Peter Bruch,
Design and development of adapters for electromagnetic trackers to perform navigated laparoscopic radiofrequency ablation, Annals of Surgical Innovation and Research , vol. 1, no. 7, 2007.
DOI:10.1186/1750-1164-1-7
File: 1750-1164-1-7
Armin Beširević, Stefan Schlichting, Volker Martens, Markus Kleemann, Philipp Hildebrand, Uwe Roblick, Conny Bürk, Achim Schweikard, and Hans-Peter Bruch,
Design and Development of sterilisable adapters for navigated visceral (liver) surgery and first practical experiences, Berlin , 2007.
Armin Beširević, Stefan Schlichting, Volker Martens, Philipp Hildebrand, Uwe Roblick, Lutz Mirow, Conny Bürk, Achim Schweikard, Markus Kleemann, and Hans-Peter Bruch,
Design und Entwicklung von sterilisierbaren Adaptern für navigierte viszerale (Leber) Chirurgie und erste praktische Erfahrungen, Berlin , 2007.
Volker Martens, Armin Beširević, Stefan Schlichting, Markus Kleemann, Philipp Hildebrand, Hans-Peter Bruch, and Achim Schweikard,
Ein magnetisches Navigationssystem für die minimal-invasive Leberchirurgie, Aachen 2007 , 2007.
Philipp Hildebrand, Volker Martens, Achim Schweikard, Stefan Schlichting, Armin Beširević, Markus Kleemann, Uwe Roblick, Lutz Mirow, Conny Bürk, and Hans-Peter Bruch,
Evaluation of an online navigation system for laparoscopic interventions in a perfused ex vivo artificial tumor model of the liver, The Official Journal of the International Hepato Pancreato Biliary Association , vol. 9, no. 3, pp. 190-194, 2007.
DOI:10.1080/13651820601089077
File: 13651820601089077
Volker Martens, Armin Beširević, Stefan Schlichting, and Achim Schweikard,
Evaluation und relative Positionskorrektur eines magnetischen Trackingsystems für die minimal-invasive Chirurgie, Karlsruhe , 2007. pp. 271-274.
Stefan Schlichting, Philipp Hildebrand, Volker Martens, Armin Beširević, Markus Kleemann, Uwe Roblick, Lutz Mirow, Conny Bürk, Achim Schweikard, and Hans-Peter Bruch,
Intraoperative documentation of laparoscopic radiofrequency ablation of liver tumors -- First Experiences, Berlin, Germany , 2007.
File:
Markus Kleemann, Philipp Hildebrand, Lutz Mirow, Volker Martens, Stefan Schlichting, Armin Beširević, Conny Bürk, Uwe Roblick, Achim Schweikard, and Hans-Peter Bruch,
Navigationsunterstützte Leberchirurgie: Stand der klinischen und experimentellen Forschung, Schleswig-Holsteinisches Ärzteblatt , vol. 10, pp. 51-56, 2007.
Philipp Hildebrand, Stefan Schlichting, Volker Martens, Armin Beširević, Markus Kleemann, Uwe Roblick, M. Mirow, Conny Bürk, Achim Schweikard, and Hans-Peter Bruch,
Prototype of an intraoperative navigation and documentation system for laparoscopic radiofrequency ablation: First experiences, European Journal of Surgical Oncology , vol. 34, no. 4, pp. 418-421, 2007.
Arne Hennings, Volker Martens, and Achim Schweikard,
Videooptische 3D-Lagebestimmung zylinderförmiger Instrumente für die Laparoskopie, Karlsruhe , 2007.

2006

Markus Kleemann, Volker Martens, Philipp Hildebrand, Armin Beširević, Stefan Schlichting, Achim Schweikard, and Hans-Peter Bruch,
"Die Erfassung des Raumes - Grundlagen der Trackingtechnologie" 2006.
Volker Martens, Philipp Hildebrand, Stefan Schlichting, Armin Beširević, Achim Schweikard, Hans-Peter Bruch, and Markus Kleemann,
"Entwicklung einer Navigationsumgebung (LapAssistent) für die ultraschallnavigierte laparoskopische Leberchirurgie" 2006.
Markus Kleemann, Philipp Hildebrand, Volker Martens, Armin Beširević, Stefan Schlichting, Achim Schweikard, and Hans-Peter Bruch,
Entwicklung eines sonografischen Navigationssystems für die Laparoskopie, 2006.
Volker Martens, Markus Kleemann, Lars Matthäus, Hans-Peter Bruch, and Achim Schweikard,
Evaluation of EM tracking systems for laparoscopic liver surgery, Osaka, Japan , 2006.
Stefan Schlichting, Volker Martens, Norman Rzezovski, Achim Schweikard, and Hans-Peter Bruch,
First results of accuracy of virtual liver cut classification for automatic landmark extraction, 2006.
Markus Kleemann, Philipp Hildebrand, Stefan Schlichting, Armin Beširević, Volker Martens, Lutz Mirow, Uwe Roblick, Conny Bürk, Achim Schweikard, and Hans-Peter Bruch,
"Navigationsunterstützte Leberchirurgie: Stand der klinische und experimentellen Forschung" 2006.

2005

Markus Kleemann, Philipp Hildebrand, Lars Matthäus, Achim Schweikard, M. Birth, and Hans-Peter Bruch,
Navigation in der Viszeralchirurgie, Berlin , 2005.