engleski

Telesurgery with 3D-CAS support in otorhinolaryngology-new experience in the development of the head and neck surgery

One of the main objectives of our Three dimensional computer assisted functional endoscopic sinus surgery was to design a computer assisted 3D-approach in presurgical planning, intraoperative guidance and postoperative analysis of anatomical regions of the nose and paranasal sinuses. Such an extremely powerful approach should allow a better insight into the operating field including significantly greater safety of the procedure itself. The last and very natural step of technology implementation in the operating room was to connect the computer workstations and video equipment to remote locations using a high speed & wide bandwidth computer network. During patient preparation, the surgeon in the operating room consults remote, experienced and skilful surgeons using computed thomography images and three-dimensional models on computer workstations. The surgeon and consultants use software for computed thomography image previews and three-dimensional model manipulations on top of collaboration tools to define the pathology, to produce an optimal path to the pathology and to decide how to perform the real surgical procedure. Using tele-fly-through or tele-virtual endoscopy via three-dimensional models, both surgeons can preview all the characteristics of the region (anatomy ; pathology) and so predict and determine the next steps of the operation. This ensures higher safety of the operation guidance and reduces the possibility or intraoperative error. The duration of the tele-consultation is thus shortened, which may prove the greatest benefit from Tele-three-dimensional computer assisted surgery. By this way clinical institutions would spend less money for time fees for telesurgical consultation.

Telesurgery; 3D-CAS; otorhinolaryngology; head and neck surgery

nije evidentirano