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Clin Colon Rectal Surg 2015; 28(03): 158-164
DOI: 10.1055/s-0035-1555007
Thieme Medical Publishers 333 Seventh Avenue, New York, NY 10001, USA.

Enhanced Reality and Intraoperative Imaging in Colorectal Surgery

Frederic Ris   *
1   Service of Visceral Surgery, Geneva University Hospitals, Geneva, Switzerland
,
Trevor Yeung   *
2   Department of Colorectal Surgery, Oxford University Hospitals, Oxford, United Kingdom
,
Roel Hompes
2   Department of Colorectal Surgery, Oxford University Hospitals, Oxford, United Kingdom
,
Neil J. Mortensen
2   Department of Colorectal Surgery, Oxford University Hospitals, Oxford, United Kingdom
› Author Affiliations
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Publication History

Publication Date:
05 October 2015 (online)

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Abstract

Colorectal surgery is one of the most common procedures performed around the world with more than 600,000 operations each year in the United States, and more than a million worldwide. In the past two decades, there has been a clear trend toward minimal access and surgeons have embraced this evolution. Widespread adoption of advanced minimally invasive procedures is often limited by procedural complexity and the need for specific technical skills. Furthermore, the loss of 3D vision, limited overview of the surgical field, and diminished tactile sensation make major colorectal procedures more challenging and have an impact on the surgeons' learning curves. New technologies are emerging that can compensate for some of the sensory losses associated with laparoscopy. High-definition picture acquisition, 3D camera systems, and the use of biomarkers will allow improved identification of the target structures and help differentiate them from surrounding tissues. In this article, we describe some of the new technologies available and, in particular, focus on the possible implications of biomarkers and fluorescent laparoscopic imaging.

Keywords

laparoscopic colorectal cancer resection - colorectal surgery - biomarkers - indocyanine green - enhanced reality - imaging

* Both the authors contributed equally to this work.


 

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