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KMID : 1214920180240020142
Soonchunhyang Medical Science
2018 Volume.24 No. 2 p.142 ~ p.146
Novel Three-Dimensional Image-Guided Surgery: Application of a Computed Tomography-Based Three-Dimensional Model Using a Tablet Device
Cho Sung-Woo

Abstract
Objective: A tablet device has several medical applications because it¡¯s portability. Most importantly, its powerful graphics and touch-based features have several benefits in the surgical field, especially for generating three-dimensional (3D) images based on patients¡¯ computed tomography (CT) scans.

Method: In this study, 3D objects were manipulated by an operator on an iPad during several laparoscopic surgeries of intra-abdominal organs. Before surgery, 3D structures, such as vessels, soft tissues, and bones, were reconstructed by the surgeon using the patients¡¯ CT scans on the patients¡¯ bed-side personal computer.

Results: In this study, 3D image-guided surgeries were performed using an iPad in five patients. The benefits of this technique were recorded and analyzed in detail by the surgeon.

Conclusion: Although in a pilot phase with unresolved issues, direct intra-operative handling of a patient-tailored 3D model developed using a tablet device could be useful compared with conventional two-dimensional imaging.
KEYWORD
Tablet device, iPad, Three-dimensional image-guided surgery, Laparoscopy
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