Dr Stéphane Nicolau IRCAD, France |
Title to be announced |
Despite outstanding progress in the field of computer vision for endoscopic surgery in the last decade, navigation systems for soft tissue surgery are still not able to face deformation issues and provide accurate and certified guiding systems. Indeed, there is up to now no commercial system to guide endoscopic surgery involving any kind of soft tissue. I will introduce the vision of IRCAD and IHU Strasbourg to overcome this issue, with the emergence of hybrid surgical rooms, which allow regular update of patient medical images using dedicated acquisition equipment available during the surgery. More particularly, I will firstly recall how we are able to provide necessary data for any navigation system in endoscopic surgery. Secondly, I will explain how we deal with organ deformation due to breathing or due to pneumoperitoneum after the surgery begins, using intraoperative data. Thirdly, the software certification issue will be raised and I will describe the AR-Flex project, devoted to endoluminal navigation, which nicely tackles this problem and shows the relevant milestones of a project so that it reaches the commercialization phase as soon as possible. Finally, the relevance of these navigation systems with respect to their integration and cost will be discussed.