title: MRI-guided laparoscopic and robotic surgery for malignancies.
abstract: Endoscopic surgery has some clear benefits, but it also has some disadvantages in reducing surgeons' normal dexterity and limiting their ability to deal with difficult situations. Computer-aided surgery has been proposed to overcome some of the drawbacks of traditional minimally invasive surgery. The proposed systems make possible a secure, precise procedure with no limitations on the operator's freedom of movement. Image-guided surgery is a new technical tool in surgical oncology. Interventional magnetic resonance imaging (MRI) has entered a new stage in which computer-based techniques play an expanding role in planning, monitoring, and controlling procedures. MRI-guided surgery not only represents a technical challenge but is a transformation from conventional hand-eye coordination to interactive navigational operations. We have recently developed an MRI-guided robot-assisted interventional surgical system as well as an MRI-compatible endoscope. They allow the performance of precise image-guided interventional therapy and endoscopic surgery. MRI-guided laparoscopic surgery is now feasible for malignancies and will play an important part in the development of minimally invasive therapy.
authors: Department of Advanced Medical Initiatives, Faculty of Medical Sciences, Kyushu University, 3-1-1 Maidashi, Higashi-ku, Fukuoka 812-8582, Japan. mhashi@dem.med.kyushu-u.ac.jp
authors: Makoto
authors: M
authors: Hashizume
mesh_terms: D004724:Endoscopy; D006801:Humans; D007091:Image Processing, Computer-Assisted; D010535:Laparoscopy / Q000379:methods*; D053783:Magnetic Resonance Imaging, Interventional / Q000379:methods*; D009369:Neoplasms / Q000473:pathology / Q000601:surgery*; D012371:Robotics / Q000379:methods*; D025321:Surgery, Computer-Assisted / Q000379:methods