ArticleHealthcare technology letters2024
Virtual reality-based preoperative planning for optimized trocar placement in thoracic surgery: A preliminary study.
Article in Healthcare technology letters, 2024. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 3 papers.
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Who cites it
3 citing papers in PubMed.
- Emerging technologies in thoracic surgery: artificial intelligence, robotic-assisted surgery, and telesurgery.Frontiers in surgery · 2026Review
- Virtual reality-augmented differentiable simulations for digital twin applications in surgical planning.Scientific reports · 2025Article
- Virtual reality-based preoperative planning for optimized trocar placement in thoracic surgery: A preliminary study.Healthcare technology letters · 2024Article
Corrections and comments
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Authors and funding
4 authors.
Funding
No grant is acknowledged in the PubMed record.
Abstract
Video-assisted thoracic surgery (VATS) is a minimally invasive approach for treating early-stage non-small-cell lung cancer. Optimal trocar placement during VATS ensures comprehensive access to the thoracic cavity, provides a panoramic endoscopic view, and prevents instrument crowding. While established principles such as the Baseball Diamond Principle (BDP) and Triangle Target Principle (TTP) exist, surgeons mainly rely on experience and patient-specific anatomy for trocar placement, potentially leading to sub-optimal surgical plans that increase operative time and fatigue. To address this, the authors present the first virtual reality (VR)-based pre-operative planning tool with tailored data visualization and interaction designs for efficient and optimal VATS trocar placement, following the established surgical principles and consultation with an experienced surgeon. In the preliminary study, the system's application in right upper lung lobectomy is demonstrated, a common thoracic procedure typically using three trocars. A preliminary user study of the system indicates it is efficient, robust, and user-friendly for planning optimal trocar placement, with a great promise for clinical application while offering potentially valuable insights for the development of other surgical VR systems.
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