Evidence map›Paper›PMID 40999219›Full record

ReviewSurgical endoscopy2025

Real-time image-guided and computer augmented reality in minimally invasive hepatopancreatobiliary surgery cutting edge technology transforming HPB surgery.

Camila Ortiz Gomez, Jason Hawksworth, Christoph Tschuor, Nobuyuki Takemura, Daisuke Fukumori, Erin Baker, Osamu Yoshino

Abstract readReview
PubMed Publisher
In one paragraph

Review in Surgical endoscopy, 2025. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 3 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
3citing papers in PubMed, 1 pooled it
–field-weighted citation impact
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

3 citing papers in PubMed, 1 synthesis or guideline pooled it.

  1. Pooled it
  2. Article
  3. Review
4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

7 authors.

Camila Ortiz GomezDivision of HPB Surgery, Department of Surgery, Atrium Health Carolinas Medical Center, Charlotte, NC, USA.
Jason HawksworthDepartment of Surgery, Abdominal Organ Transplantation Division, Columbia University Irving Medical Center, New York, NY, USA.
Christoph TschuorDepartment of Surgery and Transplantation, Rigshospitalet, Copenhagen University Hospital, Copenhagen, Denmark.
Nobuyuki TakemuraDepartment of Hepato-Biliary-Pancreatic Surgery and Pediatric Surgery, Saitama Medical Center, Saitama Medical University, Saitama, Japan.
Daisuke FukumoriDepartment of Surgery and Transplantation, Rigshospitalet, Copenhagen University Hospital, Copenhagen, Denmark.
Erin BakerDivision of HPB Surgery, Department of Surgery, Atrium Health Carolinas Medical Center, Charlotte, NC, USA.
Osamu YoshinoHepato-Pancreato-Biliary and Liver Transplant Surgery Unit, Austin Health, Melbourne, VIC, Australia. Osamu.YOSHINO@austin.org.au.ORCID http://orcid.org/0000-0003-1219-5362

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundThe minimally invasive hepatopancreatobiliary (MI-HPB) surgery demands a greater depth of concentration and a thorough understanding of anatomy, along with advanced technical skills for precise tissue manipulation. Robotic surgery, with its precision and refined control, is increasingly replacing conventional laparoscopic approaches in MI-HPB procedures. Modern robotic systems serve as intuitive extensions of the surgeon's hands, offering exceptional dexterity and enhanced sensory feedback, though they remain functionally limited in some respects. The integration of augmented reality features is now feasible and holds promise as a safety enhancement, providing real-time intraoperative support to surgeons.

methodIn this review article, we describe currently available real-time image technologies and their clinical applications in HPB surgery, including an indocyanine-green fluorescence view, integrated intraoperative ultrasound using a miniature drop-in probe, and novel 3D simulation imaging system.

resultsThe technology described in this article is readily available to support surgeons in perceiving and understanding relevant anatomy and serves as a navigation system in surgery. Technology and its users are mutually intertwined, continuously shaping and influencing one another.

conclusionThese innovations are not only redefining safety standards in minimally invasive HPB surgery but also ushering in a new era of digital surgery in HPB through increasingly advanced application of augmented reality.

Indexed as

Augmented RealityRobotic Surgical ProceduresSurgery, Computer-AssistedHumansImaging, Three-DimensionalMinimally Invasive Surgical ProceduresAugmented-realityDigital surgeryHepatopancreatobiliary surgeryLiver transplantationMinimally invasive surgeryReal-time image guided surgeryRobotic surgery

Identifiers

What OpenQuestion holds

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Registered trials

None linked

Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.