Enhancing Perioperative Outcomes of Pancreatic Surgery with Wearable Augmented Reality Assistance System: A Matched-Pair Analysis
Objective:. The present study aimed to evaluate the safety of the first wearable augmented reality assistance system (ARAS) specifically designed for pancreatic surgery and its impact on perioperative outcomes. Background:. Pancreatic surgery remains highly complex and is associated with a high rate...
Saved in:
| Main Authors: | , , , , , , |
|---|---|
| Format: | Article |
| Language: | English |
| Published: |
Wolters Kluwer Health
2024-12-01
|
| Series: | Annals of Surgery Open |
| Online Access: | http://journals.lww.com/10.1097/AS9.0000000000000516 |
| Tags: |
Add Tag
No Tags, Be the first to tag this record!
|
| _version_ | 1832589678412300288 |
|---|---|
| author | Hamraz Javaheri, MSc Omid Ghamarnejad, MD Rizky Widyaningsih, MD Ragnar Bade, PhD Paul Lukowicz, PhD Jakob Karolus, PhD Gregor Alexander Stavrou, MD |
| author_facet | Hamraz Javaheri, MSc Omid Ghamarnejad, MD Rizky Widyaningsih, MD Ragnar Bade, PhD Paul Lukowicz, PhD Jakob Karolus, PhD Gregor Alexander Stavrou, MD |
| author_sort | Hamraz Javaheri, MSc |
| collection | DOAJ |
| description | Objective:. The present study aimed to evaluate the safety of the first wearable augmented reality assistance system (ARAS) specifically designed for pancreatic surgery and its impact on perioperative outcomes.
Background:. Pancreatic surgery remains highly complex and is associated with a high rate of perioperative complications. ARAS, as an intraoperative assistance system, has the potential to reduce these complications.
Methods:. This prospective, single-center study included 20 patients who underwent pancreatic surgery using ARAS. These patients were matched in a 1:3 ratio with 60 patients from our retrospective data who underwent standard pancreatic resection. Matching variables were selected based on factors associated with poor intraoperative outcomes.
Results:. A higher proportion of patients in the ARAS group were diagnosed with borderline resectable pancreatic cancer and received neoadjuvant chemotherapy (20.0% vs 6.7%, P = 0.085). Additionally, more patients in the ARAS group required arterial resection compared with the control group (15.0% vs 0.0%, P = 0.002). Nevertheless, the ARAS group had a significantly shorter operative time (246 vs 299 minutes, P = 0.004) and required significantly fewer intraoperative blood transfusions (0.0 ± 0.0 vs 0.5 ± 1.4 units, P = 0.014). None of the patients in the ARAS group had positive resection margins (0.0% vs 20.0%, P = 0.045). Furthermore, patients in the ARAS group experienced a significantly shorter hospital stay (13.8 ± 6.6 vs 17.9 ± 8.2 days, P = 0.046).
Conclusions:. ARAS is a safe and effective assistance system for pancreatic surgery, offering superior perioperative outcomes compared with standard procedures. |
| format | Article |
| id | doaj-art-12d6b0d5d0b844809725c0fbda6d8f1a |
| institution | Kabale University |
| issn | 2691-3593 |
| language | English |
| publishDate | 2024-12-01 |
| publisher | Wolters Kluwer Health |
| record_format | Article |
| series | Annals of Surgery Open |
| spelling | doaj-art-12d6b0d5d0b844809725c0fbda6d8f1a2025-01-24T09:18:58ZengWolters Kluwer HealthAnnals of Surgery Open2691-35932024-12-0154e51610.1097/AS9.0000000000000516202412000-00016Enhancing Perioperative Outcomes of Pancreatic Surgery with Wearable Augmented Reality Assistance System: A Matched-Pair AnalysisHamraz Javaheri, MSc0Omid Ghamarnejad, MD1Rizky Widyaningsih, MD2Ragnar Bade, PhD3Paul Lukowicz, PhD4Jakob Karolus, PhD5Gregor Alexander Stavrou, MD6From the * Department of Embedded Intelligence, German Research Center for Artificial Intelligence (DFKI), Kaiserslautern, Germany† Department of General, Visceral, and Oncological Surgery, Klinikum Saarbrücken, Saarbrücken, Germany† Department of General, Visceral, and Oncological Surgery, Klinikum Saarbrücken, Saarbrücken, Germany‡ MeVis Medical Solutions AG, Bremen, GermanyFrom the * Department of Embedded Intelligence, German Research Center for Artificial Intelligence (DFKI), Kaiserslautern, GermanyFrom the * Department of Embedded Intelligence, German Research Center for Artificial Intelligence (DFKI), Kaiserslautern, Germany† Department of General, Visceral, and Oncological Surgery, Klinikum Saarbrücken, Saarbrücken, GermanyObjective:. The present study aimed to evaluate the safety of the first wearable augmented reality assistance system (ARAS) specifically designed for pancreatic surgery and its impact on perioperative outcomes. Background:. Pancreatic surgery remains highly complex and is associated with a high rate of perioperative complications. ARAS, as an intraoperative assistance system, has the potential to reduce these complications. Methods:. This prospective, single-center study included 20 patients who underwent pancreatic surgery using ARAS. These patients were matched in a 1:3 ratio with 60 patients from our retrospective data who underwent standard pancreatic resection. Matching variables were selected based on factors associated with poor intraoperative outcomes. Results:. A higher proportion of patients in the ARAS group were diagnosed with borderline resectable pancreatic cancer and received neoadjuvant chemotherapy (20.0% vs 6.7%, P = 0.085). Additionally, more patients in the ARAS group required arterial resection compared with the control group (15.0% vs 0.0%, P = 0.002). Nevertheless, the ARAS group had a significantly shorter operative time (246 vs 299 minutes, P = 0.004) and required significantly fewer intraoperative blood transfusions (0.0 ± 0.0 vs 0.5 ± 1.4 units, P = 0.014). None of the patients in the ARAS group had positive resection margins (0.0% vs 20.0%, P = 0.045). Furthermore, patients in the ARAS group experienced a significantly shorter hospital stay (13.8 ± 6.6 vs 17.9 ± 8.2 days, P = 0.046). Conclusions:. ARAS is a safe and effective assistance system for pancreatic surgery, offering superior perioperative outcomes compared with standard procedures.http://journals.lww.com/10.1097/AS9.0000000000000516 |
| spellingShingle | Hamraz Javaheri, MSc Omid Ghamarnejad, MD Rizky Widyaningsih, MD Ragnar Bade, PhD Paul Lukowicz, PhD Jakob Karolus, PhD Gregor Alexander Stavrou, MD Enhancing Perioperative Outcomes of Pancreatic Surgery with Wearable Augmented Reality Assistance System: A Matched-Pair Analysis Annals of Surgery Open |
| title | Enhancing Perioperative Outcomes of Pancreatic Surgery with Wearable Augmented Reality Assistance System: A Matched-Pair Analysis |
| title_full | Enhancing Perioperative Outcomes of Pancreatic Surgery with Wearable Augmented Reality Assistance System: A Matched-Pair Analysis |
| title_fullStr | Enhancing Perioperative Outcomes of Pancreatic Surgery with Wearable Augmented Reality Assistance System: A Matched-Pair Analysis |
| title_full_unstemmed | Enhancing Perioperative Outcomes of Pancreatic Surgery with Wearable Augmented Reality Assistance System: A Matched-Pair Analysis |
| title_short | Enhancing Perioperative Outcomes of Pancreatic Surgery with Wearable Augmented Reality Assistance System: A Matched-Pair Analysis |
| title_sort | enhancing perioperative outcomes of pancreatic surgery with wearable augmented reality assistance system a matched pair analysis |
| url | http://journals.lww.com/10.1097/AS9.0000000000000516 |
| work_keys_str_mv | AT hamrazjavaherimsc enhancingperioperativeoutcomesofpancreaticsurgerywithwearableaugmentedrealityassistancesystemamatchedpairanalysis AT omidghamarnejadmd enhancingperioperativeoutcomesofpancreaticsurgerywithwearableaugmentedrealityassistancesystemamatchedpairanalysis AT rizkywidyaningsihmd enhancingperioperativeoutcomesofpancreaticsurgerywithwearableaugmentedrealityassistancesystemamatchedpairanalysis AT ragnarbadephd enhancingperioperativeoutcomesofpancreaticsurgerywithwearableaugmentedrealityassistancesystemamatchedpairanalysis AT paullukowiczphd enhancingperioperativeoutcomesofpancreaticsurgerywithwearableaugmentedrealityassistancesystemamatchedpairanalysis AT jakobkarolusphd enhancingperioperativeoutcomesofpancreaticsurgerywithwearableaugmentedrealityassistancesystemamatchedpairanalysis AT gregoralexanderstavroumd enhancingperioperativeoutcomesofpancreaticsurgerywithwearableaugmentedrealityassistancesystemamatchedpairanalysis |