0
Review Article

Novel Imaging Technologies In Laparoscopic Gynecologic Surgery: A Systematic Review

[+] Author and Article Information
Alison Vogell

Department of Gynecology, Lahey Hospital & Medical Center, Burlington, Massachusetts, USA
alison.vogell@lahey.org

Hannah Burley

Department of Gynecology, Lahey Hospital & Medical Center, Burlington, Massachusetts, USA
hannah.burley@gmail.com

Matthew Ware

Department of General Surgery, Lahey Hospital & Medical Center, Burlington, Massachusetts, USA
matthew.ware@live.com

Valena J Wright

Department of Gynecology, Lahey Hospital & Medical Center, Burlington, Massachusetts, USA
valena.wright@lahey.org

Irene Georgakoudi

Department of Biomedical Engineering, Tufts University School of Engineering, Medford, Massachusetts, USA
irene.georgakoudi@tufts.edu

Thomas Schnelldorfer

Department of General Surgery, Lahey Hospital & Medical Center, Burlington, Massachusetts, USADepartment of Biomedical Engineering, Tufts University School of Engineering, Medford, Massachusetts, USA
thomas.schnelldorfer@lahey.org

1Corresponding author.

ASME doi:10.1115/1.4038360 History: Received September 15, 2017; Revised November 01, 2017

Abstract

Objective: Novel imaging technologies continued to be introduced into the operative setting. In particular, novel image-enhanced laparoscopic techniques are being explored for use in gynecologic operations. This systematic review describes these technologies in four relevant areas of gynecologic surgery. Methods: The PubMed database was searched for human, English-language studies, and the reference lists of retrieved articles were reviewed. An analysis of pooled data from 34 studies that met inclusion criteria was performed. Results: The results suggest that image-enhanced technology may be useful in several common gynecologic procedures. Auto- and drug-enhanced fluorescence laparoscopy allow for increased detection of non-pigmented endometriotic lesions. Using these technologies for peritoneal staging of ovarian malignancy is of uncertain benefit. Drug-enhanced fluorescence laparoscopy for sentinel lymph node detection in patients with uterine or cervical malignancy is feasible, showing a high rate of sentinel lymph node detection, but a low sensitivity of identifying metastases. Finally, their use in intra-operative visualization of the ureter is promising. Conclusion: The majority of available data was from feasibility studies with limited sample sizes. Nevertheless, the results described in this systematic review support the expectation that these upcoming image-enhanced laparoscopy techniques will play a more important role in the future care of gynecologic patients.

Copyright (c) 2017 by ASME
Your Session has timed out. Please sign back in to continue.

References

Figures

Tables

Errata

Discussions

Some tools below are only available to our subscribers or users with an online account.

Related Content

Customize your page view by dragging and repositioning the boxes below.

Related Journal Articles
Related eBook Content
Topic Collections

Sorry! You do not have access to this content. For assistance or to subscribe, please contact us:

  • TELEPHONE: 1-800-843-2763 (Toll-free in the USA)
  • EMAIL: asmedigitalcollection@asme.org
Sign In