G.T. Basiashvili1, N.R. Akramov2, 5, T.A. Khakimy2, A.I. Novruzbekova2, A.E. Bariev1, A.V. Govorov3, D.Yu. Pushkar3, A.A. Khakimy4
1Republican Clinical Oncological Dispensary named after Professor M.Z. Sigal, Kazan
2Kazan State Medical Academy — Branch Campus of the FSBEI FPE RMACPE MOH Russia, Kazan
3Multi-profile Scientific-Clinical Center named after S.P. Botkin, Moscow
4Kazan (Volga) Federal University, Kazan, Russia
5Republic Clinical Hospital, Kazan
Basiashvili G.T. — PhD (Medicine), oncologic surgeon
29, Siberian Tract, 420029 Kazan, Russian Federation, tel.: +7-917-862-83-68, e-mail: dr.basiashvili@gmail.com, ORCID ID: 0000-0002-4835-2131
Abstract. The article discusses the use of augmented reality (AR) technology in oncourology using the example of laparoscopic kidney resection in a patient diagnosed with grade III clear cell kidney cancer.
The main aspects of the study. Preoperative segmentation of computed tomography data was performed; detailed 3D models of the tumor, kidney and adjacent anatomical structures were created.
Using AR technology integrated with HoloLens glasses, it was possible to project holograms of key anatomical objects into the real operating field.
To accurately orient the models in space, an individual marker frame was developed that synchronizes CT data with the patient’s position during surgery.
Results. The use of AR technology ensured high accuracy of visualization and operational access planning.
All stages of the surgical intervention were performed without complications, and the patient successfully recovered.
The topographic accuracy of the preliminary modeling fully corresponded to the intraoperative data.
Conclusion. Augmented reality technology demonstrates significant potential in oncourology, making it possible to improve visualization, minimize the risks of complications, and optimize surgical treatment tactics. The integration of AR into clinical practice may improve the accuracy and safety of surgical interventions, opening up new opportunities for personalized medicine.
Key words: augmented reality, oncourology, navigation, laparoscopic surgery, visualization, preoperative planning.