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A future application in the context of radiation therapy and/or surgery navigation seems possible.
New techniques and technologies such as arthroscopic and minimally invasive surgery, navigation and computer-assisted surgery, and new bearing surfaces and implant designs must be evaluated and improved to make arthroplasty procedures more sophisticated and effective.
Klatzky's basic research has been applied to tele-manipulation, image-guided surgery, navigation aids for the blind, and neural rehabilitation.
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One of these systems permits the surgeon to acquire 3D ultrasound image volumes throughout surgery, and navigation of surgical instruments may be done based on intraoperative ultrasound images.
Application of sentinel node navigation surgery using dye-based or radioisotope-based techniques has been explored in the gastric cancer field [ 32– 32].
A multicenter randomized prospective clinical trial of sentinel node navigation surgery is ongoing in Korea to validate sentinel node navigation surgery for clinical application (NCT number 01804998) (https://clinicaltrials.gov/ct2/show/NCT018r04998 term=sentinel+and+gastric+cancer&rank=3).gov/ct2/show/NCT018r04998 term=sentinel+and+gastric+cancer&rank=3
However, if it is possible to predict the risk of non-SLN metastasis accurately before or during the operation and thus not overlook cases with skip metastasis, SLN navigation surgery could become acceptable as a safe procedure for gastric cancer management.
We report our initial experience of real-time intraoperative C-arm computed tomography (C-arm CT: DynaCT guided navigation surgery for pituitary tumors.
One of the main limitations of image-guided surgery is that navigation relies on the use of a CT scan obtained before surgery and is unable to be updated during the procedure.
Sentinel node navigation surgery is a possible and promising solution.
Even among patients treated with sentinel navigation surgery, approximately 6% develop lymphedema [ 11].
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