Pediatric surgical treatment of chest wall tumors presents unique complexities. Resecting
one or multiple ribs can lead to significant chest wall deformities, potentially inflicting
restrictions on respiration and mobilization [
[1]
,
[2]
]. Complete tumor resection achieving adequate surgical margins whilst sparing as
much healthy tissue as possible can only be accomplished through meticulous surgical
planning. Conventional surgical planning is based on 2D imaging. Therefore, the 3D
relation and perception greatly depend on the surgeons' spatial interpretation [
[3]
]. Tumor localization based on external landmarks can be difficult. This is especially
true for small lesions that are invisible, non-palpable, or lesions, which have significantly
responded to neo-adjuvant chemotherapy [
[4]
]. Therefore, additional procedures may be required for precise target localization
intraoperatively. Providing the surgeon with intraoperative 3D guidance could overcome
these challenges and significantly improve surgical planning and patient-specific
anatomical understanding. 3D guidance using AR has improved several aspects within
different surgical disciplines [
5
,
6
,
7
,
8
,
9
,
10
]. However, in pediatric surgical oncology, the intraoperative use of AR has not yet
been described. We introduce a holographic AR system to visualize and localize chest
wall tumors in a pediatric patient.To read this article in full you will need to make a payment
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Article info
Publication history
Published online: May 19, 2022
Accepted:
April 14,
2022
Received in revised form:
April 10,
2022
Received:
February 3,
2022
Identification
Copyright
© 2022 Elsevier Ltd. All rights reserved.
