Development of an ICT Laparoscopy System with Motion-Tracking Technology for Solo Laparoscopic Surgery: A Feasibility Study

Abstract

The increasing demand for laparoscopic surgery due to its cosmetic benefits and rapid post-surgery recovery is juxtaposed with a shortage of surgical support staff. This juxtaposition highlights the necessity for improved camera management in laparoscopic procedures, encompassing positioning, zooming, and focusing. Our feasibility study introduces the information and communications technology (ICT) laparoscopy system designed to aid solo laparoscopic surgery. This system tracks a surgeon’s body motion using a controller, manipulating an embedded camera to focus on specific surgical areas. It comprises a camera module, a camera movement controller, and a motor within the main body, operating connected wires according to controller commands for camera movement. Surgeon movements are detected by an inertial measurement unit (IMU) sensor, facilitating precise camera control. Additional features include a foot pedal switch for motion tracking, a dedicated trocar for main body stability, and a display module. The system’s effectiveness was evaluated using an abdomen phantom model and animal experimentation with a porcine model. The camera responded to human movement within 100 ms, a delay that does not significantly affect procedural performance. The ICT laparoscopy system with advanced motion-tracking technology is a promising tool for solo laparoscopic surgery, potentially improving surgical outcomes and overcoming staff shortages.