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. 2021 Sep 27;13(9):904–922. doi: 10.4240/wjgs.v13.i9.904

Table 4.

Advantages and limitations of three-dimensional visualization, robot-assisted surgery, and electromagnetic tracking navigation


Advantages
Limitations
3D visualization Realistic spatially dissected views Complex and time-consuming reconstruction process
Accurate 3D preoperative images Possible loss of raw data due to operational errors
Possibility of complicated surgery Distortion in reconstructed images
Optimization of preoperative assessment Poor accuracy of reconstructed images
Time-saving simulation Complex algorithms and imperfect display techniques
Less time consumed and fewer complications Registration of mutable organs
Novel educational techniques High cost
Robot-assisted Better micro-invasiveness Inefficient surgical resources
Smaller equipment for wider scope Lack of tactile feedback
Larger and clearer 3D views Limitations in the choice of anatomical methods
Micro-invasiveness Restrictions on the placement of casing needles
Improved venous drainage Time-consuming operation
More accurate resolution and greater magnification Prolonged Pringle operation in the hilar region
Filtering of natural tremor Potential bleeding tendency of the clamping and squeezing technique
Better ergonomics of the operator High cost
Electromagnetic tracking real-time navigation No requirement for any other invasive operations Magnetic field interference and tracking errors
No line of sight restrictions Low tracking accuracy and robustness relative to environmental conditions
Real-time intraoperative tracking and navigation Low stability of electromagnetic navigation system
Display of intraoperative fine anatomy High cost
Improved safety of surgical operations Registration of mutable organs
Identification of lesions that are not visually detectable Accuracy of navigation issues
Simultaneous sharing of intraoperative information Time-consuming reconstruction image overlay
Increased hand-eye coordination for doctors Low resolution and distortion of the reconstructed image
Insufficient communication between technicians and surgeons
Tedious operation

3D: Three-dimensional.