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2025: Performance of the first liver resection in Russia using augmented reality technology
In Russia, for the first time, liver resection was performed using augmented reality technology in combination with fluorescent navigation. At the Voinov Orenburg Regional Clinical Hospital, a combination of ICG navigation and intraoperative augmented reality technologies was used during laparoscopic liver resection. This was announced on May 23, 2025 by the official portal of the government of the Orenburg region.
According to the portal, the operation at the end of March 2025 was performed by the chief freelance surgeon of the Ministry of Health of the Orenburg Region, deputy chief physician for surgical work of the V.I. Voinova, professor, doctor of medical sciences Dmitry Demin.
Augmented reality technology in liver resections allows for the effect of "transparent" surgical anatomy. Surgeons can visualize critical vascular structures hidden in the body's tissue column. Orenburg surgeons have introduced and are using this technology for more than three years.
Real-time fluorescence imaging techniques are based on the uptake of indocyanin by green liver cells. The use of ICG allows the surgeon to accurately determine the localization of volumetric formation in the liver parenchyma and the boundaries of organ resection.
The operating team included surgeon Dmitry Demin, assistants Sergei Bondar and Dmitry Bakhcheev, operating sister Yulia Babina, anesthesiologist Ara Gevorkyan. The combined use of two navigation technologies made it possible to combine the effects of both methods.
Intraoperative navigation is one of the leading components of surgical safety. This is especially true for high-tech laparoscopic surgery, where the intervention is performed in a complex anatomical area.
Laparoscopic surgery involves resection of the liver, pancreas, adrenalectomy, and other surgeries. All these interventions require clear identification of anatomical structures in the operative area.[1]
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