Minimally invasive surgery is playing an increasingly important role for patient
care. Whilst its direct patient benefit in terms of reduced trauma,
improved recovery and shortened hospitalisation has been well established,
there is a sustained need for improved training of the existing procedures
and the development of new smart instruments to tackle the issue of visualisation,
ergonomic control, haptic and tactile feedback. For endoscopic
intervention, the small field of view in the presence of a complex anatomy
can easily introduce disorientation to the operator as the tortuous access
pathway is not always easy to predict and control with standard endoscopes.
Effective training through simulation devices, based on either virtual reality
or mixed-reality simulators, can help to improve the spatial awareness,
consistency and safety of these procedures.
This thesis examines the use of endoscopic videos for both simulation
and navigation purposes. More specifically, it addresses the challenging
problem of how to build high-fidelity subject-specific simulation environments
for improved training and skills assessment. Issues related to mesh
parameterisation and texture blending are investigated. With the maturity
of computer vision in terms of both 3D shape reconstruction and localisation
and mapping, vision-based techniques have enjoyed significant interest
in recent years for surgical navigation. The thesis also tackles the problem
of how to use vision-based techniques for providing a detailed 3D map and
dynamically expanded field of view to improve spatial awareness and avoid
operator disorientation. The key advantage of this approach is that it does
not require additional hardware, and thus introduces minimal interference
to the existing surgical workflow. The derived 3D map can be effectively
integrated with pre-operative data, allowing both global and local 3D navigation
by taking into account tissue structural and appearance changes.
Both simulation and laboratory-based experiments are conducted throughout
this research to assess the practical value of the method proposed
