IHU researchers make visible the invisible in the management of cancers of the digestive system



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Surgeon Michele Diana at the IHU Strasbourg. November 24, 2018. – G. Varela / 20 Minutes

  • Minimally invasive surgery for cancer limits postoperative complications.
  • At the IHU Strasbourg, Michele Diane, surgeon and research director, is working on new technologies, notably from fluorescents, images and virtual reality to significantly improve the management of digestive cancers.

Every year, France has more than 80,000 new cases of digestive cancers. If more and more patients are operated on with minimally invasive surgery, difficulties remain because it is often impossible to accurately visualize the extent of the tumor, or even its existence. And therefore to preserve for sure, during surgery, veins, arteries and nerves nearby. On the other hand, minimally invasive surgery limits postoperative complications such as bleeding, pain, infections or even poor healing. The most serious being the rupture of the digestive tract that occurs in 4 to 19% of surgical operations of the colon and 20 to 35% of surgical operations of esophageal cancer …

The surgery of tomorrow

Also, the researcher Michele Diana, surgeon and research director at the Institute Hospital-Universitaire de Surgery Guided by the Image (IHU) of Strasbourg works on innovative technologies, "the surgery of tomorrow", within the framework of the program ELIOS , financed to the tune of 900,000 euros by the
Foundation of the Arc.

Yesterday, the @FondationARC organized to @IHUStrasbourg an information day on the ELIOS program, developed by Dr. Michele Diana thanks to the financial support of € 880k from the Foundation.
? https://t.co/Q63SwL6rXC#InventTommrowsCare #MedicalResearch #Strasbourg pic.twitter.com/lA09V7D2Kx

– IHU-France (@IHUFrance) November 23, 2018

Adapt the support as quickly as possible

Michele Diana and her team are conducting research on a device using fluorescence optical imaging and the processing of imagery and virtual reality data. Clearly, this involves the injection into the body of a fluophore that reacts when exposed to infrared radiation and simultaneously process this information by other innovative imaging methods. This is to allow a better visualization of the tumor and its environment, sometimes invisible to the naked eye, to make visible the invisible. This also involves an image badysis software that they develop and that allows to have a virtual mapping of the intestinal wall in order to superimpose it in real time for the surgeon. Objective: to guide with great finesse his intervention. "It also allows to see the progress of the tumor and to adapt as quickly as possible the care of the patient by completing if necessary surgery by other treatments such as radiotherapy," explains
Michele Diana.

Michele Diana's team is working on artificial intelligence to increase the brain, on robotics to increase the hand, and on the eyes with the augmented eye. It is also the origin of an international registry that allows online data collection in 48 European centers, out of more than 2,500 surgical procedures recorded during mini-invasive surgery guided by the image.

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