###### 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. laparoscopy; motion tracking; camera; remote control; ICT +
Footnote †: journal: Medical Device Development Center, Osong Medical Innovation Foundation, 123 OsongSaemgyeong-ro, Osong-eup, Heungdeok-gu, Cheongju-si 28160, Republic of Korea 1
of life post-surgery [1; 2; 3; 4; 5; 6; 7; 8]. Conversely, the primary drawbacks of laparoscopic surgery are technical challenges associated with inexperienced operators. Given their limited scope positioning and extended length, the requirement for precise manipulations using laparoscopic instruments demands adept techniques. Additionally, the surgeons' vision may be constrained as the scene illuminated by the laparoscope is displayed on TV monitors. Navigating the misalignment between the surgical direction and camera orientation is a technical challenge for inexperienced surgeons. The anticipated exacerbation of the surgeon shortage in Korea poses a significant threat to laparoscopic surgery, a prevalent surgical method [9; 10]. This shortage is further aggravated by the limited availability of surgical trainees to assist in adjusting cameras during these procedures [11]. Furthermore, tasks such as removing contamination from the camera lens with body materials, including blood, tissue, and secretions, and reinserting the camera, are critical during laparoscopic surgery [12]. Addressing these issues requires innovative solutions that empower surgeons while minimizing disruption to surgical workflows. To address these challenges, a device must urgently be developed that supports laparoscopic surgery in alignment with the surgeon's intentions. Enhancing the efficiency of laparoscopic surgery necessitates the development of a device that enables surgeons to adjust the camera's position and cleanse the lens without complications [13; 14; 15]. The device's size must be small enough to mitigate surgical space and workflow interference. The system must automatically adjust the camera view by tracking the surgeon's motions. A cleansing module, equipped with hydrophilic/hydrophobic coatings, must surround the camera, and it should rotate dynamically, moving back and forth to effectively clean the blurred lens. In conclusion, applying a system that can adjust and clean the camera will eliminate the need for camera insertion and removal during laparoscopic surgery, and the camera will be adjusted as intended by the surgeon without the help of adjustment personnel. The Da Vinci surgical system, the dexter robot system, FreeHand, and the Senhance have been developed. These devices have some profits and can assist the laparoscopic camera control.