3D 打印制作肺叶模型应用于胸腔镜肺叶切除术3D pulmoary lobe models in pulmonary lobectomy by video-assisted thoracic surgery_Chinese Journal of Clinical Thoracic and Cardiovascular Surgery

Authors：

刘廷兴 ¹ , 秦秀菊 ² , 王伦青 ¹ , 石学新 ¹ ,  张哲 ¹

1. ;
2. ;

Corresponding author：

张哲, Email: rr120@163.com

Keywords：

3D 打印; 肺叶模型; 肺叶切除术

DOI：

10.7507/1007-4848.201604001

Video：

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目的分析利用 3D 打印技术制作肺叶模型在肺叶切除术中的术前及术中临床应用效果及经验。方法回顾性分析 2014 年 2 月至 2016 年 2 月青岛市市立医院心胸外科应用 3D 打印技术制作肺叶模型行肺叶切除术 10 例患者的临床资料。其中男 8 例、女 2 例，年龄 57.2（47～74）岁。拟行胸腔镜下肺叶切除术。术前应用 3D 打印技术将肺叶模型打印出来，通过术前分析、术前模拟、三维成型观察肿瘤位置，了解病变及周围结构的解剖，制定手术方案，术中验证。结果成功打印 10 例肺部模型，手术均顺利完成。手术时间 114（60～210）min，术后住院时间 9.2（7～13）d，术中出血量 96（50～150）ml，术后 48 h 胸腔引流量 260（100～400）ml。全组均无并发症发生。结论 3D 打印技术制作的肺叶模型可以在肺叶切除术的术前及术中应用有助于提高手术质量。

Citation： 刘廷兴, 秦秀菊, 王伦青, 石学新, 张哲. 3D 打印制作肺叶模型应用于胸腔镜肺叶切除术3D pulmoary lobe models in pulmonary lobectomy by video-assisted thoracic surgery. Chinese Journal of Clinical Thoracic and Cardiovascular Surgery, 2017, 24(1): 80-83. doi: 10.7507/1007-4848.201604001 Copy

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3.	Fukuhara K, Akashi A, Nakane S, et al. Preoperative assessment of the pulmonary artery by three-dimensional computed tomography before video-assisted thoracic surgery lobectomy. Eur J Cardiothorac Surg, 2008, 34(4): 875-877.
4.	朱艳青, 史继富, 王雷雷, 等. 3D 打印技术发展现状. 制造技术与机床, 2015, (12): 50-57.
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14.	尚建忠, 蒋涛, 唐力, 等. 可移植人体外耳支架的 3D 打印关键技术. 国防科技大学学报, 2016, 38(1): 175-180.
15.	邱冰, 张明娇, 唐本森, 等. 基于 3D 打印个性化手术导航模板辅助下的人工全膝关节置换. 中国组织工程研究, 2015, 19(48): 7731-7735.
16.	韩艳波, 董险峰, 张玉卫, 等. CT 引导下 3D 打印共面模板肺微小结节穿刺活检术临床应用研究. 饮食保健, 2015, 3(3): 25-27.
17.	汤润, 刘林, 时湛, 等. 用于经皮肾镜取石术模拟的肾脏 3D 打印模型研究初探. 中华泌尿外科杂志, 2015, 36(12): 886-890.
18.	葛宏伟, 张弋, 李宁忱, 等. 3D 打印技术在肾肿瘤手术规划中的应用研究初探. 中华泌尿外科杂志, 2014, 35(9): 659-663.
19.	Akiba T, Marushima H, Harada J, et al. Importance of preoperative imaging with 64-row three-dimensional multidetector computed tomography for safer video-assisted thoracic surgery in lung cancer. Surg Today, 2009, 39(10): 844-847.
20.	Nakada T, Akiba T, Inagaki T, et al. Thoracoscopic anatomical subsegmentectomy of the right S2b + S3 using a 3D printing model with rapid prototyping. Interact Cardiovasc Thorac Surg, 2014, 19(4): 696-698.
21.	Kurenov SN, Ionita C, Dan S, et al. Three-dimensional printing to facilitate anatomic study, device development, simulation, and planning in thoracic surgery. J Thorac Cardiovasc Surg, 2015, 149(4): 973-979.

1. Fan J , Wang L, Jiang GN, et al. Sublobectomy versus lobectomy for stage Ⅰnon-small-cell cancer, a meta-analysis of publishied studies. Ann Surg Oncol, 2012, 19(2): 661-668.
2. Martin-Ucar AE, Nakas A, Pilling JE, et al. A case-matched study of anatomical segmentectomy versus lobotomy for stage Ⅰlung cancer in high-risk patients. Eur J Cardiothorac Surg, 2005, 27(4): 675-679.
3. Fukuhara K, Akashi A, Nakane S, et al. Preoperative assessment of the pulmonary artery by three-dimensional computed tomography before video-assisted thoracic surgery lobectomy. Eur J Cardiothorac Surg, 2008, 34(4): 875-877.
4. 朱艳青, 史继富, 王雷雷, 等. 3D 打印技术发展现状. 制造技术与机床, 2015, (12): 50-57.
5. Papaspyridakos P, Lal K. Complete arch implant rehabilitation using subtractive rapid prototyping and porcelain fused to zirconia prosthesis: a clinical report. J Prosthet Dent, 2008, 100(3): 165-172.
6. Salles F, Anchieta M, Costa Bezerra P, et al. Complete and isolated congenital aglossia: case report and treatment of sequelae using rapid prototyping models. Oral Surg Oral Med Oral Pathol Oral Radiol, 2008, 105(3): e41-e47.
7. Petzold R, Zeilhofer HF, Kalender WA. Rapid prototyping technology in medicine-basics and applications. Comput Med Imag Grap, 1999, 23: 277-284.
8. Liacouras P, Garnes J, Roman N, et al. Designing and manufacturing an auricular prosthesis using computed tomography, 3-dimensional photographic imaging, and additive manufacturing: a clinical report. J Prosthet Dent, 2011, 105(2): 78-82.
9. Song ZL, Feng CK, Chiu FY, et al. The clinical significance of rapid prototyping technique in complex spinal deformity surgery-Case sharing and literature review. Formosan J Musculoskeletal Disord, 2013, 4: 88-93.
10. Hurson C, Tansey A, O’Donnchadha B, et al. Rapid prototyping in the assessment, classification and preoperative planning of acetabular fractures. Injury, 2007, 38(10): 1158-1162.
11. Kim MS, Hansgen AR, Wink O, et al. Rapid prototyping: a new tool in understanding and treating structural heart disease. Circulation, 2008, 117(18): 2388-2394.
12. Jacobs S, Grunert R, Mohr FW, et al. 3D-imaging of cardiac structures using 3D heart models for planning in heart surgery: a preliminary study. Interact Cardiovasc Thorac Surg, 2008, 7(1): 6-9．.
13. 尹一恒, 余新光 , 佟怀宇, 等. 3D 打印技术在颅底凹陷合并寰枢椎脱位手术中的应用. 中华医学杂志, 2015, 95(37): 3004-3007.
14. 尚建忠, 蒋涛, 唐力, 等. 可移植人体外耳支架的 3D 打印关键技术. 国防科技大学学报, 2016, 38(1): 175-180.
15. 邱冰, 张明娇, 唐本森, 等. 基于 3D 打印个性化手术导航模板辅助下的人工全膝关节置换. 中国组织工程研究, 2015, 19(48): 7731-7735.
16. 韩艳波, 董险峰, 张玉卫, 等. CT 引导下 3D 打印共面模板肺微小结节穿刺活检术临床应用研究. 饮食保健, 2015, 3(3): 25-27.
17. 汤润, 刘林, 时湛, 等. 用于经皮肾镜取石术模拟的肾脏 3D 打印模型研究初探. 中华泌尿外科杂志, 2015, 36(12): 886-890.
18. 葛宏伟, 张弋, 李宁忱, 等. 3D 打印技术在肾肿瘤手术规划中的应用研究初探. 中华泌尿外科杂志, 2014, 35(9): 659-663.
19. Akiba T, Marushima H, Harada J, et al. Importance of preoperative imaging with 64-row three-dimensional multidetector computed tomography for safer video-assisted thoracic surgery in lung cancer. Surg Today, 2009, 39(10): 844-847.
20. Nakada T, Akiba T, Inagaki T, et al. Thoracoscopic anatomical subsegmentectomy of the right S2b + S3 using a 3D printing model with rapid prototyping. Interact Cardiovasc Thorac Surg, 2014, 19(4): 696-698.
21. Kurenov SN, Ionita C, Dan S, et al. Three-dimensional printing to facilitate anatomic study, device development, simulation, and planning in thoracic surgery. J Thorac Cardiovasc Surg, 2015, 149(4): 973-979.

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Chinese Journal of Clinical Thoracic and Cardiovascular Surgery

3D 打印制作肺叶模型应用于胸腔镜肺叶切除术3D pulmoary lobe models in pulmonary lobectomy by video-assisted thoracic surgery

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