Application of three-dimensional simulation technique in the thoracoscopic lobectomy_Chinese Journal of Clinical Thoracic and Cardiovascular Surgery

Authors：

 YANG Xuefeng , WANG Yuefeng , SUN Tao , YANG Peng , ZHU Hujun , MA Xianyou

Department of Thoracic Surgery, Daqing First Hospital, Daqing, 163001, Heilongjiang, P.R.China;

Corresponding author：

YANG Xuefeng, Email: xuefeng.123.n@163.com

Keywords：

3D digital image; simulation surgery; thoracoscopy; lung lobectomy

DOI：

10.7507/1007-4848.201810051

Video：

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Abstract Full text Figures/Tables Video References Cited by

Objective To analyze the effect of 3D simulation technique in thoracoscopic lobectomy.Methods From June 2015 to January 2018, 124 patients with left lower lobe resection underwent thoracoscopy with single-port thoracoscopic surgery, including 64 males and 60 females, aged 42–83 years. They were randomly divided into two groups including an experimental group (preoperatively given 3D simulation surgery in 59 patients) and a control group (preoperatively not given 3D simulation surgery in 65 patients). The clinical effect between the two groups was compared.Results All patients recovered without any death during hospitalization. In the experimental group, the operation time, intraoperative blood loss and postoperative hospital stay were significantly less than those in the control group (P<0.05). There was no significant difference in postoperative drainage volume, and duration of drainage tube retention and analgesic drug usage between the two groups (P>0.05).Conclusion 3D simulation technique for thoracoscopic lobectomy has advantage in short operation time, minor trauma and quick recovery. It has a guiding role in the preoperative planning of lung cancer surgery and is worthy of popularization and application.

Citation： YANG Xuefeng, WANG Yuefeng, SUN Tao, YANG Peng, ZHU Hujun, MA Xianyou. Application of three-dimensional simulation technique in the thoracoscopic lobectomy. Chinese Journal of Clinical Thoracic and Cardiovascular Surgery, 2019, 26(8): 784-788. doi: 10.7507/1007-4848.201810051 Copy

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8.	Zeng XS, Wang CT, Zhou H, et al. Low-dose three dimensional reconstruction of the femur with unit free-form deformation. Med Phys, 2014, 41(8): 081911.
9.	Wang K, Huang C, Kao YJ, et al. Accelerating image reconstruction in three-dimensional optoacoustic tomography on graphics processing units. Med Phys, 2013, 40(2): 023301.
10.	Guimaraes P, Rodrigues P, Celorico D, et al. Three-dimensional segmentation and reconstruction of the retinal vasculature from spectral-domain optical coherence tomography. J Biomed Opt, 2015, 20(1): 16006.
11.	Lopez RE, Garcia JR, Sanchez AM, et al. Hybrid imaging (SPECT/computed tomography)with three-dimensional reconstruction: a new diagnostic tool for the study of low back pain after spinal fusion surgery. Spine J, 2015, 15(2): 377-378.
12.	Shi JS, Xia J, Wei YB, et al. Three-dimensional virtual reality simulation of periarticular tumors using dextroscope reconstruction and simulated surgery: a preliminary 10 case study. Acta Orthop, 2014, 80(1): 132-138.
13.	Stella F, Dolci G, Dell’amore A, et al. Three-dimensional surgical simulation-guided navigation in thoracic surgery: a new approach to improve results in chest wall resection and reconstruction for malignant diseases. Interact Cardiovasc Thorac Surg, 2014, 18(1): 7-12.
14.	Fourdrain A, De Dominicis F, Blanchard C, et al. Three-dimensional CT angiography of anatomic variations in the pulmonary arterial tree. Surg Radiol Anat, 2018, 40(1): 45-53.
15.	Fourdrain A, De Dominicis F, Bensussan M, et al. Three-dimensional CT angiography of the pulmonary veins and their anatomical variations: involvement in VATS-lobectomy for lung cancer. Folia Morphol, 2017, 76(3): 388-393.
16.	Akiba T, Inagaki T, Nakada T. Three-dimensional printing model of anomalous bronchi before surgery. Ann Thorac Cardiovasc Surg, 2014, 20(S): 659-662.
17.	黄郴, 林圣美, 徐驯宇. 三维肺支气管血管重建模拟手术在胸腔镜肺段切除治疗早期肺癌中的应用. 临床外科杂志, 2018, 26(3): 181-183.

1. McKenna RJ, Houck W, Fuller CB. Video-assisted thoracic surgery lobectomy: experience with 1, 100 cases. Ann Thorac Surg, 2006, 81(2): 421-425.
2. Bao F, Ye P, Yang Y, et al. Segmentectomy or lobectomy for early stage lung cancer: a meta-analysis. Eur J Cardiothorac Surg, 2014, 46(1): 1-7.
3. Zhang LQ, Li M, Yin R, et al. Comparison of the oncologic outcomes of anatomic segmentectomy and lobectomy for early-stage non-small cell lung cancer. Ann Thorac Surg, 2015, 99(2): 728-737.
4. 林凌, 赵珩. 意向性胸腔镜下解剖性肺段切除在早期肺癌中的应用. 临床外科杂志, 2017, 25(7): 495-497.
5. 王杰. 胸腔镜下亚肺叶切除及纵隔淋巴结采样治疗早期非小细胞肺癌临床疗效探讨. 临床肺科杂志, 2016, 21(1): 33-36.
6. 王文才, 火旭东, 王进, 等. 胸腔镜与传统开胸手术对早期非小细胞肺癌治疗的比较研究. 临床肺科杂志, 2013, 18(11): 2062-2064.
7. 曾颖鸥, 罗清泉. 全胸腔镜肺叶切除术治疗早期非小细胞性肺癌的效果分析. 中国医药导报, 2013, 10(27): 40-42.
8. Zeng XS, Wang CT, Zhou H, et al. Low-dose three dimensional reconstruction of the femur with unit free-form deformation. Med Phys, 2014, 41(8): 081911.
9. Wang K, Huang C, Kao YJ, et al. Accelerating image reconstruction in three-dimensional optoacoustic tomography on graphics processing units. Med Phys, 2013, 40(2): 023301.
10. Guimaraes P, Rodrigues P, Celorico D, et al. Three-dimensional segmentation and reconstruction of the retinal vasculature from spectral-domain optical coherence tomography. J Biomed Opt, 2015, 20(1): 16006.
11. Lopez RE, Garcia JR, Sanchez AM, et al. Hybrid imaging (SPECT/computed tomography)with three-dimensional reconstruction: a new diagnostic tool for the study of low back pain after spinal fusion surgery. Spine J, 2015, 15(2): 377-378.
12. Shi JS, Xia J, Wei YB, et al. Three-dimensional virtual reality simulation of periarticular tumors using dextroscope reconstruction and simulated surgery: a preliminary 10 case study. Acta Orthop, 2014, 80(1): 132-138.
13. Stella F, Dolci G, Dell’amore A, et al. Three-dimensional surgical simulation-guided navigation in thoracic surgery: a new approach to improve results in chest wall resection and reconstruction for malignant diseases. Interact Cardiovasc Thorac Surg, 2014, 18(1): 7-12.
14. Fourdrain A, De Dominicis F, Blanchard C, et al. Three-dimensional CT angiography of anatomic variations in the pulmonary arterial tree. Surg Radiol Anat, 2018, 40(1): 45-53.
15. Fourdrain A, De Dominicis F, Bensussan M, et al. Three-dimensional CT angiography of the pulmonary veins and their anatomical variations: involvement in VATS-lobectomy for lung cancer. Folia Morphol, 2017, 76(3): 388-393.
16. Akiba T, Inagaki T, Nakada T. Three-dimensional printing model of anomalous bronchi before surgery. Ann Thorac Cardiovasc Surg, 2014, 20(S): 659-662.
17. 黄郴, 林圣美, 徐驯宇. 三维肺支气管血管重建模拟手术在胸腔镜肺段切除治疗早期肺癌中的应用. 临床外科杂志, 2018, 26(3): 181-183.

Chinese Journal of Clinical Thoracic and Cardiovascular Surgery

Application of three-dimensional simulation technique in the thoracoscopic lobectomy

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