三维模拟、手术导航与胸腔镜肺切除术

Three-dimensional simulation, surgical navigation and thoracoscopic lung resection.

作者信息

Kanzaki Masato, Kikkawa Takuma, Sakamoto Kei, Maeda Hideyuki, Wachi Naoko, Komine Hiroshi, Oyama Kunihiro, Murasugi Masahide, Onuki Takamasa

机构信息

Department of Surgery I, Tokyo Women's Medical University, Tokyo, Japan Institute of Advanced Biomedical Engineering and Science, Tokyo Women's Medical University, Tokyo, Japan

Department of Surgery I, Tokyo Women's Medical University, Tokyo, Japan.

出版信息

J Surg Case Rep. 2013 Mar 27;2013(3):rjt015. doi: 10.1093/jscr/rjt015.

DOI:10.1093/jscr/rjt015

PMID:24964426

原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC3635150/

Abstract

This report describes a 3-dimensional (3-D) video-assisted thoracoscopic lung resection guided by a 3-D video navigation system having a patient-specific 3-D reconstructed pulmonary model obtained by preoperative simulation. A 78-year-old man was found to have a small solitary pulmonary nodule in the left upper lobe in chest computed tomography. By a virtual 3-D pulmonary model the tumor was found to be involved in two subsegments (S1 + 2c and S3a). Complete video-assisted thoracoscopic surgery bi-subsegmentectomy was selected in simulation and was performed with lymph node dissection. A 3-D digital vision system was used for 3-D thoracoscopic performance. Wearing 3-D glasses, the patient's actual reconstructed 3-D model on 3-D liquid-crystal displays was observed, and the 3-D intraoperative field and the picture of 3-D reconstructed pulmonary model were compared.

摘要

本报告描述了一种在三维视频导航系统引导下的三维（3-D）电视辅助胸腔镜肺切除术，该系统具有通过术前模拟获得的患者特异性三维重建肺模型。一名78岁男性在胸部计算机断层扫描中发现左上叶有一个小的孤立性肺结节。通过虚拟三维肺模型发现肿瘤累及两个亚段（S1 + 2c和S3a）。在模拟中选择了完整的电视辅助胸腔镜双亚段切除术，并进行了淋巴结清扫。使用三维数字视觉系统进行三维胸腔镜操作。佩戴三维眼镜，观察患者在三维液晶显示器上实际重建的三维模型，并将三维术野与三维重建肺模型的图像进行比较。