Heuts Samuel, Sardari Nia Peyman, Maessen Jos G
Department of Cardiothoracic Surgery, Maastricht University Medical Center, Maastricht, the Netherlands.
J Vis Surg. 2016 Apr 11;2:77. doi: 10.21037/jovs.2016.03.10. eCollection 2016.
For the past decades, surgeries have become more complex, due to the increasing age of the patient population referred for thoracic surgery, more complex pathology and the emergence of minimally invasive thoracic surgery. Together with the early detection of thoracic disease as a result of innovations in diagnostic possibilities and the paradigm shift to personalized medicine, preoperative planning is becoming an indispensable and crucial aspect of surgery. Several new techniques facilitating this paradigm shift have emerged. Pre-operative marking and staining of lesions are already a widely accepted method of preoperative planning in thoracic surgery. However, three-dimensional (3D) image reconstructions, virtual simulation and rapid prototyping (RP) are still in development phase. These new techniques are expected to become an important part of the standard work-up of patients undergoing thoracic surgery in the future. This review aims at graphically presenting and summarizing these new diagnostic and therapeutic tools.
在过去几十年中，由于接受胸外科手术的患者年龄不断增加、病理情况愈发复杂以及微创胸外科的出现，手术变得更加复杂。随着诊断技术创新使胸科疾病得以早期发现，以及向个性化医疗的模式转变，术前规划正成为手术中不可或缺且至关重要的一环。已经出现了几种有助于这种模式转变的新技术。病变的术前标记和染色在胸外科手术中已是广泛接受的术前规划方法。然而，三维（3D）图像重建、虚拟模拟和快速成型（RP）仍处于发展阶段。这些新技术有望在未来成为胸外科手术患者标准检查的重要组成部分。本综述旨在以图表形式展示和总结这些新的诊断和治疗工具。
