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术前基于患者个体化三维模型的气管切除与重建模拟。

Preoperative tracheal resection and reconstruction simulations with patient-specific three-dimensional models.

机构信息

Department of Surgical Oncology, Nagasaki University Graduate School of Biomedical Sciences, 1-7-1 Sakamoto, Nagasaki, 852-8501, Japan.

Medical-Engineering Hybrid Professional Development Center, Nagasaki University Graduate School of Biomedical Sciences, Nagasaki, Japan.

出版信息

Gen Thorac Cardiovasc Surg. 2021 Mar;69(3):593-596. doi: 10.1007/s11748-020-01531-y. Epub 2020 Oct 29.

DOI:10.1007/s11748-020-01531-y
PMID:33123845
Abstract

Three-dimensional (3D) printers are increasingly being used for a variety of applications. In the surgical field, patient-specific organ models are increasingly being used as preoperative simulators for complicated surgeries. In this study, we describe the use of patient-specific 3D models for tracheal resection. We performed preoperative simulations for two patients diagnosed with tracheal ganglioneuroma and adenoid cystic carcinoma; the mimic operations suggested the necessity of a short cuff intubation tube across the surgical field, indicating the recommended amount of dissection around the trachea and bilateral hilum prior to tracheal reconstruction. The postoperative courses were free from any anastomotic or pulmonary complications. We described the availability of preoperative simulations for complicated tracheal resection and reconstruction using patient-specific 3D printed models. Mimic operations using the 3D printed models allowed accurate preparation and confidence in selection of the optimal surgical strategy.

摘要

三维(3D)打印机越来越多地被用于各种应用。在外科领域,患者特异性器官模型越来越多地被用作复杂手术的术前模拟器。在本研究中,我们描述了使用患者特异性 3D 模型进行气管切除术。我们对两名诊断为气管神经节瘤和腺样囊性癌的患者进行了术前模拟;模拟手术提示需要在手术区域穿过短袖套气管插管,表明在气管重建之前需要在气管周围和双侧肺门进行推荐量的解剖。术后过程中无吻合口或肺部并发症。我们描述了使用患者特异性 3D 打印模型进行复杂气管切除和重建的术前模拟的可行性。使用 3D 打印模型进行模拟手术可以准确地准备,并对选择最佳手术策略有信心。

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Simulation-based surgical education in cardiothoracic training.基于模拟的心胸外科培训中的外科教育。
ANZ J Surg. 2020 Jun;90(6):978-983. doi: 10.1111/ans.15593. Epub 2019 Dec 11.