Department of Thoracic Surgery, Haut Lévêque Hospital, Bordeaux University Hospital and Bordeaux University, Bordeaux, France; INSERM, Centre de Recherche Cardio-thoracique de Bordeaux, Bordeaux, France.
Department of Thoracic Surgery, Haut Lévêque Hospital, Bordeaux University Hospital and Bordeaux University, Bordeaux, France.
Ann Thorac Surg. 2022 Dec;114(6):2379-2382. doi: 10.1016/j.athoracsur.2022.06.059. Epub 2022 Aug 10.
Chest wall resections for lung cancer treatment remain difficult to plan using standard 2-dimensional computed tomography. Although virtual reality headsets have been used in many medical contexts, they have not been used in chest wall resection planning.
We compared preoperative planning of a chest wall surgical resection for lung cancer treatment between senior and resident surgeons who used an immersive virtual reality device and a 2-dimensional computed tomography.
Chest wall resection planning was more accurate when surgeons used virtual reality vs computed tomography analysis (28.6% vs 18.3%, P = .018), and this was particularly true in the resident surgeon group (27.4% vs 8.3%, P = .0025). Predictions regarding the need for chest wall substitutes were also more accurate when they were made using virtual reality vs computed tomography analysis in all groups (96% vs 68.5%, P < .0001). Other studied parameters were not affected by the use of the virtual reality tool.
Virtual reality may offer enhanced accuracy for chest wall resection and reconstruction planning for lung cancer treatment.
使用标准的二维计算机断层扫描技术对肺癌治疗中的胸壁切除术进行规划仍然具有挑战性。尽管虚拟现实耳机已在许多医学环境中使用，但尚未用于胸壁切除术的规划。
我们比较了使用沉浸式虚拟现实设备和二维计算机断层扫描技术的资深和住院医师外科医生对肺癌治疗的胸壁外科切除术的术前规划。
与计算机断层扫描分析相比，外科医生使用虚拟现实进行胸壁切除术规划更准确（28.6%对 18.3%，P=0.018），在住院医师组中尤其如此（27.4%对 8.3%，P=0.0025）。在所有组中，使用虚拟现实进行分析时，对胸壁替代物需求的预测也更准确（96%对 68.5%，P<0.0001）。虚拟现实工具的使用并未影响其他研究参数。
虚拟现实可能为肺癌治疗中的胸壁切除术和重建规划提供更高的准确性。
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