Giordano Alessio, Moroni Francesco, Filippo Giacomo di, Cammelli Francesca, Guagni Tommaso, Perini Davina, Cantafio Stefano
General Surgery Unit, Nuovo Ospedale "S. Stefano", Azienda ASL Toscana Centro, Via Suor Niccolina Infermiera 20/22, 59100 Prato, Italy.
J Surg Case Rep. 2023 Mar 9;2023(3):rjad104. doi: 10.1093/jscr/rjad104. eCollection 2023 Mar.
If until few years ago the surgeon could study a complex surgery only on the basis of two-dimensional images, today can use 3D physical models on a scale of 1 to 1 of an organ. We report the case of a 53 years old woman with Cushing's syndrome and a giant right adrenal tumor. To better define the relationship between the neoplasm and inferior vena cava, the vascularization of the adrenal gland, any anatomical anomalies and the specific location of the middle adrenal vein, a 3D printed model was created in 1: 1 size based on the preoperative CT. A laparoscopic right adrenalectomy was performed. No intraoperative and postoperative complications were observed with resolution of the adrenal disorder. This case highlights the feasibility and clinical effectiveness of 3D anatomical models for correct preoperative planning, the surgeon's intraoperative guidance to reduce possible errors and therefore improve the patient's postoperative outcome.
直到几年前，外科医生还只能基于二维图像来研究复杂手术，而如今则可以使用与器官1:1比例的3D实体模型。我们报告了一例53岁患有库欣综合征且右侧肾上腺有巨大肿瘤的女性病例。为了更好地明确肿瘤与下腔静脉之间的关系、肾上腺的血管分布、任何解剖学异常以及肾上腺中静脉的具体位置，基于术前CT以1:1大小创建了一个3D打印模型。实施了腹腔镜下右侧肾上腺切除术。未观察到术中及术后并发症，肾上腺疾病得以解决。该病例凸显了3D解剖模型在正确术前规划方面的可行性和临床有效性，可为外科医生术中提供指导以减少可能的失误，从而改善患者的术后结局。
