Literature DB >> 29600049

Three-dimensional computed tomography reconstruction for operative planning in robotic segmentectomy: a pilot study.

Julien Le Moal1, Christophe Peillon2, Jean-Nicolas Dacher1, Jean-Marc Baste2.   

Abstract

BACKGROUND: The objective of our pilot study was to assess if three-dimensional (3D) reconstruction performed by Visible Patient™ could be helpful for the operative planning, efficiency and safety of robot-assisted segmentectomy.
METHODS: Between 2014 and 2015, 3D reconstructions were provided by the Visible Patient™ online service and used for the operative planning of robotic segmentectomy. To obtain 3D reconstruction, the surgeon uploaded the anonymized computed tomography (CT) image of the patient to the secured Visible Patient™ server and then downloaded the model after completion.
RESULTS: Nine segmentectomies were performed between 2014 and 2015 using a pre-operative 3D model. All 3D reconstructions met our expectations: anatomical accuracy (bronchi, arteries, veins, tumor, and the thoracic wall with intercostal spaces), accurate delimitation of each segment in the lobe of interest, margin resection, free space rotation, portability (smartphone, tablet) and time saving technique.
CONCLUSIONS: We have shown that operative planning by 3D CT using Visible Patient™ reconstruction is useful in our practice of robot-assisted segmentectomy. The main disadvantage is the high cost. Its impact on reducing complications and improving surgical efficiency is the object of an ongoing study.

Entities:  

Keywords:  Robotic surgery; ground-glass nodules; lung cancer; segmentectomy; three-dimensional computed tomography (3D CT) reconstruction

Year:  2018        PMID: 29600049      PMCID: PMC5863115          DOI: 10.21037/jtd.2017.11.144

Source DB:  PubMed          Journal:  J Thorac Dis        ISSN: 2072-1439            Impact factor:   2.895


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