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J Surg Case Rep. 2013 Mar 27;2013(3). doi: 10.1093/jscr/rjt015.

Three-dimensional simulation, surgical navigation and thoracoscopic lung resection.

Journal of surgical case reports

Masato Kanzaki, Takuma Kikkawa, Kei Sakamoto, Hideyuki Maeda, Naoko Wachi, Hiroshi Komine, Kunihiro Oyama, Masahide Murasugi, Takamasa Onuki

Affiliations

  1. Department of Surgery I, Tokyo Women's Medical University, Tokyo, Japan Institute of Advanced Biomedical Engineering and Science, Tokyo Women's Medical University, Tokyo, Japan [email protected].
  2. Department of Surgery I, Tokyo Women's Medical University, Tokyo, Japan.

PMID: 24964426 PMCID: PMC3635150 DOI: 10.1093/jscr/rjt015

Abstract

This report describes a 3-dimensional (3-D) video-assisted thoracoscopic lung resection guided by a 3-D video navigation system having a patient-specific 3-D reconstructed pulmonary model obtained by preoperative simulation. A 78-year-old man was found to have a small solitary pulmonary nodule in the left upper lobe in chest computed tomography. By a virtual 3-D pulmonary model the tumor was found to be involved in two subsegments (S1 + 2c and S3a). Complete video-assisted thoracoscopic surgery bi-subsegmentectomy was selected in simulation and was performed with lymph node dissection. A 3-D digital vision system was used for 3-D thoracoscopic performance. Wearing 3-D glasses, the patient's actual reconstructed 3-D model on 3-D liquid-crystal displays was observed, and the 3-D intraoperative field and the picture of 3-D reconstructed pulmonary model were compared.

Published by Oxford University Press and JSCR Publishing Ltd. All rights reserved. © The Author 2013.

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