Three-dimensional simulation, surgical navigation and thoracoscopic lung resection

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

doi:10.1093/jscr/rjt015

Three-dimensional simulation, surgical navigation and thoracoscopic lung resection

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

Authors

Masato Kanzaki¹, Takuma Kikkawa², Kei Sakamoto², Hideyuki Maeda², Naoko Wachi², Hiroshi Komine², Kunihiro Oyama², Masahide Murasugi², Takamasa Onuki²

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 kanzaki@twmu.ac.jp.
² Department of Surgery I, Tokyo Women's Medical University, Tokyo, Japan.

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.

Publication types

Case Reports