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Related Experiment Videos

Three-dimensional image in lung transplantation.

Toyofumi F Chen-Yoshikawa1, Hiroshi Date2

  • 1Department of Thoracic Surgery, Kyoto University, 54 Shogoin-Kawahara-cho, Sakyo-ku, Kyoto, 606-8507, Japan. fengshic@kuhp.kyoto-u.ac.jp.

General Thoracic and Cardiovascular Surgery
|October 18, 2017
PubMed
Summary
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Three-dimensional computed tomography (3D-CT) enhances lung transplantation by improving anatomical size matching for living-donor lobar lung transplantation (LDLLT). This technology aids in preoperative planning, surgical safety, and postoperative care, including detecting chronic lung allograft dysfunction.

Area of Science:

  • Thoracic Surgery
  • Medical Imaging
  • Transplantation Medicine

Background:

  • Living-donor lobar lung transplantation (LDLLT) is crucial in Japan due to donor shortages.
  • Accurate size matching between donor and recipient is a significant challenge in LDLLT.
  • Traditional size matching relies on pulmonary function tests, but anatomical assessment is also vital.

Purpose of the Study:

  • To demonstrate the clinical applications of three-dimensional computed tomography (3D-CT) in lung transplantation.
  • To highlight the role of 3D-CT in addressing size-matching issues in LDLLT.
  • To showcase the utility of 3D-CT in surgical planning and postoperative care.

Main Methods:

  • Utilizing high-speed and high-quality 3D-CT technologies for thoracic surgery.
Keywords:
Living-donor lobar lung transplantationLung transplantationThoracic surgeryThree-dimensional computed tomography

Related Experiment Videos

  • Employing 3D-CT volumetry for anatomical size matching in LDLLT.
  • Analyzing 3D-CT images for preoperative assessment of pulmonary vessel and bronchial tree variations.

    • Main Results:

    • 3D-CT provides critical preoperative information on anatomical variations, enhancing surgical quality and safety.
    • 3D-CT aids in recipient surgical procedures and postoperative care, including diagnosing chronic lung allograft dysfunction.
    • Preoperative 3D-CT simulation facilitates complex procedures like right-to-left inverted LDLLT.

    Conclusions:

    • 3D-CT imaging and simulation are increasingly valuable in lung transplantation.
    • The application of 3D-CT in thoracic surgery is expanding, particularly in lung transplantation.
    • Widespread adoption of 3D-CT by thoracic surgeons is anticipated in daily practice.