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

Area of Science:

• Thoracic Surgery
• Surgical Technology
• Medical Imaging

Background:

• Robot-assisted segmentectomy is a complex procedure requiring precise operative planning.
• Traditional planning methods may have limitations in visualizing intricate anatomical details.
• Three-dimensional (3D) reconstruction offers a potential solution for enhanced pre-operative visualization.

Purpose of the Study:

• To evaluate the utility of Visible Patient™ 3D reconstruction for robot-assisted segmentectomy.
• To assess the impact of 3D models on operative planning, efficiency, and safety.

Main Methods:

• A pilot study was conducted between 2014 and 2015.
• Surgeons utilized Visible Patient™ 3D reconstructions for operative planning of robotic segmentectomies.
• Computed tomography (CT) images were uploaded for 3D model generation and subsequent download.

Main Results:

• Nine segmentectomies were performed using pre-operative 3D models.
• 3D reconstructions demonstrated excellent anatomical accuracy (bronchi, arteries, veins, tumor, thoracic wall).
• Models accurately delineated segments, resection margins, and provided portability and time-saving benefits.

Conclusions:

• Visible Patient™ 3D CT reconstruction is beneficial for robot-assisted segmentectomy planning.
• Key advantages include anatomical accuracy and improved surgical workflow.
• High cost remains a drawback; further studies are investigating its impact on complications and efficiency.