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Three-Dimensional Lung Reconstructions for Preoperative Planning of Uniportal Video-Assisted Thoracoscopic
Iris E W G Laven1, Geert H J M Verkoulen1, Koen C H A Verkoulen1
1Division of General Thoracic Surgery, Department of Surgery, Zuyderland Medical Center, Heerlen, The Netherlands.
Innovations (Philadelphia, Pa.)
|February 19, 2025
Summary
Three-dimensional (3D) lung reconstructions improve surgical planning for lung segmentectomy. Preoperative 3D imaging accurately located nodules and identified anatomical variations, optimizing surgical approaches for 5 patients.
Area of Science:
- Thoracic Surgery
- Medical Imaging
- Pulmonology
Background:
- Thoracoscopic segmentectomy is a minimally invasive surgical procedure for lung cancer.
- Accurate preoperative assessment is crucial for successful segmentectomy.
- Identifying lung nodule location and anatomical variations preoperatively can be challenging.
Purpose of the Study:
- To evaluate the utility of 3-dimensional (3D) lung reconstructions using Visible Patient software in planning thoracoscopic segmentectomies.
- To assess the impact of 3D reconstructions on surgical plan modification and surgeon preparedness.
Main Methods:
- Visible Patient software was used to create 3D lung reconstructions for 5 patients undergoing segmentectomy.
- Surgical plans were reviewed and potentially modified based on 3D imaging insights.
- Surgeon preparedness and understanding of patient-specific anatomy were assessed.
Main Results:
- 3D lung reconstructions provided accurate lung nodule localization.
- Preoperative surgical plans were changed in 3 out of 5 patients based on 3D imaging.
- Anatomical variations were identified in 4 patients, enhancing surgeon preparedness.
- 3D imaging facilitated better understanding of surgical targets and potential challenges.
Conclusions:
- Preoperative 3D lung reconstructions are valuable tools for planning thoracoscopic segmentectomies.
- 3D imaging aids in determining appropriate surgical indications and refining surgical strategies.
- Enhanced visualization through 3D reconstructions improves surgical precision and patient outcomes.
