Clinical application of three-dimensional technique in segmentectomy_Chinese Journal of Clinical Thoracic and Cardiovascular Surgery

Authors：

LAI Zhiwei ¹ ,  ZHANG Ke ^1,2,3

1. Department of Thoracic Surgery, The Affiliated Hospital of Heibei University, Baoding, 071000, Hebei, P.R.China;
2. Institute of Life Science and Green Development, Hebei University, Baoding, 071000, Hebei, P.R.China;
3. Basic Research Key Laboratory of General Surgery for Digital Medicine of Hebei Province, Baoding, 071000, Hebei, P.R.China;

Corresponding author：

ZHANG Ke, Email: 93391@qq.com

Keywords：

Segmentectomy; three-dimensional computed tomography bronchography and angiography; three-dimensional reconstruction; three-dimensional printing; three-dimensional technique; review

DOI：

10.7507/1007-4848.202009023

Video：

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More and more relevant research results show that anatomical segmentectomy has the same effect as traditional lobectomy in the surgical treatment of early-stage non-small cell lung cancer (diameter<2.0 cm). Segmentectomy is more difficult than lobotomy. Nowadays, with the promotion of personalization medicine and precision medicine, three-dimensional technique has been widely applied in the medical field. It has advantages such as preoperative simulation, intraoperative positioning, intraoperative navigation, clinical teaching and so on. It plays a key role in the discovery of local anatomical variation of pulmonary segment. This paper reviewed the clinical application of three-dimensional technique and briefly described the clinical application value of this technique in segmentectomy.

Citation： LAI Zhiwei, ZHANG Ke. Clinical application of three-dimensional technique in segmentectomy. Chinese Journal of Clinical Thoracic and Cardiovascular Surgery, 2021, 28(5): 603-608. doi: 10.7507/1007-4848.202009023 Copy

1.	Smith RA, Andrews KS, Brooks D, et al. Cancer screening in the United States, 2019: A review of current American Cancer Society guidelines and current issues in cancer screening. CA Cancer J Clin, 2019, 69(3): 184-210.
2.	郑荣寿, 孙可欣, 张思维, 等. 2015年中国恶性肿瘤流行情况分析. 中华肿瘤杂志, 2019, 41(1): 19-28.
3.	Jensik RJ, Faber LP, Milloy FJ, et al. Segmental resection for lung cancer. A fifteen-year experience. J Thorac Cardiovasc Surg, 1973, 66(4): 563-572.
4.	Zhang L, Li M, Yin R, et al. Comparison of the oncologic outcomes of anatomic segmentectomy and lobectomy for early-stage non-small cell lung cancer. Ann Thorac Surg, 2015, 99(2): 728-737.
5.	Bao F, Ye P, Yang Y, et al. Segmentectomy or lobectomy for early stage lung cancer: A meta-analysis. Eur J Cardiothorac Surg, 2014, 46(1): 1-7.
6.	Okada M, Koike T, Higashiyama M, et al. Radical sublobar resection for small-sized non-small cell lung cancer: A multicenter study. J Thorac Cardiovasc Surg, 2006, 132(4): 769-775.
7.	Keenan RJ, Landreneau RJ, Maley RH, et al. Segmental resection spares pulmonary function in patients with stage Ⅰ lung cancer. Ann Thorac Surg, 2004, 78(1): 228-233.
8.	NCCN Clinical Practice Guidelines in Oncology (NCCN Guidelines). Non-small cell lung cancer (Version 7.2019). http://www.nccn.org/patients.
9.	Nakazawa S, Shimizu K, Mogi A, et al. VATS segmentectomy: Past, present, and future. Gen Thorac Cardiovasc Surg, 2018, 66(2): 81-90.
10.	Nagashima T, Shimizu K, Ohtaki Y, et al. An analysis of variations in the bronchovascular pattern of the right upper lobe using three-dimensional CT angiography and bronchography. Gen Thorac Cardiovasc Surg, 2015, 63(6): 354-360.
11.	Fourdrain A, De Dominicis F, Blanchard C, et al. Three-dimensional CT angiography of anatomic variations in the pulmonary arterial tree. Surg Radiol Anat, 2018, 40(1): 45-53.
12.	Akiba T. Utility of three-dimensional computed tomography in general thoracic surgery. Gen Thorac Cardiovasc Surg, 2013, 61(12): 676-684.
13.	Akiba T, Marushima H, Harada J, et al. Importance of preoperative imaging with 64-row three-dimensional multidetector computed tomography for safer video-assisted thoracic surgery in lung cancer. Surg Today, 2009, 39(10): 844-847.
14.	Fiz N, Delgado D, Sanchez X, et al. Application of 3D technology and printing for femoral derotation osteotomy: Case and technical report. Ann Transl Med, 2017, 5(20): 400.
15.	Flores RL, Liss H, Raffaelli S, et al. The technique for 3D printing patient-specific models for auricular reconstruction. J Craniomaxillofac Surg, 2017, 45(6): 937-943.
16.	Dupret-Bories A, Vergez S, Meresse T, et al. Contribution of 3D printing to mandibular reconstruction after cancer. Eur Ann Otorhinolaryngol Head Neck Dis, 2018, 135(2): 133-136.
17.	Hadeed K, Acar P, Dulac Y, et al. Cardiac 3D printing for better understanding of congenital heart disease. Arch Cardiovasc Dis, 2018, 111(1): 1-4.
18.	Kuroda S, Kobayashi T, Ohdan H. 3D printing model of the intrahepatic vessels for navigation during anatomical resection of hepatocellular carcinoma. Int J Surg Case Rep, 2017, 41: 219-222.
19.	Igami T, Nakamura Y, Hirose T, et al. Application of a three-dimensional print of a liver in hepatectomy for small tumors invisible by intraoperative ultrasonography: Preliminary experience. World J Surg, 2014, 38(12): 3163-3166.
20.	Silberstein JL, Maddox MM, Dorsey P, et al. Physical models of renal malignancies using standard cross-sectional imaging and 3-dimensional printers: a pilot study. Urology, 2014, 84(2): 268-272.
21.	Iwano S, Yokoi K, Taniguchi T, et al. Planning of segmentectomy using three-dimensional computed tomography angiography with a virtual safety margin: technique and initial experience. Lung Cancer, 2013, 81(3): 410-415.
22.	Chan EG, Landreneau JR, Schuchert MJ, et al. Preoperative (3-dimensional) computed tomography lung reconstruction before anatomic segmentectomy or lobectomy for stage Ⅰ non-small cell lung cancer. J Thorac Cardiovasc Surg, 2015, 150(3): 523-528.
23.	Wu WB, Xu XF, Wen W, et al. Three-dimensional computed tomography bronchography and angiography in the preoperative evaluation of thoracoscopic segmentectomy and subsegmentectomy. J Thorac Dis, 2016, 8(Suppl 9): S710-S715.
24.	Horinouchi H, Nomori H, Nakayama T, et al. How many pathological T1N0M0 non-small cell lung cancers can be completely resected in one segment? Special reference to high-resolution computed tomography findings. Surg Today, 2011, 41(8): 1062-1066.
25.	Xue L, Fan H, Shi W, et al. Preoperative 3-dimensional computed tomography lung simulation before video-assisted thoracoscopic anatomic segmentectomy for ground glass opacity in lung. J Thorac Dis, 2018, 10(12): 6598-6605.
26.	Ikeda N, Yoshimura A, Hagiwara M, et al. Three dimensional computed tomography lung modeling is useful in simulation and navigation of lung cancer surgery. Ann Thorac Cardiovasc Surg, 2013, 19(1): 1-5.
27.	Wang B, Guo Y, Tang J, et al. Three-dimensional custom-made carbon-fiber prosthesis for sternal reconstruction after sarcoma resection. Thorac Cancer, 2019, 10(6): 1500-1502.
28.	Wu Y, Chen N, Xu Z, et al. Application of 3D printing technology to thoracic wall tumor resection and thoracic wall reconstruction. J Thorac Dis, 2018, 10(12): 6880-6890.
29.	George E, Barile M, Tang A, et al. Utility and reproducibility of 3-dimensional printed models in pre-operative planning of complex thoracic tumors. J Surg Oncol, 2017, 116(3): 407-415.
30.	Watanabe S, Arai K, Watanabe T, et al. Use of three-dimensional computed tomographic angiography of pulmonary vessels for lung resections. Ann Thorac Surg, 2003, 75(2): 388-392.

1. Smith RA, Andrews KS, Brooks D, et al. Cancer screening in the United States, 2019: A review of current American Cancer Society guidelines and current issues in cancer screening. CA Cancer J Clin, 2019, 69(3): 184-210.
2. 郑荣寿, 孙可欣, 张思维, 等. 2015年中国恶性肿瘤流行情况分析. 中华肿瘤杂志, 2019, 41(1): 19-28.
3. Jensik RJ, Faber LP, Milloy FJ, et al. Segmental resection for lung cancer. A fifteen-year experience. J Thorac Cardiovasc Surg, 1973, 66(4): 563-572.
4. Zhang L, Li M, Yin R, et al. Comparison of the oncologic outcomes of anatomic segmentectomy and lobectomy for early-stage non-small cell lung cancer. Ann Thorac Surg, 2015, 99(2): 728-737.
5. Bao F, Ye P, Yang Y, et al. Segmentectomy or lobectomy for early stage lung cancer: A meta-analysis. Eur J Cardiothorac Surg, 2014, 46(1): 1-7.
6. Okada M, Koike T, Higashiyama M, et al. Radical sublobar resection for small-sized non-small cell lung cancer: A multicenter study. J Thorac Cardiovasc Surg, 2006, 132(4): 769-775.
7. Keenan RJ, Landreneau RJ, Maley RH, et al. Segmental resection spares pulmonary function in patients with stage Ⅰ lung cancer. Ann Thorac Surg, 2004, 78(1): 228-233.
8. NCCN Clinical Practice Guidelines in Oncology (NCCN Guidelines). Non-small cell lung cancer (Version 7.2019). http://www.nccn.org/patients.
9. Nakazawa S, Shimizu K, Mogi A, et al. VATS segmentectomy: Past, present, and future. Gen Thorac Cardiovasc Surg, 2018, 66(2): 81-90.
10. Nagashima T, Shimizu K, Ohtaki Y, et al. An analysis of variations in the bronchovascular pattern of the right upper lobe using three-dimensional CT angiography and bronchography. Gen Thorac Cardiovasc Surg, 2015, 63(6): 354-360.
11. Fourdrain A, De Dominicis F, Blanchard C, et al. Three-dimensional CT angiography of anatomic variations in the pulmonary arterial tree. Surg Radiol Anat, 2018, 40(1): 45-53.
12. Akiba T. Utility of three-dimensional computed tomography in general thoracic surgery. Gen Thorac Cardiovasc Surg, 2013, 61(12): 676-684.
13. Akiba T, Marushima H, Harada J, et al. Importance of preoperative imaging with 64-row three-dimensional multidetector computed tomography for safer video-assisted thoracic surgery in lung cancer. Surg Today, 2009, 39(10): 844-847.
14. Fiz N, Delgado D, Sanchez X, et al. Application of 3D technology and printing for femoral derotation osteotomy: Case and technical report. Ann Transl Med, 2017, 5(20): 400.
15. Flores RL, Liss H, Raffaelli S, et al. The technique for 3D printing patient-specific models for auricular reconstruction. J Craniomaxillofac Surg, 2017, 45(6): 937-943.
16. Dupret-Bories A, Vergez S, Meresse T, et al. Contribution of 3D printing to mandibular reconstruction after cancer. Eur Ann Otorhinolaryngol Head Neck Dis, 2018, 135(2): 133-136.
17. Hadeed K, Acar P, Dulac Y, et al. Cardiac 3D printing for better understanding of congenital heart disease. Arch Cardiovasc Dis, 2018, 111(1): 1-4.
18. Kuroda S, Kobayashi T, Ohdan H. 3D printing model of the intrahepatic vessels for navigation during anatomical resection of hepatocellular carcinoma. Int J Surg Case Rep, 2017, 41: 219-222.
19. Igami T, Nakamura Y, Hirose T, et al. Application of a three-dimensional print of a liver in hepatectomy for small tumors invisible by intraoperative ultrasonography: Preliminary experience. World J Surg, 2014, 38(12): 3163-3166.
20. Silberstein JL, Maddox MM, Dorsey P, et al. Physical models of renal malignancies using standard cross-sectional imaging and 3-dimensional printers: a pilot study. Urology, 2014, 84(2): 268-272.
21. Iwano S, Yokoi K, Taniguchi T, et al. Planning of segmentectomy using three-dimensional computed tomography angiography with a virtual safety margin: technique and initial experience. Lung Cancer, 2013, 81(3): 410-415.
22. Chan EG, Landreneau JR, Schuchert MJ, et al. Preoperative (3-dimensional) computed tomography lung reconstruction before anatomic segmentectomy or lobectomy for stage Ⅰ non-small cell lung cancer. J Thorac Cardiovasc Surg, 2015, 150(3): 523-528.
23. Wu WB, Xu XF, Wen W, et al. Three-dimensional computed tomography bronchography and angiography in the preoperative evaluation of thoracoscopic segmentectomy and subsegmentectomy. J Thorac Dis, 2016, 8(Suppl 9): S710-S715.
24. Horinouchi H, Nomori H, Nakayama T, et al. How many pathological T1N0M0 non-small cell lung cancers can be completely resected in one segment? Special reference to high-resolution computed tomography findings. Surg Today, 2011, 41(8): 1062-1066.
25. Xue L, Fan H, Shi W, et al. Preoperative 3-dimensional computed tomography lung simulation before video-assisted thoracoscopic anatomic segmentectomy for ground glass opacity in lung. J Thorac Dis, 2018, 10(12): 6598-6605.
26. Ikeda N, Yoshimura A, Hagiwara M, et al. Three dimensional computed tomography lung modeling is useful in simulation and navigation of lung cancer surgery. Ann Thorac Cardiovasc Surg, 2013, 19(1): 1-5.
27. Wang B, Guo Y, Tang J, et al. Three-dimensional custom-made carbon-fiber prosthesis for sternal reconstruction after sarcoma resection. Thorac Cancer, 2019, 10(6): 1500-1502.
28. Wu Y, Chen N, Xu Z, et al. Application of 3D printing technology to thoracic wall tumor resection and thoracic wall reconstruction. J Thorac Dis, 2018, 10(12): 6880-6890.
29. George E, Barile M, Tang A, et al. Utility and reproducibility of 3-dimensional printed models in pre-operative planning of complex thoracic tumors. J Surg Oncol, 2017, 116(3): 407-415.
30. Watanabe S, Arai K, Watanabe T, et al. Use of three-dimensional computed tomographic angiography of pulmonary vessels for lung resections. Ann Thorac Surg, 2003, 75(2): 388-392.

Chinese Journal of Clinical Thoracic and Cardiovascular Surgery

Clinical application of three-dimensional technique in segmentectomy

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