Clinical application and analysis of anatomical types of bilateral pulmonary arteries through three-dimensional reconstruction combined with three-dimensional printing_Chinese Journal of Clinical Thoracic and Cardiovascular Surgery

Authors：

WANG Longfei ¹ , CHEN Qiuming ² , LI Xinjian ¹ , ZHAO Weijun ¹ , LV Wang ² ,  LIANG Zhigang ¹ ,  HU Jian ²

1. Department of Thoracic Surgery, Ningbo First Hospital, Ningbo, 315000, Zhejiang, P. R. China;
2. Department of Thoracic Surgery, The First Affiliated Hospital, College of Medicine, Zhejiang University, Hangzhou, 310000, P. R. China;

Corresponding author：

LIANG Zhigang, Email: 39908517@qq.com; HU Jian, Email: dr_hujian@zju.edu.cn

Keywords：

3D reconstruction; 3D printing; pulmonary artery; anatomic variation; thoracic surgery

DOI：

10.7507/1007-4848.202203019

Video：

Export PDF Favorites Scan Get Citation

Abstract Full text Figures/Tables Video References Cited by

Objective To explore the clinical applications of 3D-CT reconstruction combined with 3D printing in the analysis of anatomical types and variations of bilateral pulmonary arteries. Methods From January 2019 to February 2022, the clinical data of 547 patients who underwent anatomical lung lesion resection in our hospital were retrospectively collected. They were divided into a 3D-CT reconstruction plus printing technology group (n=298, 87 males and 211 females aged 53.84±12.94 years), a 3D-CT reconstruction group (n=148, 55 males and 93 females aged 54.21±11.39 years), and a non-3D group (n=101, 28 males and 73 females aged 53.17±10.60 years). Results In the 3D-CT reconstruction plus printing technology group, the operation time of patients (right: 125.61±20.99 min, left: 119.26±28.44 min) was shorter than that in the 3D-CT reconstruction group (right: 130.48±11.28 min, left: 125.51±10.59 min) and non-3D group (right: 134.45±10.20 min, left: 130.44±9.53 min), which was not associated with the site of surgery; intraoperative blood loss (right: 20.92±8.22 mL, left: 16.85±10.43 mL) was not statistically different compared with the 3D-CT reconstruction group (right: 21.13±8.97 mL, left: 19.09±7.01 mL), but was less than that of the non-3D group (right: 24.44±10.72 mL, left: 23.72±11.45 mL). Variation was found in the right pulmonary artery of 7 (3.91%) patients and in the left pulmonary artery of 21 (17.65%) patients. We first found four-branched lingual pulmonary artery in 2 patients.Conclusion Preoperative CT image computer-assisted 3D reconstruction combined with 3D printing technology can help surgeons to formulate accurate surgical plans, shorten operation time and reduce intraoperative blood loss.

Citation： WANG Longfei, CHEN Qiuming, LI Xinjian, ZHAO Weijun, LV Wang, LIANG Zhigang, HU Jian. Clinical application and analysis of anatomical types of bilateral pulmonary arteries through three-dimensional reconstruction combined with three-dimensional printing. Chinese Journal of Clinical Thoracic and Cardiovascular Surgery, 2022, 29(7): 867-877. doi: 10.7507/1007-4848.202203019 Copy

1.	Vannucci F, Gonzalez-Rivas D. Is VATS lobectomy standard of care for operable non-small cell lung cancer? Lung Cancer, 2016, 100: 114-119.
2.	Lee PC, Kamel M, Nasar A, et al. Lobectomy for non-small cell lung cancer by video-assisted thoracic surgery: Effects of cumulative institutional experience on adequacy of lymphadenectomy. Ann Thorac Surg, 2016, 101(3): 1116-1122.
3.	Nakazawa S, Shimizu K, Mogi A, et al. VATS segmentectomy: Past, present, and future. Gen Thorac Cardiovasc Surg, 2018, 66(2): 81-90.
4.	Suzuki K, Saji H, Aokage K, et al. Comparison of pulmonary segmentectomy and lobectomy: Safety results of a randomized trial. J Thorac Cardiovasc Surg, 2019, 158(3): 895-907.
5.	Amore D, Casazza D, Caterino U, et al. Variations in the branching patterns of pulmonary artery during thoracoscopic pulmonary resection. Surg Radiol Anat, 2021, 43(8): 1331-1336.
6.	梅建东, 蒲强, 马林, 等. 胸腔镜肺手术中血管损伤出血及其防控策略. 中华外科杂志, 2017, 55(12): 898-902.
7.	Nomori H, Okada M. Illustrated Anatomical Segmentectomy for Lung Cancer. Tokyo: Springer, 2012.
8.	Chen Z, Zhang Y, Yan Z, et al. Artificial intelligence assisted display in thoracic surgery: Development and possibilities. J Thorac Dis, 2021, 13(12): 6994-7005.
9.	徐然. 基于三维CT支气管血管成像的3D打印技术在胸外科规范化培训中的应用. 中国高等医学教育, 2020, (10): 78-79.
10.	姜云, 史加海, 周庆, 等. 三维重建结合手术教学法在胸外科实习教学中的应用. 中国医学教育技术, 2022, 36(1): 92-96.
11.	Sardari Nia P, Olsthoorn JR, Heuts S, et al. Interactive 3D reconstruction of pulmonary anatomy for preoperative planning, virtual simulation, and intraoperative guiding in video-assisted thoracoscopic lung surgery. Innovations (Phila), 2019, 14(1): 17-26.
12.	Zhang J, Zhu Y, Li H, et al. VATS right posterior segmentectomy with anomalous bronchi and pulmonary vessels: A case report and literature review. J Cardiothorac Surg, 2021, 16(1): 60.
13.	Andolfi M, Potenza R, Seguin-Givelet A, et al. Identification of the intersegmental plane during thoracoscopic segmentectomy: State of the art. Interact Cardiovasc Thorac Surg, 2020, 30(3): 329-336.
14.	于伟杰. 3D-CTBA技术在精准肺段切除中的应用. 新疆医科大学, 2021.
15.	宋钱. 三维重建及虚拟手术规划在单孔胸腔镜解剖性肺段切除中的应用. 南昌大学, 2021.
16.	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.
17.	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.
18.	Nagashima T, Shimizu K, Ohtaki Y, et al. Analysis of variation in bronchovascular pattern of the right middle and lower lobes of the lung using three-dimensional CT angiography and bronchography. Gen Thorac Cardiovasc Surg, 2017, 65(6): 343-349.
19.	He H, Chen P, Chen X, et al. Analysis of anatomical variations of the lingular artery of the left upper lobe using 3D computed tomography angiography and bronchography. J Thorac Dis, 2021, 13(8): 5035-5041.
20.	Maki R, Miyajima M, Ogura K, et al. Pulmonary vessels and bronchial anatomy of the left lower lobe. Surg Today, 2020, 50(9): 1081-1090.

1. Vannucci F, Gonzalez-Rivas D. Is VATS lobectomy standard of care for operable non-small cell lung cancer? Lung Cancer, 2016, 100: 114-119.
2. Lee PC, Kamel M, Nasar A, et al. Lobectomy for non-small cell lung cancer by video-assisted thoracic surgery: Effects of cumulative institutional experience on adequacy of lymphadenectomy. Ann Thorac Surg, 2016, 101(3): 1116-1122.
3. Nakazawa S, Shimizu K, Mogi A, et al. VATS segmentectomy: Past, present, and future. Gen Thorac Cardiovasc Surg, 2018, 66(2): 81-90.
4. Suzuki K, Saji H, Aokage K, et al. Comparison of pulmonary segmentectomy and lobectomy: Safety results of a randomized trial. J Thorac Cardiovasc Surg, 2019, 158(3): 895-907.
5. Amore D, Casazza D, Caterino U, et al. Variations in the branching patterns of pulmonary artery during thoracoscopic pulmonary resection. Surg Radiol Anat, 2021, 43(8): 1331-1336.
6. 梅建东, 蒲强, 马林, 等. 胸腔镜肺手术中血管损伤出血及其防控策略. 中华外科杂志, 2017, 55(12): 898-902.
7. Nomori H, Okada M. Illustrated Anatomical Segmentectomy for Lung Cancer. Tokyo: Springer, 2012.
8. Chen Z, Zhang Y, Yan Z, et al. Artificial intelligence assisted display in thoracic surgery: Development and possibilities. J Thorac Dis, 2021, 13(12): 6994-7005.
9. 徐然. 基于三维CT支气管血管成像的3D打印技术在胸外科规范化培训中的应用. 中国高等医学教育, 2020, (10): 78-79.
10. 姜云, 史加海, 周庆, 等. 三维重建结合手术教学法在胸外科实习教学中的应用. 中国医学教育技术, 2022, 36(1): 92-96.
11. Sardari Nia P, Olsthoorn JR, Heuts S, et al. Interactive 3D reconstruction of pulmonary anatomy for preoperative planning, virtual simulation, and intraoperative guiding in video-assisted thoracoscopic lung surgery. Innovations (Phila), 2019, 14(1): 17-26.
12. Zhang J, Zhu Y, Li H, et al. VATS right posterior segmentectomy with anomalous bronchi and pulmonary vessels: A case report and literature review. J Cardiothorac Surg, 2021, 16(1): 60.
13. Andolfi M, Potenza R, Seguin-Givelet A, et al. Identification of the intersegmental plane during thoracoscopic segmentectomy: State of the art. Interact Cardiovasc Thorac Surg, 2020, 30(3): 329-336.
14. 于伟杰. 3D-CTBA技术在精准肺段切除中的应用. 新疆医科大学, 2021.
15. 宋钱. 三维重建及虚拟手术规划在单孔胸腔镜解剖性肺段切除中的应用. 南昌大学, 2021.
16. 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.
17. 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.
18. Nagashima T, Shimizu K, Ohtaki Y, et al. Analysis of variation in bronchovascular pattern of the right middle and lower lobes of the lung using three-dimensional CT angiography and bronchography. Gen Thorac Cardiovasc Surg, 2017, 65(6): 343-349.
19. He H, Chen P, Chen X, et al. Analysis of anatomical variations of the lingular artery of the left upper lobe using 3D computed tomography angiography and bronchography. J Thorac Dis, 2021, 13(8): 5035-5041.
20. Maki R, Miyajima M, Ogura K, et al. Pulmonary vessels and bronchial anatomy of the left lower lobe. Surg Today, 2020, 50(9): 1081-1090.

Chinese Journal of Clinical Thoracic and Cardiovascular Surgery

Clinical application and analysis of anatomical types of bilateral pulmonary arteries through three-dimensional reconstruction combined with three-dimensional printing

Abstract Full text Figures/Tables Video References Cited by

Previous Article

Next Article

Format

Content