3D 打印制作肺葉模型應用于胸腔鏡肺葉切除術3D pulmoary lobe models in pulmonary lobectomy by video-assisted thoracic surgery_Chinese Journal of Clinical Thoracic and Cardiovascular Surgery

Authors：

劉廷興 ¹ , 秦秀菊 ² , 王倫青 ¹ , 石學新 ¹ ,  張哲 ¹

1. ;
2. ;

Corresponding?author：

張哲, Email: rr120@163.com

Keywords：

3D 打印; 肺葉模型; 肺葉切除術

DOI：

10.7507/1007-4848.201604001

Video：

Export PDF Favorites Scan Get Citation

Abstract Full text Figures/Tables Video References Cited by

目的分析利用 3D 打印技術制作肺葉模型在肺葉切除術中的術前及術中臨床應用效果及經驗。方法回顧性分析 2014 年 2 月至 2016 年 2 月青島市市立醫院心胸外科應用 3D 打印技術制作肺葉模型行肺葉切除術 10 例患者的臨床資料。其中男 8 例、女 2 例，年齡 57.2（47～74）歲。擬行胸腔鏡下肺葉切除術。術前應用 3D 打印技術將肺葉模型打印出來，通過術前分析、術前模擬、三維成型觀察腫瘤位置，了解病變及周圍結構的解剖，制定手術方案，術中驗證。結果成功打印 10 例肺部模型，手術均順利完成。手術時間 114（60～210）min，術后住院時間 9.2（7～13）d，術中出血量 96（50～150）ml，術后 48 h 胸腔引流量 260（100～400）ml。全組均無并發癥發生。結論 3D 打印技術制作的肺葉模型可以在肺葉切除術的術前及術中應用有助于提高手術質量。

Citation： 劉廷興, 秦秀菊, 王倫青, 石學新, 張哲. 3D 打印制作肺葉模型應用于胸腔鏡肺葉切除術3D pulmoary lobe models in pulmonary lobectomy by video-assisted thoracic surgery. Chinese Journal of Clinical Thoracic and Cardiovascular Surgery, 2017, 24(1): 80-83. doi: 10.7507/1007-4848.201604001 Copy

1.	?Fan J , Wang L, Jiang GN, et al. Sublobectomy versus lobectomy for stage Ⅰnon-small-cell cancer, a meta-analysis of publishied studies. Ann Surg Oncol, 2012, 19(2): 661-668.
2.	Martin-Ucar AE, Nakas A, Pilling JE, et al. A case-matched study of anatomical segmentectomy versus lobotomy for stage Ⅰlung cancer in high-risk patients. Eur J Cardiothorac Surg, 2005, 27(4): 675-679.
3.	Fukuhara K, Akashi A, Nakane S, et al. Preoperative assessment of the pulmonary artery by three-dimensional computed tomography before video-assisted thoracic surgery lobectomy. Eur J Cardiothorac Surg, 2008, 34(4): 875-877.
4.	朱艷青, 史繼富, 王雷雷, 等. 3D 打印技術發展現狀. 制造技術與機床, 2015, (12): 50-57.
5.	Papaspyridakos P, Lal K. Complete arch implant rehabilitation using subtractive rapid prototyping and porcelain fused to zirconia prosthesis: a clinical report. J Prosthet Dent, 2008, 100(3): 165-172.
6.	Salles F, Anchieta M, Costa Bezerra P, et al. Complete and isolated congenital aglossia: case report and treatment of sequelae using rapid prototyping models. Oral Surg Oral Med Oral Pathol Oral Radiol, 2008, 105(3): e41-e47.
7.	Petzold R, Zeilhofer HF, Kalender WA. Rapid prototyping technology in medicine-basics and applications. Comput Med Imag Grap, 1999, 23: 277-284.
8.	Liacouras P, Garnes J, Roman N, et al. Designing and manufacturing an auricular prosthesis using computed tomography, 3-dimensional photographic imaging, and additive manufacturing: a clinical report. J Prosthet Dent, 2011, 105(2): 78-82.
9.	Song ZL, Feng CK, Chiu FY, et al. The clinical significance of rapid prototyping technique in complex spinal deformity surgery-Case sharing and literature review. Formosan J Musculoskeletal Disord, 2013, 4: 88-93.
10.	Hurson C, Tansey A, O’Donnchadha B, et al. Rapid prototyping in the assessment, classification and preoperative planning of acetabular fractures. Injury, 2007, 38(10): 1158-1162.
11.	Kim MS, Hansgen AR, Wink O, et al. Rapid prototyping: a new tool in understanding and treating structural heart disease. Circulation, 2008, 117(18): 2388-2394.
12.	Jacobs S, Grunert R, Mohr FW, et al. 3D-imaging of cardiac structures using 3D heart models for planning in heart surgery: a preliminary study. Interact Cardiovasc Thorac Surg, 2008, 7(1): 6-9．.
13.	尹一恒, 余新光 , 佟懷宇, 等. 3D 打印技術在顱底凹陷合并寰樞椎脫位手術中的應用. 中華醫學雜志, 2015, 95(37): 3004-3007.
14.	尚建忠, 蔣濤, 唐力, 等. 可移植人體外耳支架的 3D 打印關鍵技術. 國防科技大學學報, 2016, 38(1): 175-180.
15.	邱冰, 張明嬌, 唐本森, 等. 基于 3D 打印個性化手術導航模板輔助下的人工全膝關節置換. 中國組織工程研究, 2015, 19(48): 7731-7735.
16.	韓艷波, 董險峰, 張玉衛, 等. CT 引導下 3D 打印共面模板肺微小結節穿刺活檢術臨床應用研究. 飲食保健, 2015, 3(3): 25-27.
17.	湯潤, 劉林, 時湛, 等. 用于經皮腎鏡取石術模擬的腎臟 3D 打印模型研究初探. 中華泌尿外科雜志, 2015, 36(12): 886-890.
18.	葛宏偉, 張弋, 李寧忱, 等. 3D 打印技術在腎腫瘤手術規劃中的應用研究初探. 中華泌尿外科雜志, 2014, 35(9): 659-663.
19.	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.
20.	Nakada T, Akiba T, Inagaki T, et al. Thoracoscopic anatomical subsegmentectomy of the right S2b + S3 using a 3D printing model with rapid prototyping. Interact Cardiovasc Thorac Surg, 2014, 19(4): 696-698.
21.	Kurenov SN, Ionita C, Dan S, et al. Three-dimensional printing to facilitate anatomic study, device development, simulation, and planning in thoracic surgery. J Thorac Cardiovasc Surg, 2015, 149(4): 973-979.

1. ?Fan J , Wang L, Jiang GN, et al. Sublobectomy versus lobectomy for stage Ⅰnon-small-cell cancer, a meta-analysis of publishied studies. Ann Surg Oncol, 2012, 19(2): 661-668.
2. Martin-Ucar AE, Nakas A, Pilling JE, et al. A case-matched study of anatomical segmentectomy versus lobotomy for stage Ⅰlung cancer in high-risk patients. Eur J Cardiothorac Surg, 2005, 27(4): 675-679.
3. Fukuhara K, Akashi A, Nakane S, et al. Preoperative assessment of the pulmonary artery by three-dimensional computed tomography before video-assisted thoracic surgery lobectomy. Eur J Cardiothorac Surg, 2008, 34(4): 875-877.
4. 朱艷青, 史繼富, 王雷雷, 等. 3D 打印技術發展現狀. 制造技術與機床, 2015, (12): 50-57.
5. Papaspyridakos P, Lal K. Complete arch implant rehabilitation using subtractive rapid prototyping and porcelain fused to zirconia prosthesis: a clinical report. J Prosthet Dent, 2008, 100(3): 165-172.
6. Salles F, Anchieta M, Costa Bezerra P, et al. Complete and isolated congenital aglossia: case report and treatment of sequelae using rapid prototyping models. Oral Surg Oral Med Oral Pathol Oral Radiol, 2008, 105(3): e41-e47.
7. Petzold R, Zeilhofer HF, Kalender WA. Rapid prototyping technology in medicine-basics and applications. Comput Med Imag Grap, 1999, 23: 277-284.
8. Liacouras P, Garnes J, Roman N, et al. Designing and manufacturing an auricular prosthesis using computed tomography, 3-dimensional photographic imaging, and additive manufacturing: a clinical report. J Prosthet Dent, 2011, 105(2): 78-82.
9. Song ZL, Feng CK, Chiu FY, et al. The clinical significance of rapid prototyping technique in complex spinal deformity surgery-Case sharing and literature review. Formosan J Musculoskeletal Disord, 2013, 4: 88-93.
10. Hurson C, Tansey A, O’Donnchadha B, et al. Rapid prototyping in the assessment, classification and preoperative planning of acetabular fractures. Injury, 2007, 38(10): 1158-1162.
11. Kim MS, Hansgen AR, Wink O, et al. Rapid prototyping: a new tool in understanding and treating structural heart disease. Circulation, 2008, 117(18): 2388-2394.
12. Jacobs S, Grunert R, Mohr FW, et al. 3D-imaging of cardiac structures using 3D heart models for planning in heart surgery: a preliminary study. Interact Cardiovasc Thorac Surg, 2008, 7(1): 6-9．.
13. 尹一恒, 余新光 , 佟懷宇, 等. 3D 打印技術在顱底凹陷合并寰樞椎脫位手術中的應用. 中華醫學雜志, 2015, 95(37): 3004-3007.
14. 尚建忠, 蔣濤, 唐力, 等. 可移植人體外耳支架的 3D 打印關鍵技術. 國防科技大學學報, 2016, 38(1): 175-180.
15. 邱冰, 張明嬌, 唐本森, 等. 基于 3D 打印個性化手術導航模板輔助下的人工全膝關節置換. 中國組織工程研究, 2015, 19(48): 7731-7735.
16. 韓艷波, 董險峰, 張玉衛, 等. CT 引導下 3D 打印共面模板肺微小結節穿刺活檢術臨床應用研究. 飲食保健, 2015, 3(3): 25-27.
17. 湯潤, 劉林, 時湛, 等. 用于經皮腎鏡取石術模擬的腎臟 3D 打印模型研究初探. 中華泌尿外科雜志, 2015, 36(12): 886-890.
18. 葛宏偉, 張弋, 李寧忱, 等. 3D 打印技術在腎腫瘤手術規劃中的應用研究初探. 中華泌尿外科雜志, 2014, 35(9): 659-663.
19. 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.
20. Nakada T, Akiba T, Inagaki T, et al. Thoracoscopic anatomical subsegmentectomy of the right S2b + S3 using a 3D printing model with rapid prototyping. Interact Cardiovasc Thorac Surg, 2014, 19(4): 696-698.
21. Kurenov SN, Ionita C, Dan S, et al. Three-dimensional printing to facilitate anatomic study, device development, simulation, and planning in thoracic surgery. J Thorac Cardiovasc Surg, 2015, 149(4): 973-979.

Previous Article
Hepatic tuberculosis: a report of one case and literature data analysis of 158 cases
Next Article
Hepatic tuberculosis: a report of one case and literature data analysis of 158 cases

Chinese Journal of Clinical Thoracic and Cardiovascular Surgery

3D 打印制作肺葉模型應用于胸腔鏡肺葉切除術3D pulmoary lobe models in pulmonary lobectomy by video-assisted thoracic surgery

Abstract Full text Figures/Tables Video References Cited by

Previous Article

Next Article

Format

Content