Application of three-dimensional technology in video-assisted thoracoscopic surgery sublobectomy

Xinyu Zhang; Di Yang; Linqian Li; Jianing Wang; Si Liang; Peng Li; Zhe Han; Xiaodong Wang; Ke Zhang

doi:10.3389/fonc.2024.1280075

Application of three-dimensional technology in video-assisted thoracoscopic surgery sublobectomy

Front Oncol. 2024 Mar 8:14:1280075. doi: 10.3389/fonc.2024.1280075. eCollection 2024.

Authors

Xinyu Zhang^#^{1

2}, Di Yang^#^{1

2}, Linqian Li^#^{3

4

5

6}, Jianing Wang^#^{5

7}, Si Liang^#^{4

5}, Peng Li^#^{4

5}, Zhe Han^{4

5}, Xiaodong Wang^{4

5}, Ke Zhang^#^{2

4

5

6}

Affiliations

¹ Clinical Medical College of Hebei University, Affiliated Hospital of Hebei University, Baoding, China.
² Thoracic Surgery Department, Affiliated Hospital of Hebei University Cardiothoracic Surgical Department, Affiliated Hospital of Hebei University, Baoding, China.
³ Surgical Department, Affiliated Hospital of Hebei University, Baoding, China.
⁴ Basic Research Key Laboratory of General Surgery for Digital Medicine, Baoding, China.
⁵ Institute of Life Science and Green Development, Hebei University, Baoding, China.
⁶ 3D Image and 3D Printing Center, Affiliated Hospital of Hebei University, Baoding, China.
⁷ Imaging Department of Hebei University Affiliated Hospital, Baoding, China.

^# Contributed equally.

Abstract

Background: Due to the widespread use of imaging techniques, the detection rate of early-stage lung cancer has increased. Video-assisted thoracoscopic surgery (VATS) sublobectomy has emerged as a prominent alternative to lobectomy, offering advantages like reduced resection range, better preservation of lung function, and enhanced postoperative quality of life. However, sublobectomy is more intricate than lobectomy, necessitating a higher level of surgical proficiency and anatomical understanding.

Methods: Three electronic databases were searched to capture relevant studies from January 2016 to March 2023, which related to the application of three-dimensional(3D) technology in VATS sublobectomy.

Results: Currently, clinical departments such as orthopedics, hepatobiliary surgery, and urology have started using 3D technology. This technology is expected to be widely used in thoracic surgery in future. Now 3D technology assists in preoperative planning, intraoperative navigation and doctor-patient communication.

Conclusion: 3D technologies, instrumental in locating pulmonary nodules and identifying variations in target lung segmental vessels and bronchi, play pivotal roles in VATS sublobectomy, especially in preoperative planning, intraoperative navigation, and doctor-patient communication. The limitations of 3D technology in clinical application are analyzed, and the future direction of existing 3D technology development is prospected.

Keywords: 3D printing; 3D reconstruction; VATS; early lung cancer; sublobectomy.

Publication types

Systematic Review

Grants and funding

The author(s) declare financial support was received for the research, authorship, and/or publication of this article. Research and development of three-dimensional planning technology for anatomical lobectomy, supported by the Hebei Provincial Department of Finance and the Hebei Provincial Health Commission Government, for the cultivation of outstanding clinical medical talents (361007). Artificial Intelligence Assisted Multimodal 3D Modeling and Development of 3D Printing Surgical Planning Models, Hebei University Medical Discipline Cultivation Project. Research on the Creation of 3D-Printed Abdominal Models and Their Use in Anatomical Teaching and Surgical Planning, a Youth Foundation Project at the Affiliated Hospital of Hebei University(2021Q038).