首页> 外文期刊>Surgical Endoscopy >Implementation of 3D printed superior mesenteric vascular models for surgical planning and/or navigation in right colectomy with extended D3 mesenterectomy: comparison of virtual and physical models to the anatomy found at surgery
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Implementation of 3D printed superior mesenteric vascular models for surgical planning and/or navigation in right colectomy with extended D3 mesenterectomy: comparison of virtual and physical models to the anatomy found at surgery

机译:延长D3思科切除术治疗3D印刷优质肠系膜血管模型的手术规划和/或导航:虚拟物理模型对手术中发现的解剖学的比较

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BackgroundThree-dimensional (3D) printing technology has recently been well approved as an emerging technology in various fields of medical education and practice; e.g., there are numerous studies evaluating 3D printouts of solid organs. Complex surgery such as extended mesenterectomy imposes a need to analyze also the accuracy of 3D printouts of more mobile and complex structures like the diversity of vascular arborization within the central mesentery. The objective of this study was to evaluate the linear dimensional anatomy landmark differences of the superior mesenteric artery and vein between (1) 3D virtual models, (2) 3D printouts, and (3) peroperative measurements.MethodsThe study included 22 patients from the ongoing prospective multicenter trial Safe Radical D3 Right Hemicolectomy for Cancer through Preoperative Biphasic MDCT Angiography, with preoperative CT and peroperative measurements. The patients were operated in Norway between January 2016 and 2017. Their CT datasets underwent 3D volume rendering andsegmentation, and the virtual 3D model produced was then exported for stereolithography 3D printing.ResultsFour parameters were measured: distance between the origins of the ileocolic and the middle colic artery, distance between the termination of the gastrocolic trunk and the ileocolic vein, and the calibers of the middle colic and ileocolic arteries. The inter-arterial distance has proven a strong correlation between all the three modalities implied (Pearson's coefficient 0.968, 0.956, 0.779, respectively), while inter-venous distances showed a weak correlation between peroperative measurements and both virtual and physical models.ConclusionThis study showed acceptable dimensional inter-arterial correlations between 3D printed models, 3D virtual models and authentic soft tissue anatomy of the central mesenteric vessels, and weaker inter-venous correlations between all the models, reflecting the highly variable nature of veins in situ.
机译:背景技术最近在各种医学教育和实践领域的新兴技术得到了很批准的批准。例如,有许多研究评估固体器官的3D打印输出。诸如延长的肠系膜切除术等复杂手术施加了需要分析更多移动和复杂结构的3D打印输出的准确性,如中央肠系膜内的血管植物的多样性。本研究的目的是评估(1)3D虚拟模型,(2)3D打印输出之间的上肠系膜动脉和静脉的线性尺寸解剖学差异,(2)3D打印输出,(3)概要测量。方法包括22名持续的患者通过术前双相MDCT血管造影,前瞻性多中心试验安全自由基D3右侧癌癌,术前CT和围一术后测量。患者在2016年和2017年1月在挪威运营。他们的CT数据集接受了3D卷渲染和播放,然后产生的虚拟3D模型被导出用于立体光刻3D打印。测量结果FUUL参数:ILELOCLIC和中间的起源之间的距离肠动脉,胃肠躯干终止与肠道静脉之间的距离,以及中间绞痛和偏光动脉的胶质体。动脉间距离已经证明了所涵盖的所有三种方式之间的强烈相关性(Pearson系数0.968,0.956,0.779,0.956,0.779,而静脉距离显示围绕测量和虚拟和物理模型之间的弱相关性。结论研究表明3D印刷模型,3D虚拟模型和中央肠系膜血管的真正软组织解剖结构之间的可接受的尺寸间动脉相关性,以及所有模型之间的静脉间相关性较弱,反映了原位静脉的高度可变性质。

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