Volume 20 Issue 5
May  2022
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Article Navigation >  Chinese Journal of General Practice  > 2022  >  20(5): 735-739
SONG Ming-lei, CAO Fu-min, XING Xiao-ying, GAO Li-ping, JING Hong-jia. Application of MIMICS software three-dimensional reconstruction in complex segmental resection of lung adenocarcinoma[J]. Chinese Journal of General Practice, 2022, 20(5): 735-739. doi: 10.16766/j.cnki.issn.1674-4152.002442
Citation: SONG Ming-lei, CAO Fu-min, XING Xiao-ying, GAO Li-ping, JING Hong-jia. Application of MIMICS software three-dimensional reconstruction in complex segmental resection of lung adenocarcinoma[J]. Chinese Journal of General Practice, 2022, 20(5): 735-739. doi: 10.16766/j.cnki.issn.1674-4152.002442
shu

Application of MIMICS software three-dimensional reconstruction in complex segmental resection of lung adenocarcinoma

doi: 10.16766/j.cnki.issn.1674-4152.002442
  • 1.

    Department of Thoracic Surgery, the Fourth Hospital of Hebei Medical University, Shijiazhuang, Hebei 050011, China

Funds:

 20180554

  • Received Date: 2021-08-11
    Available Online: 2022-09-05
    Abstract
  •   Objective  To evaluate the clinical value of Materialise's interactive medical image control system (MIMICS) software 3D reconstruction combined with thoracoscopy in complex segmental resection of lung adenocarcinoma.  Methods  The control group comprised 42 patients who underwent thoracoscopic segmentectomy in our hospital from January 2016 to June 2017. The observation group was composed of 48 patients who underwent MIMICS software 3D reconstruction combined with thoracoscopic segmentectomy in the Fourth Hospital of Hebei Medical University from July 2017 to July 2018. The perioperative clinical parameters and operative complications were compared between the two groups. The pulmonary function indexes before operation and after removal of thoracic drainage tube were compared, including forced expiratory volume in one second (FEV1), forced vital capacity (FVC) and maximum voluntary ventilation (MVV) per minute.  Results  No significant difference was found in the number of lesions and the nature of nodules between the two groups (P>0.05). The incidence of complications in the observation group (10.42%, 5/48) was significantly lower than that in the control group (28.57%, 12/42, P < 0.05). The average operation time, average intraoperative bleeding volume, average post-operative thoracic tube indwelling time and average post-operative hospital stay in the observation group were significantly shorter than those in the control group (all P < 0.05). There was no significant difference in FEV1, FVC and MVV between the two groups before the operation (all P>0.05). After removal of the thoracic drainage tube, the pulmonary function indexes of the two groups were significantly lower than those before the operation. The FEV1, FVC and MVV of the observation group were significantly higher than those of the control group [(1.67±0.52) L vs. (1.38±0.69) L, (1.73±0.64) L vs. (1.48±0.51) L, (54.27±7.14) L/min vs. (50.36±6.08) L/min, all P < 0.05)].  Conclusion  For patients with pulmonary adenocarcinoma undergoing complex segmental resection, using MIMICS software 3D reconstruction before operation can help distinguish the anatomical structure of the lungs, determine the location of the nodules, improve the accuracy of the operation, shorten the operation time, reduce complications, reduce the damage of the lung function caused by the operation and facilitate rehabilitation after the operation.

     

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    • References(17)
  • [1]
    AOKAGE K, SAJI H, SUZUKI K, et al. A non-randomized confirmatory trial of segmentectomy for clinical T1N0 lung cancer with dominant ground glass opacity based on thin-section computed tomography (JCOG1211)[J]. Gen Thorac Cardiovasc Surg, 2017, 65(5): 267-272. doi: 10.1007/s11748-016-0741-1
    [2]
    颜威, 奚小冰, 蒋涛, 等. 基于Mimics软件构建桡骨远端骨折三维模型[J]. 中国数字医学, 2020, 15(7): 95-97, 108. https://www.cnki.com.cn/Article/CJFDTOTAL-YISZ202007031.htm

    YAN W, XI X B, JIANG T, et al. Construction of the 3D model of distal radius fracture based on mimics software[J]. China Digital Medicine, 2020, 15(7): 95-97, 108. https://www.cnki.com.cn/Article/CJFDTOTAL-YISZ202007031.htm
    [3]
    陆舜, 虞永峰, 纪文翔. 2015年肺癌诊疗指南: 共识和争议[J]. 解放军医学杂志, 2016, 41(1): 1-6. https://www.cnki.com.cn/Article/CJFDTOTAL-JFJY201601002.htm

    LU S, YU Y F, JI W X. Guidelines for lung cancer in 2015: Consensus and controversy[J]. Medical Journal of Chinese People's Liberation Army, 2016, 41(1): 1-6. https://www.cnki.com.cn/Article/CJFDTOTAL-JFJY201601002.htm
    [4]
    佘晓伟, 顾云斌, 徐春, 等. 3D-CTBA及3D-VATS单操作孔行解剖性肺段切除治疗非小细胞肺癌[J]. 中国肺癌杂志, 2017, 20(9): 598-602. https://www.cnki.com.cn/Article/CJFDTOTAL-FAIZ201709002.htm

    SE X W, GU Y B, XU C, et al. Combining 3D-CTBA and 3D-VATS single-operation-hole to anatomical segmentectomy in the treatment of non-small cell lung cancer[J]. Chinese Journal of Lung Cancer, 2017, 20(9): 598-602. https://www.cnki.com.cn/Article/CJFDTOTAL-FAIZ201709002.htm
    [5]
    DZIEDZIC R, ZUREK W, MARJANSKI T, et al. Stage I non-small-cell lung cancer: Long-term results of lobectomy versus sublobar resection from the Polish National Lung Cancer Registry[J]. Eur J Cardiothorac Surg, 2017, 52(2): 363-369. doi: 10.1093/ejcts/ezx092
    [6]
    王丽. 中国原发性肺癌诊疗规范(2015年版)解读[J]. 世界临床药物, 2016, 37(7): 433-436. https://www.cnki.com.cn/Article/CJFDTOTAL-GWHH201607001.htm

    WANG L. Interpretation of Chinese lung cancer treatment guidelines(2015 edition)[J]. World Clinical Drugs, 2016, 37(7): 433-436. https://www.cnki.com.cn/Article/CJFDTOTAL-GWHH201607001.htm
    [7]
    陈亮, 吴卫兵. 胸腔镜解剖性肺段切除术技术要点[J]. 中国肺癌杂志, 2016, 19(6): 377-381. https://www.cnki.com.cn/Article/CJFDTOTAL-FAIZ201606018.htm

    CHEN L, WU W B. The main technical points of thoracoscopic anatomical lung segment resection[J]. Chinese Journal of Lung Cancer, 2016, 19(6): 377-381. https://www.cnki.com.cn/Article/CJFDTOTAL-FAIZ201606018.htm
    [8]
    段亮, 朱余明, 胡学飞, 等. 52例单孔胸腔镜解剖性肺段切除术临床分析和技术探讨[J]. 中华胸心血管外科杂志, 2017, 33(4): 208-211. doi: 10.3760/cma.j.issn.1001-4497.2017.04.004

    DUAN L, ZHU Y M, HU X F, et al. Uniportal video-assisted thoraeoscopic anatomic segmentectomy for lung diseases: 52 cases report[J]. Chinese Journal of Thoracic and Cardiovascular Surgery, 2017, 33(4): 208-211. doi: 10.3760/cma.j.issn.1001-4497.2017.04.004
    [9]
    崔子涵. 三维重建软件Exoview在解剖性肺段切除术中的应用与研究[D]. 苏州: 苏州大学, 2020.

    CUI Z H. Application and study of 3D reconstruction software Exoview in anatomical segmentectomy[D]. Suzhou: Soochow University, 2020.
    [10]
    王德国, 李洋, 尹红灵, 等. 椎体成形术填充剂最优化分布模式三维有限元分析[J]. 中国骨伤, 2021, 34(1): 26-33. https://www.cnki.com.cn/Article/CJFDTOTAL-ZGGU202101006.htm

    WANG D G, LI Y, YIN H L, et al. Three-dimensional finite element analysis of optimal distribution model of fillers in vertebroplasty[J]. China Journal of Orthopaedics and Traumatology, 2021, 34(1): 26-33. https://www.cnki.com.cn/Article/CJFDTOTAL-ZGGU202101006.htm
    [11]
    CHEN D, CHEN C H, TANG L, et al. Three-dimensional reconstructions in spine and screw trajectory simulation on 3D digital images: A step by step approach by using Mimics software[J]. J Spine Surg, 2017, 3(4): 650-656.
    [12]
    马立敏, 周烨, 周霞, 等. 3D打印技术辅助个性化定制钢板在膝关节周围骨肿瘤中的应用[J]. 中国数字医学, 2019, 14(2): 5-8. https://www.cnki.com.cn/Article/CJFDTOTAL-YISZ201902003.htm

    MA L M, ZHOU Y, ZHOU X, et al. Application of 3D print personalized titanium plates in the treatment of bone tumor around the knee[J]. China Digital Medicine, 2019, 14(2): 5-8. https://www.cnki.com.cn/Article/CJFDTOTAL-YISZ201902003.htm
    [13]
    HOU N Z, LI M Z, HE L, et al. Predicting 30-days mortality for MIMIC-Ⅲ patients with sepsis-3: A machine learning approach using XGboost[J]. J Transl Med, 2020, 18(1): 462.
    [14]
    AATLAY H A, CANAT H L, VLKEY V, et al. Impact of personalized three-dimensional 3D printed pelvicalyceal system models on patient information in percutaneous nephrolithotripsy surgery: A pilot study[J]. Int Braz J Urol, 2017, 43(3): 470-475.
    [15]
    张书新, 刘阳. 个人电脑上肺癌64排CT数据的三维重建及虚拟手术[J]. 南方医科大学学报, 2016, 36(4): 562-566. https://www.cnki.com.cn/Article/CJFDTOTAL-DYJD201604022.htm

    ZHANG S X, LIU Y. Computer-based three-dimensional reconstruction of lung cancer using 64-slice CT scanning data and virtual surgery[J]. Journal of Southern Medical University, 2016, 36(4): 562-566. https://www.cnki.com.cn/Article/CJFDTOTAL-DYJD201604022.htm
    [16]
    王黎彬, 戚维波. 三维重建及虚拟手术规划在胸腔镜解剖性肺段切除术中的应用进展[J]. 浙江医学, 2019, 41(5): 86-87. https://www.cnki.com.cn/Article/CJFDTOTAL-ZJYE201905032.htm

    WANG L S, QI W B. Application progress of three-dimensional reconstruction and virtual surgical planning in thoracoscopic anatomic segmentectomy[J]. Zhejiang Medical Journal, 2019, 41(5): 86-87. https://www.cnki.com.cn/Article/CJFDTOTAL-ZJYE201905032.htm
    [17]
    李小军, 朱潇, 杏福宝, 等. 三维重建及3D打印在微创肺外科中的应用[J]. 中华全科医学, 2020, 18(7): 1190-1194. doi: 10.16766/j.cnki.issn.1674-4152.001462

    LI X J, ZHU X, XING F B, et al. Application of three-dimensional reconstruction and 3D printing in minimally invasive lung surgery[J]. Chinese general practice, 2020, 18(7): 1190-1194. doi: 10.16766/j.cnki.issn.1674-4152.001462
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