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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