ArticleInterdisciplinary cardiovascular and thoracic surgery2025
Planning thoracoscopic segmentectomies with 3-dimensional reconstruction software improves outcomes.
Article in Interdisciplinary cardiovascular and thoracic surgery, 2025. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 6 papers.
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Who cites it
6 citing papers in PubMed.
- Surgical technique for minimally invasive segmentectomies of the right lung: anatomic rationale for a posterior approach.Journal of visualized surgery · 2026Article
- The future of lung cancer surgery lies between innovations: synergy across the perioperative ERATS pathway.Frontiers in oncology · 2026Review
- Photon-Counting Computed Tomography in Thoracic Surgery: A Narrative Review of Current and Future Applications.Cancers · 2025Review
- Advances in the Application of Three-Dimensional Reconstruction in Thoracic Surgery: A Comprehensive Review.Thoracic cancer · 2025Review
- Advancements in 3D lung models for minimally invasive lung cancer surgery: from static to real-time dynamic modeling.Translational lung cancer research · 2025Review
- Estimating Postoperative Lung Function Using Three-Dimensional Segmental HRCT-Reconstruction: A Retrospective Pilot Study on Right Upper Lobe Resections.Journal of personalized medicine · 2025Article
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Abstract
objectivesWe investigated whether preoperatively generated models of the anatomy of the lung using 3-dimensional (3D) reconstruction software based on high-resolution computed tomography scans improve surgical and postoperative outcomes after video-assisted thoracoscopic surgery (VATS) segmentectomies.
methodsWe retrospectively collected data from 100 consecutive patients who signed the general research consent form and underwent VATS segmentectomies between 2018 and 2023. The outcomes and complications of the operations planned with the 3D models were compared to the results of those performed without the models. We used propensity modelling and inverse probability of treatment weighting (IPTW) to analyse the data.
resultsThirty-seven of the 100 patients included underwent surgery planned using the 3D models. In the 3D group, complex segmentectomies were performed more frequently (89% vs 38%, P < 0.001), and there were markedly fewer conversions to thoracotomy (P = 0.003). The IPTW analysis showed fewer severe complications (Clavien-Dindo grade III or IV) [post-IPTW odds ratio 0.10 (95% confidence interval 0.01-0.87), P = 0.037], and no Clavien-Dindo grade V complications occurred. Additionally, operative planning using models generated from 3D reconstruction software may influence procedural and postoperative parameters, such as the number of segments removed (1.9 ± 1.0 vs 1.7 ± 0.8, P = 0.40), duration of chest tube placement (3.0 days, interquartile range 2.0-4.0 vs 2.0 days, interquartile range 1.0-3.0, P = 0.060), and stay in the intensive/intermediate care unit.
conclusionsThe planning of complex anatomical VATS segmentectomies using 3D models constructed from 3D reconstruction software significantly reduces the need for conversions to thoracotomy and postoperative complications rates. In addition, complex operations are thereby performed safely.
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