Evidence map›Paper›PMID 40855694›Full record

SynthesisEuropean journal of cardio-thoracic surgery : official journal of the European Association for Cardio-thoracic Surgery2025

Three-Dimensional Reconstruction and Virtual Simulation of Patient-Specific Anatomy for Procedural Planning in Thoracoscopic Segmentectomy: A Systematic Review and Meta-Analysis.

Hongbo He, Chengyuan Yu, Yichen Yang, Jos G Maessen, Peyman Sardari Nia

Abstract readSystematic ReviewMeta-Analysis
In one paragraph

Synthesis in European journal of cardio-thoracic surgery : official journal of the European Association for Cardio-thoracic Surgery, 2025. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 8 papers.

0numbers the graph read from it
0cells of the map it votes in
8citing papers in PubMed
–field-weighted citation impact
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

8 citing papers in PubMed.

  1. Clinical Metadata-Guided Limited-Angle CT Image Reconstruction.IEEE transactions on medical imaging · 2026
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4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

5 authors.

Hongbo HeDepartment of Cardiothoracic Surgery, Cardiovascular Research Institute Maastricht (CARIM), Maastricht University, 6229 ER Maastricht, The Netherlands.ORCID 0000-0002-3368-9698
Chengyuan YuDepartment of Cardiothoracic Surgery, Cardiovascular Research Institute Maastricht (CARIM), Maastricht University, 6229 ER Maastricht, The Netherlands.
Yichen YangDepartment of Cardiothoracic Surgery, Cardiovascular Research Institute Maastricht (CARIM), Maastricht University, 6229 ER Maastricht, The Netherlands.
Jos G MaessenDepartment of Cardiothoracic Surgery, Cardiovascular Research Institute Maastricht (CARIM), Maastricht University, 6229 ER Maastricht, The Netherlands.ORCID 0000-0003-3230-7712
Peyman Sardari NiaDepartment of Cardiothoracic Surgery, Cardiovascular Research Institute Maastricht (CARIM), Maastricht University, 6229 ER Maastricht, The Netherlands.ORCID 0000-0003-2296-1497

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundThree-dimensional reconstruction of patient-specific anatomy and virtual simulation for procedural planning in thoracoscopic segmentectomy could theoretically improve the clinical outcomes. Therefore, the aim of this study was to evaluate the contemporary evidence to test this hypothesis.

methodsFour databases (PubMed, Embase, Cochrane Library, Web of Science) were searched for articles published before October 12, 2024. Intraoperative parameters (operative time, intraoperative blood loss, the number of lymph node resections, inadequate margin) and postoperative parameters (postoperative complications, total chest drainage, chest tube duration, postoperative hospital stay) were the comparative end-points.

resultsA total of 10 articles were included in this study. 772 patients were in the three-dimensional (3D) reconstruction group and 652 patients were in the non-three-dimensional (non-3D) reconstruction group. The procedural planning with 3D reconstruction and simulation reduced the probability of inadequate surgical margins (Odds ratio [OR] = 0.09; 95% confidence interval (CI)  = 0.02-0.50; P = .006) and postoperative complication rates (OR = 0.53; 95% CI = 0.38-0.74; P < .001). In the subgroup analysis, 3D reconstruction reduced the operative time (Mean difference [MD] = -10.85 min; 95% CI = -15.39 to -6.02, P < .001) and intraoperative blood loss (MD = -5.41 ml; 95% CI = -9.87 to -0.94, P = .020) in complex segmentectomies. As for the number of lymph node resections, chest tube duration, total chest drainage, and postoperative hospital stay, the 2 groups were similar with no statistically significant difference.

conclusionsPatient-specific 3D reconstruction and simulation for procedural planning in segmentectomy may help reduce the probability of inadequate surgical margins and complications. In complex segmental resections, it may shorten the operative time and reduce intraoperative blood loss.

Indexed as

Computer SimulationImaging, Three-DimensionalLung NeoplasmsPneumonectomyThoracic Surgery, Video-AssistedHumansOperative Timemeta-analysisprocedural planningsegmentectomysystematic reviewthree-dimensional reconstruction

Identifiers

PMID40855694
PMCPMC12453671

What OpenQuestion holds

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Registered trials

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Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.