Evidence map›Paper›PMID 42135548›Full record

ArticleAnnals of surgical oncology2026

Artificial Intelligence-Driven Three-Dimensional Reconstruction System Reduced Unexpected Procedural Changes in Thoracic Surgery.

Jiayi Geng, Tian Guan, Xiangyu Zeng, Zhuoer Cui, Huiming Han, Yun Li, Xiuyuan Chen

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Article in Annals of surgical oncology, 2026. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 2 papers.

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2citing papers in PubMed
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3 · Its place in the literature

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2 citing papers in PubMed.

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5 · Who and what money

Authors and funding

7 authors.

Jiayi Geng *Department of Thoracic Surgery, Peking University People's Hospital, Beijing, China.
Tian Guan *Department of Thoracic Surgery, Peking University People's Hospital, Beijing, China.
Xiangyu ZengDepartment of Thoracic Surgery, Peking University People's Hospital, Beijing, China.
Zhuoer CuiDepartment of Thoracic Surgery, Peking University People's Hospital, Beijing, China.
Huiming HanDepartment of Thoracic Surgery, Peking University People's Hospital, Beijing, China.
Yun LiDepartment of Thoracic Surgery, Peking University People's Hospital, Beijing, China.
Xiuyuan ChenDepartment of Thoracic Surgery, Peking University People's Hospital, Beijing, China. dr_chenxy@pku.edu.cn.

Funding

Peking University Medicine plus X Pilot Program-Artificial Intelligence and Medical Development Initiative BMU2025YXXLHAIYX002Peking University People's Hospital Scientific Research Development Funds RDX2024-07Science and Technology Innovation Program of Xiongan New Area 2025XAGG0030S&T Program of Xiongan New Area XA202501102003K
6 · The paper itself

Abstract

backgroundAlthough an artificial intelligence-driven three-dimensional reconstruction system (AI-3D) facilitates preoperative planning, its impact on consistency between planned and actual surgical procedures and perioperative outcomes has not been sufficiently investigated.

methodsThis study retrospectively analyzed 1197 patients scheduled for segmentectomy (n = 479) or lobectomy (n = 718) between July 2022 and September 2023. The patients were divided into AI-3D and two-dimensional computed tomography (2D-CT) groups. The primary endpoint was the rate of unexpected procedural changes. The secondary endpoints included intraoperative outcomes (operative time, intraoperative blood loss, and the rate of conversion to open surgery) and postoperative outcomes (second operation, second chest tube, drainage volume, and so forth). Propensity score-matching (PSM) was used to minimize selection bias.

resultsAmong the patients scheduled for segmentectomy, the AI-3D group demonstrated significantly higher consistency between planned and actual procedures than the 2D group (after PSM: 97.3 % vs 80.0 %; P < 0.001). Reason analysis indicated that most changes were attributable to tumor location and/or surgical margin factors. Intra- and postoperative outcomes were almost comparable between the two groups.

conclusionsIn this study, AI-driven 3D reconstruction significantly reduced the rate of unexpected procedural changes in segmentectomy. Although it ensured higher surgical reliability in relation to the preoperative plan, it did not show an advantage in terms of other intra- and postoperative outcomes.

Indexed as

Artificial IntelligenceImaging, Three-DimensionalLung NeoplasmsPneumonectomySurgery, Computer-AssistedThoracic Surgical ProceduresTomography, X-Ray ComputedAgedFemaleFollow-Up StudiesHumansMaleMiddle AgedPrognosisRetrospective StudiesArtificial intelligenceLobectomyProcedural changesSegmentectomyThree-dimension reconstruction

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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.