Mixed reality technique in preoperative discussion and intraoperative pulmonary nodules surgery
- VernacularTitle:混合现实技术在肺结节术前讨论及术中应用的研究
- Author:
Zihao CHEN
1
;
Kenan HUANG
1
;
Xinyu DING
1
;
Rongqiang WEI
1
;
Chengdong LIU
1
;
Zhifei XU
1
;
Hua TANG
1
Author Information
1. Department of Minimally Invasive Thoracic Surgery Center, Changzheng Hospital, Second Military Medical University, Shanghai, 200003, P.R.China
- Publication Type:Journal Article
- Keywords:
Mixed reality;
three-dimensional;
lung nodules;
thoracoscope
- From:
Chinese Journal of Clinical Thoracic and Cardiovascular Surgery
2020;27(07):797-801
- CountryChina
- Language:Chinese
-
Abstract:
Objective To introduce the application of mixed reality technique to the preoperative and intraoperative pulmonary nodules surgery. Methods One 49-year female patient with multiple nodules in both lobes of the lung who finally underwent uniportal thoracoscopic resection of superior segment of left lower lobe and wedge resection of left upper lobe was taken as an example. The Mimics medical image post-processing software was used to reconstruct the patient's lung image based on the DICOM data of the patient's chest CT image before the surgery. The three-dimensional reconstructed image data was imported into the HoloLens glasses, and the preoperative discussions were conducted with the assistance of mixed reality technology to formulate the surgical methods, and the preoperative conversation with the patients was also conducted. At the same time, mixed reality technology was used to guide the surgery in real time. Results Mixed reality technology can clearly pre-show the important anatomical structures of blood vessels, trachea, lesions and their positional relationship. With the help of mixed reality technology, the operation went smoothly. The total operation time was 49 min, the precise dorsal resection time was 27 min, and the intraoperative blood loss was about 39 mL. The patient recovered well and was discharged from hospital smoothly after surgery. Conclusion Mixed reality technology has certain application value before and during the surgery for pulmonary nodules. The continuous maturity of this technology and its further application in clinics will not only bring a new direction to the development of thoracic surgery, but also provide a wide prospect.
