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. 2015:16:127-9.
doi: 10.1016/j.ijscr.2015.09.037. Epub 2015 Oct 3.

Three dimensional model for surgical planning in resection of thoracic tumors

Min P Kim  1 , Anderson H Ta  2 , Warren A Ellsworth 4th  3 , Rex A Marco  4 , Puja Gaur  5 , Jordan S Miller  2
Affiliations

Three dimensional model for surgical planning in resection of thoracic tumors

Min P Kim et al. Int J Surg Case Rep. 2015.

Abstract

Introduction: The computed tomography scan provides vital information about the relationship of thoracic malignancies to the surrounding structures and aids in surgical planning. However, it can be difficult to visualize the images in a two-dimensional screen to interpret the full extent of the relationship between important structures in the surgical field.

Presentation of case: We report two cases where we used a three-dimensional printed model to aid in the surgical resection of thoracic malignancies.

Discussion: Careful planning is necessary to resect thoracic malignancies. Although two-dimensional images of the thoracic malignancies provide vital information about the tumor and its surrounding structures, the three-dimensional printed model can provide more accurate information about the tumor and assist in surgical planning.

Conclusion: Three-dimensional printed model provide better visualization of complex thoracic tumors, aid in counseling the patient about the surgical procedure and assisted in surgical resection of thoracic malignancy.

Keywords: 3D printed model; Pancoast tumor; Spindle cell neoplasm; Surgical planning.

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Figures

Fig. 1
Fig. 1
Right upper lobe pancoast tumor. (A) Computed tomography of the tumor (T) with region of interest (green line) around the tumor, ipsilateral side of spine and the chest wall (red arrow). (B) 3D rendering of extracted topology showing tumor (T), spine and chest wall. (C) 3D printed plastic model of the tumor (T), spine and chest wall. (D) Thoracoscopic image of the resection of the chest wall and laminectomy with tumor (T) invading the third rib.
Fig. 2
Fig. 2
Chest wall spindle cell neoplasm. (A) Computed tomography of the tumor (T). (B) 3D rendering of extracted topology showing the tumor (T) with clavicle (C). (C) Anterior side of the 3D printed plastic model with tumor (T) and the clavicle (C). (D) Posterior side of the 3D printed plastic model with subclavian artery (A), subclavian vein (V) and tumor (T).
See this image and copyright information in PMC

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