title: Simulation of the fissureless technique for thoracoscopic segmentectomy using rapid prototyping.
abstract: The fissureless lobectomy or anterior fissureless technique is a novel surgical technique, which avoids dissection of the lung parenchyma over the pulmonary artery during lobectomy by open thoracotomy approach or direct vision thoracoscopic surgery. This technique is indicated for fused lobes. We present two cases where thoracoscopic pulmonary segmentectomy was performed using the fissureless technique simulated by three-dimensional (3D) pulmonary models. The 3D model and rapid prototyping provided an accurate anatomical understanding of the operative field in both cases. We believe that the construction of these models is useful for thoracoscopic and other complicated surgeries of the chest.
authors.affiliation: Department of Surgery, The Jikei University Kashiwa Hospital, Kashiwa, Chiba, Japan.
authors.forename: Tadashi
authors.initials: T
authors.lastname: Akiba
authors.forename: Takeo
authors.initials: T
authors.lastname: Nakada
authors.forename: Takuya
authors.initials: T
authors.lastname: Inagaki
mesh_terms: D000368:Aged; D059925:Anatomic Landmarks; D003198:Computer Simulation; D005260:Female; D006801:Humans; D008175:Lung Neoplasms / Q000000981:diagnostic imaging / Q000473:pathology / Q000556:secondary / Q000601:surgery*; D008953:Models, Anatomic; D011013:Pneumonectomy / Q000379:methods*; D066330:Printing, Three-Dimensional; D025321:Surgery, Computer-Assisted / Q000379:methods*; D013906:Thoracoscopy / Q000379:methods*; D014057:Tomography, X-Ray Computed; D016896:Treatment Outcome