Mixed reality technique in preoperative discussion and intraoperative pulmonary nodules surgery_Chinese Journal of Clinical Thoracic and Cardiovascular Surgery

Authors：

CHEN Zihao , HUANG Kenan , DING Xinyu , WEI Rongqiang , LIU Chengdong , XU Zhifei ,  TANG Hua

Department of Minimally Invasive Thoracic Surgery Center, Changzheng Hospital, Second Military Medical University, Shanghai, 200003, P.R.China;

Corresponding?author：

TANG Hua, Email: tanghua999@smmu.edu.cn

Keywords：

Mixed reality; three-dimensional; lung nodules; thoracoscope

DOI：

10.7507/1007-4848.202002081

Video：

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Abstract Full text Figures/Tables Video References Cited by

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.

Citation： CHEN Zihao, HUANG Kenan, DING Xinyu, WEI Rongqiang, LIU Chengdong, XU Zhifei, TANG Hua. Mixed reality technique in preoperative discussion and intraoperative pulmonary nodules surgery. Chinese Journal of Clinical Thoracic and Cardiovascular Surgery, 2020, 27(7): 797-801. doi: 10.7507/1007-4848.202002081 Copy

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11.	Nomori H, Shiraishi A, Cong Y, et al. Differences in postoperative changes in pulmonary functions following segmentectomy compared with lobectomy. Eur J Cardiothorac Surg, 2018, 53(3): 640-647.
12.	張艷嬌, 高禹舜, 毛友生, 等. 胸腔鏡解剖性肺段切除術治療ⅠA期非小細胞肺癌對肺功能的影響. 腫瘤學雜志, 2016, 22(5): 389-393.
13.	劉嘉. 有效醫患溝通防范醫療糾紛分析. 臨床檢驗雜志(電子版), 2019, 8(2): 40-41.
14.	Chuah JH, Lok B, Black E. Applying mixed reality to simulate vulnerable populations for practicing clinical communication skills. IEEE Trans Vis Comput Graph, 2013, 19(4): 539-546.
15.	McJunkin JL, Jiramongkolchai P, Chung W, et al. Development of a mixed reality platform for lateral skull base anatomy. Otol Neurotol, 2018, 39(10): e1137-e1142.
16.	Zhang JT, Zhang T, Qiu ZW, et al. Metal-marked mixed reality technology for pulmonary nodule localization. Interact Cardiovasc Thorac Surg, 2019, 29(3): 494.

1. 劉成武,劉倫旭. 肺癌微創外科治療進展. 中華胸部外科電子雜志, 2016, 3(2): 65-69.
2. 嵇振嶺. 當代微創外科前沿和熱點問題. 手術, 2016, 1(3): 1-5, 28.
3. 宋德勝, 于在誠, 胡旭, 等. 單向式全胸腔鏡肺癌根治術探討. 中華腔鏡外科雜志(電子版), 2014, 7(6): 3-5.
4. Sun R, Aldunate RG, Sosnoff JJ. The validity of a mixed reality-based automated functional mobility assessment. Sensors (Basel), 2019, 19(9): E2183.
5. 羅偉, 王燕一, 侯霞, 等. 混合現實技術常見應用場景. 中華老年口腔醫學雜志, 2019, 17(1): 55-58.
6. Lee SC, Fuerst B, Tateno K, et al. Multi-modal imaging, model-based tracking, and mixed reality visualisation for orthopaedic surgery. Healthc Technol Lett, 2017, 4(5): 168-173.
7. Nguyen TH, Qui TC, Xu K, et al. Real-time 3D human capture system for mixed-reality art and entertainment. IEEE Trans Vis Comput Graph, 2005, 11(6): 706-721.
8. 李云婧, 李宬潤, 馬永富, 等. 虛擬現實導航技術在胸腔鏡下肺段切除中的臨床應用. 中華肺部疾病雜志(電子版), 2017, 10(4): 461-464.
9. Ameis A, Randhawa K, Yu H, et al. The Global Spine Care Initiative: a review of reviews and recommendations for the non-invasive management of acute osteoporotic vertebral compression fracture pain in low- and middle-income communities. Eur Spine J, 2018, 27(Suppl 6): 861-869.
10. 仲晨曦, 谷志濤, 方文濤, 等. 34 例肺單純性磨玻璃樣病灶的臨床分析. 上海交通大學學報(醫學版), 2011, 31(3): 378-380.
11. Nomori H, Shiraishi A, Cong Y, et al. Differences in postoperative changes in pulmonary functions following segmentectomy compared with lobectomy. Eur J Cardiothorac Surg, 2018, 53(3): 640-647.
12. 張艷嬌, 高禹舜, 毛友生, 等. 胸腔鏡解剖性肺段切除術治療ⅠA期非小細胞肺癌對肺功能的影響. 腫瘤學雜志, 2016, 22(5): 389-393.
13. 劉嘉. 有效醫患溝通防范醫療糾紛分析. 臨床檢驗雜志(電子版), 2019, 8(2): 40-41.
14. Chuah JH, Lok B, Black E. Applying mixed reality to simulate vulnerable populations for practicing clinical communication skills. IEEE Trans Vis Comput Graph, 2013, 19(4): 539-546.
15. McJunkin JL, Jiramongkolchai P, Chung W, et al. Development of a mixed reality platform for lateral skull base anatomy. Otol Neurotol, 2018, 39(10): e1137-e1142.
16. Zhang JT, Zhang T, Qiu ZW, et al. Metal-marked mixed reality technology for pulmonary nodule localization. Interact Cardiovasc Thorac Surg, 2019, 29(3): 494.

Chinese Journal of Clinical Thoracic and Cardiovascular Surgery

Mixed reality technique in preoperative discussion and intraoperative pulmonary nodules surgery

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