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Three-Dimensional Printed Model and Virtual Reconstruction: An Extra Tool for Pediatric Solid Tumors Surgery

Introduction  Three-dimensional (3D) technology is increasingly applied for planning challenging surgical interventions. We report our experience using 3D printing and virtual reconstruction for surgical planning of complex tumor resections in children. Methods  Data were obtained from preoperative...

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Autores principales: Sánchez-Sánchez, Ángela, Girón-Vallejo, Óscar, Ruiz-Pruneda, Ramón, Fernandez-Ibieta, Maria, García-Calderon, Darío, Villamil, Vanesa, Giménez-Aleixandre, María Cristina, Montoya-Rangel, Carlos Andrés, Hernández Bermejo, Juan Pedro
Formato: Online Artículo Texto
Lenguaje:English
Publicado: Georg Thieme Verlag KG 2018
Acceso en línea:https://www.ncbi.nlm.nih.gov/pmc/articles/PMC6202581/
https://www.ncbi.nlm.nih.gov/pubmed/30370204
http://dx.doi.org/10.1055/s-0038-1672165
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author Sánchez-Sánchez, Ángela
Girón-Vallejo, Óscar
Ruiz-Pruneda, Ramón
Fernandez-Ibieta, Maria
García-Calderon, Darío
Villamil, Vanesa
Giménez-Aleixandre, María Cristina
Montoya-Rangel, Carlos Andrés
Hernández Bermejo, Juan Pedro
author_facet Sánchez-Sánchez, Ángela
Girón-Vallejo, Óscar
Ruiz-Pruneda, Ramón
Fernandez-Ibieta, Maria
García-Calderon, Darío
Villamil, Vanesa
Giménez-Aleixandre, María Cristina
Montoya-Rangel, Carlos Andrés
Hernández Bermejo, Juan Pedro
author_sort Sánchez-Sánchez, Ángela
collection PubMed
description Introduction  Three-dimensional (3D) technology is increasingly applied for planning challenging surgical interventions. We report our experience using 3D printing and virtual reconstruction for surgical planning of complex tumor resections in children. Methods  Data were obtained from preoperative magnetic resonance. imaging analysis and 3D virtual recreations were performed using specialized computer software. 3D real-scale geometry models, including tumor, adjacent organs, and relevant vascularization, were printed in colorimetric scale and different materials for optimal structures discrimination. Results  Four complex cases were selected. The first case was a bilateral Wilms tumor. The volumetric reconstruction proved the presence of enough healthy renal tissue, allowing bilateral nephron-sparing surgery. In the second case, reconstruction contributed to the location of pulmonary metastases. The third case was an abdominal neuroblastoma stage L2. The 3D model was of high value for planning and as a reference during the intervention. The last case is a cervico-thoracic neuroblastoma with an anatomopathological diagnosis of ganglioneuroma, located at the cervico-mediastinal juncture, in close relationship with the cervical vessels. Conclusions  3D reconstruction and the full-scale printing models are a useful tool in cases of complex tumor resections as they contribute to a better understanding of the relationships between the tumor and adjacent organs, helping to anticipate certain surgical complications. They also provide additional information to conventional imaging tests, being able to influence therapeutic decisions and facilitate the understanding by the family, improving doctor–patient communication.
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spelling pubmed-62025812018-10-26 Three-Dimensional Printed Model and Virtual Reconstruction: An Extra Tool for Pediatric Solid Tumors Surgery Sánchez-Sánchez, Ángela Girón-Vallejo, Óscar Ruiz-Pruneda, Ramón Fernandez-Ibieta, Maria García-Calderon, Darío Villamil, Vanesa Giménez-Aleixandre, María Cristina Montoya-Rangel, Carlos Andrés Hernández Bermejo, Juan Pedro European J Pediatr Surg Rep Introduction  Three-dimensional (3D) technology is increasingly applied for planning challenging surgical interventions. We report our experience using 3D printing and virtual reconstruction for surgical planning of complex tumor resections in children. Methods  Data were obtained from preoperative magnetic resonance. imaging analysis and 3D virtual recreations were performed using specialized computer software. 3D real-scale geometry models, including tumor, adjacent organs, and relevant vascularization, were printed in colorimetric scale and different materials for optimal structures discrimination. Results  Four complex cases were selected. The first case was a bilateral Wilms tumor. The volumetric reconstruction proved the presence of enough healthy renal tissue, allowing bilateral nephron-sparing surgery. In the second case, reconstruction contributed to the location of pulmonary metastases. The third case was an abdominal neuroblastoma stage L2. The 3D model was of high value for planning and as a reference during the intervention. The last case is a cervico-thoracic neuroblastoma with an anatomopathological diagnosis of ganglioneuroma, located at the cervico-mediastinal juncture, in close relationship with the cervical vessels. Conclusions  3D reconstruction and the full-scale printing models are a useful tool in cases of complex tumor resections as they contribute to a better understanding of the relationships between the tumor and adjacent organs, helping to anticipate certain surgical complications. They also provide additional information to conventional imaging tests, being able to influence therapeutic decisions and facilitate the understanding by the family, improving doctor–patient communication. Georg Thieme Verlag KG 2018-01 2018-10-18 /pmc/articles/PMC6202581/ /pubmed/30370204 http://dx.doi.org/10.1055/s-0038-1672165 Text en https://creativecommons.org/licenses/by/4.0/ This is an open-access article distributed under the terms of the Creative Commons Attribution License, which permits unrestricted use, distribution, and reproduction in any medium, provided the original work is properly cited.
spellingShingle Sánchez-Sánchez, Ángela
Girón-Vallejo, Óscar
Ruiz-Pruneda, Ramón
Fernandez-Ibieta, Maria
García-Calderon, Darío
Villamil, Vanesa
Giménez-Aleixandre, María Cristina
Montoya-Rangel, Carlos Andrés
Hernández Bermejo, Juan Pedro
Three-Dimensional Printed Model and Virtual Reconstruction: An Extra Tool for Pediatric Solid Tumors Surgery
title Three-Dimensional Printed Model and Virtual Reconstruction: An Extra Tool for Pediatric Solid Tumors Surgery
title_full Three-Dimensional Printed Model and Virtual Reconstruction: An Extra Tool for Pediatric Solid Tumors Surgery
title_fullStr Three-Dimensional Printed Model and Virtual Reconstruction: An Extra Tool for Pediatric Solid Tumors Surgery
title_full_unstemmed Three-Dimensional Printed Model and Virtual Reconstruction: An Extra Tool for Pediatric Solid Tumors Surgery
title_short Three-Dimensional Printed Model and Virtual Reconstruction: An Extra Tool for Pediatric Solid Tumors Surgery
title_sort three-dimensional printed model and virtual reconstruction: an extra tool for pediatric solid tumors surgery
url https://www.ncbi.nlm.nih.gov/pmc/articles/PMC6202581/
https://www.ncbi.nlm.nih.gov/pubmed/30370204
http://dx.doi.org/10.1055/s-0038-1672165
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