Minimally invasive anterior chest wall lifting technique for thoracoscopic mediastinal approach

Shiono, Hiroshi; Sakamoto, Tetsuki; Sakurai, T

doi:10.1007/s11748-016-0643-2

Cited by 4 publications

(3 citation statements)

References 8 publications

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“…[24][25][26] A limited number of studies have explored the topic of chest wall resections, with one particularly emphasizing the benefits of utilizing immersive technologies. 27,28 A study with medical students showed that MR could be used effectively and with a high acceptance in addition to traditional technology to simulate preoperative planning in lung cancer surgery. 29 Very few studies published the use of a VR simulation system for preoperative planning for VATS segmentectomy with promising results in terms of usability and evaluation of anatomic structures.…”

Section: Discussionmentioning

confidence: 99%

Collaborative Virtual Reality Real-Time 3D Image Editing for Chest Wall Resections and Reconstruction Planning

Feodorovici,

Schnorr,

Bedetti

et al. 2023

Innovations�(Phila)

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The integration of extended reality (XR) technologies into health care procedures presents transformative opportunities, particularly in surgical processes. This study delves into the utilization of virtual reality (VR) for preoperative planning related to chest wall resections in thoracic surgery. Leveraging the capabilities of 3-dimensional (3D) imaging, real-time visualization, and collaborative VR environments, surgeons gain enhanced anatomical insights and can develop predictive surgical strategies. Two clinical cases highlighted the effectiveness of this approach, showcasing the potential for personalized and intricate surgical planning. The setup provides an immersive, dynamic representation of real patient data, enabling collaboration among teams from separate locations. While VR offers enhanced interactive and visualization capabilities, preliminary evidence suggests it may support more refined preoperative strategies, potentially influence postoperative outcomes, and optimize resource management. However, its comparative advantage over traditional methods needs further empirical validation. Emphasizing the potential of XR, this exploration suggests its broad implications in thoracic surgery, especially when dealing with complex cases requiring multidisciplinary collaboration in the immersive virtual space, often referred to as the metaverse. This innovative approach necessitates further examination, marking a shift toward future surgical preparations. In this article, we sought to demonstrate the technique of an immersive real-time volume-rendered collaborative VR-planning tool using exemplary case studies in chest wall surgery.

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Section: Discussionmentioning

confidence: 99%

Collaborative Virtual Reality Real-Time 3D Image Editing for Chest Wall Resections and Reconstruction Planning

Feodorovici,

Schnorr,

Bedetti

et al. 2023

Innovations�(Phila)

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“…At Osaka University, surgeons including this author in 2002 developed a method for pulling upward the frontal rib bone with a metal rib hook, and reported its use and outcomes as part of an extended thymectomy ( 22 ) ( Figure 6 ). Later, a puncture-type lifting system (T-lifting system, Sonne Medical Co., Tokyo, Japan) was designed, and both minimal invasiveness and operability were found to be enhanced while effectiveness was maintained ( 23 ) ( Figure 7 ).…”

Section: Chest Wall Lifting Methods For Endoscopic Surgerymentioning

confidence: 99%

Anterior chest wall lifting methods for mediastinal approach—literature review

Shiono¹

2022

Mediastinum

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Background and Objective For the purpose of facilitating a wide view and working space during surgery such as a thymectomy procedure, as well as that for treatment of anterior mediastinal lesions, anterior chest wall lifting began to be employed. In this article, previous reports of various kinds of chest wall lifting methods are reviewed. Methods The present study focused on procedures used for anterior chest wall lifting in a review of related studies primarily available in English. A search of the PubMed database was conducted in 1st March 2016. The first description about lifting method was reported in 1988. Key Comments and Findings Although objective evaluation regarding the effectiveness of lifting is difficult, in view of a balance among safety, reliability, and minimal invasiveness, surgeons may consider chest wall lifting as an optional method. Conclusions Anterior chest wall lifting began to be employed for enlarging the working space long before the advent of endoscopic surgery. Some originally developed retractors were used in transcervical thymectomy procedures. After general acceptance of transsternal extended thymectomy for myasthenia gravis, these transcervical approaches remained an important option along with anterior chest wall lifting. Thoracoscopic surgery for the treatment of anterior mediastinal lesions was introduced in the 1990s. Particularly in cases of surgery in the supine position, various creative methods and devices of lifting the sternum body, the anterior part of the rib, or the xiphoid process were reported.

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“…Anterior chest wall lifting method ( 54 ): this method is predominantly employed within a unilateral video-assisted thoracoscopic surgery (VATS) approach. The procedure entails raising the anterior chest wall to facilitate access to the thymus, presenting an alternative avenue to sternotomy.…”

Section: Surgical Approachmentioning

confidence: 99%

Perioperative management and postoperative outcomes of locally advanced thymic epithelial tumors: a narrative review

Takenaka,

Kuroda,

Tanaka

2024

Mediastinum

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Background and Objective Thymic epithelial tumors (TETs) are frequently diagnosed at an advanced stage, highlighting the importance of understanding the treatment strategies for these cases. Surgical intervention after chemotherapy or chemoradiotherapy presents specific challenges and underscores the crucial role of perioperative management. This study aimed to explore the perioperative management and postoperative outcomes in patients with locally advanced TETs. Methods Relevant studies published between 2000 and 2022 were identified through PubMed searches using a combination of the following terms: “Locally advanced TETs”, “Thymoma”, “Thymic cancer”, “Surgery”, “Induction therapy”, and “Postoperative outcomes”. We analyzed available data to describe the perioperative management and postoperative outcomes of locally advanced TETs. Key Content and Findings Surgical outcomes after induction therapy for locally advanced TETs were analyzed for 18 references (total n=646) between 2000 and 2022. The primary objective of induction therapy for locally advanced TETs is complete tumor resection. In recent years, many medical centers have adopted systemic chemotherapy and chemoradiation for the treatment of thymoma and thymic carcinoma, respectively. During surgical intervention, resecting the surrounding organs, such as the lungs, pericardium, and phrenic nerves, is a common practice. Additionally, there may be cases wherein vascular resection of the superior vena cava (SVC) and innominate veins is necessary. Techniques and strategies for revascularization without complications are crucial in these situations. The incidence of postoperative complications varied significantly, ranging from 4.8% to 42%. However, perioperative mortality is typically reported to be approximately 0%, with only two reports showing mortality rates of 1.8% and 9.0%. Conclusions The short-term postoperative outcomes of surgical treatment following induction therapy for locally advanced TETs were generally deemed acceptable. However, incomplete resection may occur, particularly when the tumor invades the pulmonary artery or aorta. Hence, careful evaluation the indications for surgery is crucial, considering the patient’s overall condition and treatment response.

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Minimally invasive anterior chest wall lifting technique for thoracoscopic mediastinal approach

Cited by 4 publications

References 8 publications

Collaborative Virtual Reality Real-Time 3D Image Editing for Chest Wall Resections and Reconstruction Planning

Collaborative Virtual Reality Real-Time 3D Image Editing for Chest Wall Resections and Reconstruction Planning

Anterior chest wall lifting methods for mediastinal approach—literature review

Perioperative management and postoperative outcomes of locally advanced thymic epithelial tumors: a narrative review

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