The utilization of 3D printing in surgery as an innovative approach to preoperative planning

Česká verze

Authors: J. Hrubovčák ^1,2; L. Tulinský ^1,2; M. Pieš ³; R. Hájovský ³; J. Velička ³; K. Chrz ⁴; T. Bosek ⁵; J. Szeliga ⁵; L. Martínek ^1,2
Authors place of work: Chirurgická klinika LF OU, a FN Ostrava ¹; Katedra chirurgických oborů, LF OU, Ostrava ²; Katedra kybernetiky, a biomedicínského inženýrství, FEECS, VŠB-TUO, Ostrava ³; I. chirurgická klinika – břišní, hrudní a úrazové chirurgie, 1. LF UK a VFN v Praze ⁴; Klinika úrazové chirurgie, a ortopedie LF OU a FN Ostrava ⁵
Published in the journal: Rozhl. Chir., 2024, roč. 103, č. 8, s. 305-312.
Category: Kazuistika
doi: https://doi.org/10.48095/ccrvch2024305

Summary

Introduction: 3D printing, a concept over 40 years old, is finding broader application in clinical practice thanks to technological advancements. At University Hospital Ostrava, 3D printing is utilized to create anatomically accurate models of specific patients before surgical procedures based on imaging data.

Case series: 3D printing is employed as a complement to conventional imaging methods to produce morphologically precise models of anatomical structures of individual patients. These models primarily serve for preoperative planning in elective abdominal, vascular, and thoracic surgery. They are also used in planning osteosynthesis of complex fractures and corrective osteotomies. Multicolor printing, although increasing the process‘s time demands, allows better clarity and differentiation of individual anatomical structures within a single model.

Discussion: Compared to 2D images, 3D models provide better spatial orientation and awareness of the operated structures, contributing to improved surgical outcomes. The benefits of 3D printing in preoperative planning and patient education are confirmed by studies across the fields ranging from cardiac surgery to traumatology.

Conclusion: After overcoming initial challenges, 3D printing has become a reliable component of the surgical arsenal at University Hospital Ostrava for elective surgery. While 3D printing does not represent a universal answer to all medical challenges, its role is highly beneficial and promising in many indicated cases.

Keywords:

personalized medicine – 3D printing – preoperative planning – imaging technologies – surgical navigation

Zdroje

Sodian R, Weber S, Markert M et al. Stereolithographic models for surgical planning in congenital heart surgery. Ann Thorac Surg 2007; 83(5): 1854–1857. doi: 10.1016/j.athoracsur.2006.12.004.
Sinn DP, Cillo JE Jr, Miles BA. Stereolithography for craniofacial surgery. J Craniofac Surg 2006; 17(5): 869–875. doi: 10.1097/01. scs.0000230618.95012.1d.
Chovanec M, Krticka M, Šrámek J et al. Současné klinické aplikace 3D tisku v managementu komplexních zlomenin. Rozhl Chir 2024; 103(5): 158–166. doi: 10.33699/PIS.2024.103.5.158%E2%80%93166ň.
Musilová B, Štoková M, Košťál et al. Neurochirurgické intervence v těhotenství. Cesk Slov Neurol N 2024; 87(2): 96–100. doi: 10.48095/cccsnn202496.
Savková N, Harvan L, Jusku A et al. Souhrn poznatku o 3D tisku a jeho využití v zubním lékařství. Ces Stomat 2021; 121(2): 55–64. doi: 10.51479/cspzl.2021.008.
Silberstein JL, Maddox MM, Dorsey P et al. Physical models of renal malignancies using standard cross-sectional imaging and 3-dimensional printers: a pilot study. Urology 2014; 84(2): 268–272. doi: 10.1016/j.urology.2014.03.042.
Westerman ME, Matsumoto JM, Morris JM et al. Three-dimensional printing for renal cancer and surgical planning. Eur Urol Focus 2016; 2(6): 574–576. doi: 10.1016/j. euf.2016.12.009.
Panesar SS, Magnetta M, Mukherjee D et al. Patient-specific 3-dimensionally printed models for neurosurgical planning and education. Neurosurg Focus 2019; 47(6): E12. doi: 10.3171/2019.9.FOCUS19511.
Coles-Black J, Bolton D, Chuen J. Accessing 3D printed vascular phantoms for procedural simulation. Front Surg 2021; 7: 626212. doi: 10.3389/ fsurg.2020.626212.
Fidanza A, Caggiari G, Di Petrillo F et al. Three-dimensional printed models can reduce costs and surgical time for complex proximal humeral fractures: preoperative planning, patient satisfaction, and improved resident skills. J Orthop Traumatol 2024; 25(1): 11. doi: 10.1186/ s10195-024-00754-6.
Perica ER, Sun Z. A Systematic review of three-dimensional printing in liver disease. J Digit Imaging 2018; 31(5): 692–701. doi: 10.1007/s10278-018-0067-x.
Pontiki AA, Rhode K, Lampridis S et al. Three-dimensional printing applications in thoracic surgery. Thorac Surg Clin 2023; 33(3): 273–281. doi: 10.1016/j.thorsurg.2023.04.012.
Wang P, Que W, Zhang M et al. Application of 3-dimensional printing in pediatric living donor liver transplantation: a single-center experience. Liver Transpl 2019; 25(6): 831–840. doi: 10.1002/lt.25435.