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EBSCO

https://doi.org/10.14300/mnnc.2024.19042

3D technology in surgery of lung hydatid cyst

[Notes from practice]
Sergey Minaev; Maria Fedorovna Rubanova; Igor Gerasimenko; Mikhail Aksel’rov; Artem Evgenevich Mishvelov; Maxim Razin; Jennifer Martinez;

We present the results of using 3D technology to improve visualization and planning of the lung hydatid cyst (LHC) surgery in a 12-year-old girl. The general physical examination was unremarkable. The 3D reconstruction of the lungs was performed based on CT DICOM files. The most reliable data were obtained with CT with an Air and Fat filter. Based on the performed 3D reconstruction, a multiport thoracoscopic pulmonary echinococcectomy was performed. Thoracoscopy revealed an LHC in the left lung’s posterior basal segment. Using a linear cutter stapler with two staple leg lengths of 45 mm/60 mm, cyst excision was performed. At the same time, it was possible to reduce the intervention volume and eliminate the bronchial fistula leading to the LHC. Therefore, applying AI technology to the left lung with a parasite cyst allowed for more precise visualization and successful LHC surgery.

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References:
1. He T., Sun X., Zhang Z., Xu B., Liu W. Cystotomy with noncapitonnage in treating children with pulmonary hydatid disease. Ann. Thorac. Cardiovasc. Surg. 2022;28(1):41-47. https://doi.org/10.5761/atcs.oa.20-00390
2. Minaev S. V., Gerasimenko I. N., Kirgizov I. V., Shamsiev A. M., Bykov N. I. [et al.] Laparoscopic treatment in children with hydatid cyst of the liver. World J. Surg. 2017;41(12):3218-3223. https://doi.org/10.1007/s00268-017-4129-x
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4. Minaev S. V., Gerasimenko I. N., Shchetinin E. V., Schetinin V., Mishvelov A. E. [et al.] 3D reconstruction in surgery of hydatid cyst of the liver. Medical News of North Caucasus. 2019;14(1.2):220-223. https://doi.org/10.14300/mnnc.2019.14019
5. Negi T., Nagano H., Tochii D., Tochii S., Suda T. Uniportal video-assisted thoracoscopic surgery for pediatric cases. Gen. Thorac. Cardiovasc. Surg. 2024;72(2):144-147. https://doi.org/10.1007/s11748-023-01965-0

Keywords: hydatid cyst, lung, 3D, AI, video-assisted thoracoscopic surgery, echinococcosis, thoracic surgery