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Implementation of 3D printed superior mesenteric vascular models for surgical planning and/or navigation in right colectomy with extended D3 mesenterectomy: comparison of virtual and physical models to the anatomy found at surgery

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A Correction to this article was published on 23 February 2024

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Abstract

Background

Three-dimensional (3D) printing technology has recently been well approved as an emerging technology in various fields of medical education and practice; e.g., there are numerous studies evaluating 3D printouts of solid organs. Complex surgery such as extended mesenterectomy imposes a need to analyze also the accuracy of 3D printouts of more mobile and complex structures like the diversity of vascular arborization within the central mesentery. The objective of this study was to evaluate the linear dimensional anatomy landmark differences of the superior mesenteric artery and vein between (1) 3D virtual models, (2) 3D printouts, and (3) peroperative measurements.

Methods

The study included 22 patients from the ongoing prospective multicenter trial “Safe Radical D3 Right Hemicolectomy for Cancer through Preoperative Biphasic MDCT Angiography,” with preoperative CT and peroperative measurements. The patients were operated in Norway between January 2016 and 2017. Their CT datasets underwent 3D volume rendering and segmentation, and the virtual 3D model produced was then exported for stereolithography 3D printing.

Results

Four parameters were measured: distance between the origins of the ileocolic and the middle colic artery, distance between the termination of the gastrocolic trunk and the ileocolic vein, and the calibers of the middle colic and ileocolic arteries. The inter-arterial distance has proven a strong correlation between all the three modalities implied (Pearson’s coefficient 0.968, 0.956, 0.779, respectively), while inter-venous distances showed a weak correlation between peroperative measurements and both virtual and physical models.

Conclusion

This study showed acceptable dimensional inter-arterial correlations between 3D printed models, 3D virtual models and authentic soft tissue anatomy of the central mesenteric vessels, and weaker inter-venous correlations between all the models, reflecting the highly variable nature of veins in situ.

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Acknowledgements

We thank Dr. Yngve Thorsen for his valuable support, as a member of our research team.

Author information

Authors and Affiliations

  1. Faculty of Medicine, Institute of Clinical Medicine, University of Oslo, Oslo, Norway

    Javier A. Luzon, Bjarte T. Andersen, Arne O. Bakka & Dejan Ignjatovic

  2. Division of Surgery, Department of Digestive Surgery, Akershus University Hospital, Lørenskog, Norway

    Javier A. Luzon, Arne O. Bakka, Airazat M. Kazaryan & Dejan Ignjatovic

  3. Department of Gastroenterological Surgery, Østfold Hospital Trust, Sarpsborg, Norway

    Bjarte T. Andersen

  4. Anatomy Sector, Department of Cell Physiology and Metabolism, Faculty of Medicine, University of Geneva, Geneva, Switzerland

    Bojan V. Stimec & Jean H. D. Fasel

  5. Department of Surgery №1, Yerevan State Medical University After M. Heratsi, Yerevan, Armenia

    Airazat M. Kazaryan

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  1. Javier A. Luzon
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Correspondence to Dejan Ignjatovic.

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Disclosures

Drs. Javier A. Luzon, Bjarte T. Andersen, Bojan V. Stimec, Jean H. D. Fasel, Arne O. Bakka, Airazat M. Kazaryan, Dejan Ignjatovic have no conflicts of interest or financial ties to disclose.

Additional information

This paper was presented and awarded as one of the seven best original oral presentations during the Gerhard Buess Technology Award session during the 26th International Congress of the EAES in London, UK, June 30th–May 1st 2018.

Electronic supplementary material

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Supplementary material 1

. 3D virtual vascular model in PDF format from CT-derived segmentation created in Mimics. Click and hold on the model in order to rotate it. To visualize the 3D model and its anatomical captions, activate the 3D mode, select “Detailed view” on the “Views” drop-down menu, on Adobe Acrobat PDF reader (PDF 606 KB)

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Luzon, J.A., Andersen, B.T., Stimec, B.V. et al. Implementation of 3D printed superior mesenteric vascular models for surgical planning and/or navigation in right colectomy with extended D3 mesenterectomy: comparison of virtual and physical models to the anatomy found at surgery. Surg Endosc 33, 567–575 (2019). https://doi.org/10.1007/s00464-018-6332-8

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