Multidisciplinary Virtual Three-Dimensional Planning of a Forequarter Amputation With Chest Wall Resection

The Annals of Thoracic Surgery, vol. 113, pp. e13–e16

Abstract

We present the case of a 74-year-old man with a history of a squamous cell carcinoma in the left axilla. The patient underwent a multidisciplinary surgical resection through an extended forequarter amputation with thoracic wall resection and reconstruction. With regard to the complexity of the case, three-dimensional virtual reality-based patient-specific reconstructions were used as a supplemental tool to conventional computed tomography imaging to plan the procedure. With this report, we aim to stimulate further research to improve and automate the workflow and to bring virtual and augmented reality reconstructions into the surgical theater of the future.

Authors 7

1. Jette J. Peek Aachen Technical Medicine

   Leiden University Medical Center · Erasmus MC · Erasmus University Rotterdam · Delft University of Technology

   Affiliation as printed

   Department of Cardiothoracic Surgery, Thoraxcenter, Erasmus University Medical Center, Rotterdam, Netherlands; Technical Medicine, Delft University of Technology, Delft, Netherlands, Erasmus University Medical Center, Rotterdam, Netherlands, and Leiden University Medical Center, Leiden, Netherlands

   Department of Cardiothoracic Surgery, Thoraxcenter, Erasmus University Medical Center, Rotterdam, Netherlands

   Technical Medicine, Delft University of Technology, Delft, Netherlands, Erasmus University Medical Center, Rotterdam, Netherlands, and Leiden University Medical Center, Leiden, Netherlands

2. Amir H. Sadeghi corresponding

   Erasmus MC · Erasmus University Rotterdam

   Affiliation as printed

   Department of Cardiothoracic Surgery, Thoraxcenter, Erasmus University Medical Center, Rotterdam, Netherlands. Electronic address: h.sadeghi@erasmusmc.nl

   Department of Cardiothoracic Surgery, Thoraxcenter, Erasmus University Medical Center, Rotterdam, Netherlands

3. Alexander P.W.M. Maat

   Erasmus MC · Erasmus University Rotterdam

   Affiliation as printed

   Department of Cardiothoracic Surgery, Thoraxcenter, Erasmus University Medical Center, Rotterdam, Netherlands

4. Joost Rothbarth

   Erasmus MC · Erasmus MC Cancer Institute

   Affiliation as printed

   Department of Surgical Oncology and Gastrointestinal Surgery, Erasmus University Medical Center Cancer Institute, Rotterdam, Netherlands

5. Marc A.M. Mureau

   Erasmus MC · Erasmus MC Cancer Institute

   Affiliation as printed

   Department of Plastic and Reconstructive Surgery, Erasmus University Medical Center Cancer Institute, Rotterdam, Netherlands

6. Cornelis Kees Verhoef

   Erasmus MC · Erasmus MC Cancer Institute

   Affiliation as printed

   Department of Surgical Oncology and Gastrointestinal Surgery, Erasmus University Medical Center Cancer Institute, Rotterdam, Netherlands

7. Ad J.J.C. Bogers

   Erasmus MC · Erasmus University Rotterdam

   Affiliation as printed

   Department of Cardiothoracic Surgery, Thoraxcenter, Erasmus University Medical Center, Rotterdam, Netherlands