Three-dimensional printing titanium ribs for complex reconstruction after extensive posterolateral chest wall resection in lung cancer Lei Wang, MD,

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Presentation transcript:

Three-dimensional printing titanium ribs for complex reconstruction after extensive posterolateral chest wall resection in lung cancer Lei Wang, MD, Tiesheng Cao, MD, Xiaofei Li, MD, Lijun Huang, MD The Journal of Thoracic and Cardiovascular Surgery Volume 152, Issue 1, Pages e5-e7 (July 2016) DOI: 10.1016/j.jtcvs.2016.02.064 Copyright © 2016 The American Association for Thoracic Surgery Terms and Conditions

Figure 1 The chest computed tomography scans using (A) coronal and (B) horizontal scanning. C, 3-dimensional printing thoracic model and (D) the en bloc excised tumor specimen. The black arrow points out the tumor invasion with the ribs. E and F, The 3-dimensional computed tomography scan after the reconstruction using titanium ribs. G, The titanium ribs were fixed on the thoracic model before surgery. H, The 5 titanium ribs. The Journal of Thoracic and Cardiovascular Surgery 2016 152, e5-e7DOI: (10.1016/j.jtcvs.2016.02.064) Copyright © 2016 The American Association for Thoracic Surgery Terms and Conditions

Figure 2 A, The tumor had invaded the chest wall, from the sixth to 10th ribs (black arrow). B, A radical complete (R0) en bloc resection of the inferior lobe of the right lung to a 15 × 15 cm section of the posterior chest wall, from the sixth to 10th ribs, was performed. C, The 3-dimensional printing titanium ribs were implanted into the chest wall and bound with the residue ribs via steel wiring. D, The 3-dimensional printing titanium ribs were anchored to the thoracic vertebra by using angle-stable, self-locking nails. The Journal of Thoracic and Cardiovascular Surgery 2016 152, e5-e7DOI: (10.1016/j.jtcvs.2016.02.064) Copyright © 2016 The American Association for Thoracic Surgery Terms and Conditions

Three-dimensional printing titanium ribs implanted into a chest wall. The Journal of Thoracic and Cardiovascular Surgery 2016 152, e5-e7DOI: (10.1016/j.jtcvs.2016.02.064) Copyright © 2016 The American Association for Thoracic Surgery Terms and Conditions