Timothy J Schaffner, MD1, Richard L Izzo2, Ciprian N Ionita, PhD2, Steven D Schwaitzberg, MD1. 1Dept of Surgery, SUNY at Buffalo, 2Department of Biomedical Engineering, Toshiba Stroke and Vascular Research Center, SUNY at Buffalo
INTRODUCTION: Three-dimensional (3D) modeling of complex vascular anatomy has been previously shown to be feasible and beneficial to the surgeon for operative planning. We present the unique case of a 52 year old male with a distant history of high speed motor vehicle collision, who presented with weight loss and worsening dysphagia. Subsequent workup revealed a large left-sided diaphragmatic hernia with complex visceral malrotation as a cause of his worsening symptoms. We hypothesize that this technology could be feasible for modeling anatomy of complex intraabdominal pathology with multiple organ system involvement, as a guide for operative repair.
METHODS AND PROCEDURES: Computed tomography (CT) scans of the patient’s torso were obtained pre and post diaphragmatic hernia repair. All relevant thoracic and abdominal organs were segmented from each scan within the framework of the Medical Imaging Toolkit (MITK). 3D models of the patient’s torso before and after operative repair were printed on a Stratasys 3D printer.
RESULTS: 3D models encompassing the relevant intraabdominal anatomy were created representing the patient’s pre- and postoperative anatomical configurations. The patient underwent laparotomy, extensive lysis of adhesions, and diaphragmatic hernia repair with mesh. These models correlated well with intraoperative findings.
CONCLUSIONS: 3D modeling of intraabdominal anatomy is feasible and useful for operative planning in patients with complex anatomical aberrations.
Presented at the SAGES 2017 Annual Meeting in Houston, TX.
Abstract ID: 79223
Program Number: P434
Presentation Session: Poster (Non CME)
Presentation Type: Poster
