mossjМосковский хирургический журналMoscow Surgical Journal2072-3180ООО «ПРОФИЛЬ – 2С»mossj-10Research ArticleКЛИНИЧЕСКИЕ СЛУЧАИCLINICAL CASEОПЫТ СОЗДАНИЯ И ИСПОЛЬЗОВАНИЯ 3D-МОДЕЛЕЙ ОРГАНОВ ПРИ ОПУХОЛЕВОМ ПОРАЖЕНИИ ПЕЧЕНИ И ЛЕГКОГОБелковД. С.BelkovD. S.ds.belkov@yandex.ruЕгиевВ. Н.EgievV. N.noemail@neicon.ruМачульскийД. С.MachulskiyD. S.noemail@neicon.ruКононецП. В.KononetsP. V.noemail@neicon.ruХанычевВ. В.HanychevV. V.noemail@neicon.ruАлексееваЕ. И.AlekseevaE. I.noemail@neicon.ruЗабережныйИ. А.ZaberezhnyI. A.noemail@neicon.ruДегтевВ. Ю.DegtevV. Yu.noemail@neicon.ruМосковская городская онкологическая больница №62Russian FederationРоссийский университет дружбы народовRussian FederationНаучно-исследовательский институт «КУРС»Russian FederationГосударственный научно-исследовательский институт химии и технологии элементоорганических соединенийRussian Federation201731072020013843Copyright © Белков Д.С., Егиев В.Н., Мачульский Д.С., Кононец П.В., Ханычев В.В., Алексеева Е.И., Забережный И.А., Дегтев В.Ю., 20202020Белков Д.С., Егиев В.Н., Мачульский Д.С., Кононец П.В., Ханычев В.В., Алексеева Е.И., Забережный И.А., Дегтев В.Ю.Belkov D.S., Egiev V.N., Machulskiy D.S., Kononets P.V., Hanychev V.V., Alekseeva E.I., Zaberezhny I.A., Degtev V.Y.Данная работа распространяется под лицензией Creative Commons Attribution 4.0.This work is licensed under a Creative Commons Attribution 4.0 License.https://www.mossj.ru/jour/article/view/10

В настоящее время в хирургическом лечении злокачественных опухолей печени и легкого значительно расширяются показания к выполнению органосохранных операций. Адекватная оценка методов предоперационной диагностики играет решающую роль при определении показаний к дан- ным операциям. Попытки сделать результаты исследований более наглядными и менее зависимыми от интерпретации врача, привели к развитию и широкому внедрению в хирургическую практику 3D-моделирования органов. Изначально, появившись в виде компьютерных реконструкций, дан- ное направление с развитием технологии 3D-печати, преобразовалось в создание «нативных» 3D-моделей. Основным из недостатков данного метода является высокая цена моделей, которая составляет от 1500 до 4000 долларов США. На базе Московской онкологической больницы № 62 и НИИ«КУРС» была разработана оригинальная технология создания подобных моделей, позволившая в несколько раз сократить их стоимость. Созданные 3D-модели легкого и печени, пораженных опухолевым процессом, в масштабе 1:1, позволили уточнить их анатомические особенности, взаимоотно- шение опухоли с внутренними структурами органов и определить адекватный объем предстоящей операции.

Currently, indications for performing organ-preserving operations in the surgical treatment of malignant tumors of liver and lung are significantly expanding. Adequate assessment of methods for preoperative diagnosis plays a crucial role in determining the indications for these operations. Attempts to make the research results more visible and less dependent on interpretation of the doctor, led to the development and widespread adoption of the 3D organ modeling in surgical practice. Originally, having appeared in a form of computermodeling and reconstructions, this practice has led to the rapid development of 3D printing technology, has transformed into creation of life-like 3D models. The main disadvantage of this method is the high price of the models, which ranges from 1500 to 4000 dollars. An innovative technology of making of such models, which allowed to reduce their cost by several times was developed by the representatives of Moscow Cancer Hospital № 62 in cooperation with Research Institute «KURS». Manufactured in such manners 3D models of the lung and liver affected by tumor process, at a scale one to one, allowed to clarify anatomical specifics of patients, evaluate the damage, caused by tumor with the internal structures and to determine the adequate size of the operation.

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The authors declare that there are no conflicts of interest present.