3D modeling in reconstructive surgery of esophageal-gastric junction
T. V. Khorobrykh,
V. G. Agadzhanov,
Dz. D. Kadirov,
A. A. Romanovskii,
R. E. Salikhov,
A. F. Galyautdinov https://doi.org/10.17238/2072-3180-2025-3-158-164
Abstract
Introduction. Surgical interventions in the gastroesophageal junction are complex manipulations that are often accompanied by iatrogenic complications. This is due to the specific anatomical structure of this area. Therefore, more accurate and secure methods for planning operations are required. Modern technologies, such as three-dimensional modelling, make it possible to create a personalized model of this area, which allows the surgeon to study the anatomical features of the patient in detail. This helps navigate more accurately during surgery and reduces the likelihood of complications.
Purpose of the study. To demonstrate the effectiveness of using 3D modelling of the gastroesophageal junction area when performing surgical intervention for recurrent hiatal hernia.
Materials and methods. The patient's MSCT was analysed by assessing the anatomical features of the area of interest. Based on this, a 3D model of the gastroesophageal junction area with an altered anatomy was provided to surgeons for planning the upcoming operation. The obtained data were subsequently compared with the intraoperative findings.
Results. A patient with recurrent hiatal hernia underwent surgery with preliminary 3D modeling. No intra- or postoperative complications were observed. Considering the smooth course of the postoperative period, the patient was discharged in satisfactory condition on the 5th day after surgery.
Conclusion. The use of 3D modeling in a patient with recurrent hiatal hernia enhanced intraoperative navigation, thereby preventing complications.
About the Authors
T. V. Khorobrykh
Department of Faculty Surgery No. 2 named after G.I. Lukomsky, Sechenov First Moscow State Medical University of the Ministry of Health of the Russian Federation (Sechenov University)
Russian Federation
Russian Federation
Khorobrykh Tatiana Vitalevna – Doctor of Medical Sciences, Professor of the Russian Academy of Sciences, Director of the Clinic
119991, Trubetskaya, 8/2, Moscow, Russia
V. G. Agadzhanov
Department of Faculty Surgery No. 2 named after G.I. Lukomsky, Sechenov First Moscow State Medical University of the Ministry of Health of the Russian Federation (Sechenov University)
Russian Federation
Russian Federation
Agadzhanov Vadim Gamletovich – Candidate of Medical Sciences, Associate Professor
119991, Trubetskaya, 8/2, Moscow
Dz. D. Kadirov
Department of Faculty Surgery No. 2 named after G.I. Lukomsky, Sechenov First Moscow State Medical University of the Ministry of Health of the Russian Federation (Sechenov University)
Russian Federation
Russian Federation
Kadirov Dzhavokhirbek Dilshodbekovich – surgeon, postgraduate
119991, Trubetskaya, 8/2, Moscow
A. A. Romanovskii
Department of Faculty Surgery No. 2 named after G.I. Lukomsky, Sechenov First Moscow State Medical University of the Ministry of Health of the Russian Federation (Sechenov University)
Russian Federation
Russian Federation
Romanovskii Artem Andreevich – 4th-year student of the N.V. Sklifosovsky Institute of Clinical Medicine
119991, Trubetskaya, 8/2, Moscow
R. E. Salikhov
Department of Faculty Surgery No. 2 named after G.I. Lukomsky, Sechenov First Moscow State Medical University of the Ministry of Health of the Russian Federation (Sechenov University)
Russian Federation
Russian Federation
Salikhov Rashad Elshad – surgeon, assistant
119991, Trubetskaya, 8/2, Moscow
A. F. Galyautdinov
Laboratory of Additive Technologies of the Institute of Digital Medicine, FSBEI HE Bashkir State Medical University, Ministry of Health of Russia
Russian Federation
Russian Federation
Galyautdinov Alfred Fidanovich – Laboratory researcher of the laboratory of additive technologies at the Institute of Fundamental Medicine
450008, Ufa
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For citations:
Khorobrykh T.V., Agadzhanov V.G., Kadirov D.D., Romanovskii A.A., Salikhov R.E., Galyautdinov A.F. 3D modeling in reconstructive surgery of esophageal-gastric junction. Moscow Surgical Journal. 2025;(3):158-164. (In Russ.) https://doi.org/10.17238/2072-3180-2025-3-158-164
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