Thorac cardiovasc Surg
DOI: 10.1055/s-0039-1678611
Short Communication
Georg Thieme Verlag KG Stuttgart · New York

Three-Dimensional Printing for Chest Wall Reconstruction in Thoracic Surgery: Building on Experience

Jeremy Smelt
1  Department of Thoracic Surgery, Guy's and Saint Thomas' NHS Foundation Trust, London, London, United Kingdom of Great Britain and Northern Ireland
,
Antonia Pontiki
2  King's College London School of Medical Education, London, London, United Kingdom of Great Britain and Northern Ireland
,
Marjan Jahangiri
3  Department of Cardiothoracic Surgery, St George's Hospital, London, United Kingdom of Great Britain and Northern Ireland
,
Kawal Rhode
2  King's College London School of Medical Education, London, London, United Kingdom of Great Britain and Northern Ireland
,
Arjun Nair
1  Department of Thoracic Surgery, Guy's and Saint Thomas' NHS Foundation Trust, London, London, United Kingdom of Great Britain and Northern Ireland
,
Andrea Bille
1  Department of Thoracic Surgery, Guy's and Saint Thomas' NHS Foundation Trust, London, London, United Kingdom of Great Britain and Northern Ireland
› Author Affiliations
Further Information

Publication History

20 July 2018

22 December 2018

Publication Date:
08 February 2019 (online)

Abstract

Objectives Patients undergoing surgery for locally advanced lung cancer involving the chest wall require anatomical lung with extensive en-bloc chest wall resection and appropriate reconstruction.

In this proof-of-concept study, we aimed to produce personalized three-dimensional (3D)-printed chest wall prosthesis for a patient undergoing chest wall resection and reconstruction using clinically obtained computed tomography (CT) data.

Methods Preoperative CT scans of three patients undergoing chest wall resection were analyzed and the areas of resection segmented. This was then used to produce a 3D print of the chest wall and a silicone mold was created from the model. This mold was sterilized and used to produce methyl methacrylate prostheses which were then implanted into the patients.

Results Three patients had their chest wall reconstructed using this technique to produce a patient specific prosthesis. There were no early complications or deaths.

Conclusions It is possible to use 3D printing to produce a patient specific chest wall reconstruction for patients undergoing chest wall resection for malignancy that is cost-effective. This chest wall is thought to provide stability in the form of prosthetic ribs as well compliance in the form of an expanded polytetrafluoroethylene patch. Further research is required to measure chest wall compliance during the respiratory cycle and long-term follow-up from this method.

Disclosures

There are no sources of funding for the work to declare.


Contributions

All authors fulfill the four criteria according to ICMJE. The main contributions are listed below:

JS: Main author of the manuscript; AP: Substantial contributions to the design of the work and acquisition of data for the work; MJ: Drafting the work for important intellectual content; AN: Revising it critically for important intellectual content; AB: Revising it critically for important intellectual content and substantial contributions to the design of the work.