Resection Process Map: A novel dynamic simulation system for pulmonary resection

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Discussion

Dr Paula A. Ugalde (Quebec City,

Quebec, Canada). This work is innovative and a great teaching tool. I have 3

questions for you. Is this software

available in the market or is it exclusive

through your service?

Dr Junko Tokuno (Kyoto, Japan). It is

not available at this point, but we are

thinking of making it a product in the

near future, because we believe that it

needs to be revised such as we would

like to add the function describing intraoperative differentiation. So it needs

to be revised.

Dr Ugalde. Perfect. My second question is, the system

describes the anatomy perfectly with precision. Can it

also measure the diameter of vessels, because now we are

using more energy devices that are used according to the

size of the vessels. Can you do that?

Dr Tokuno. It is a critically important question. The

answer is yes, we can, but we haven’t measured so far. It

is interesting to see whether the vessels should be divided

by an energy device. So according to your comment, we

would like to measure from now on.

Dr Ugalde. So my last question on the same line, if it measures the diameter of the vessels, can we also measure the

thickness of the parenchyma or the thickness of the bronchi

to better define what type of cartridge we should use?

Dr Tokuno. For bronchi it is the same as the vessels;

from now on, we would like to measure it. And for

The Journal of Thoracic and Cardiovascular Surgery c Volume 159, Number 3

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Thoracic: Lung: Evolving Technology

parenchyma, as I said before, we need to consider the differentiation. So in the near future it should be possible.

Dr

Walter

Weder

(Zurich,

Switzerland). The better we can plan

surgery, the better is the quality, and I

think this will help us. Can you also

show us the lymph nodes? Usually

when we have the vessel dissected it’s

not so difficult to get the overview,

but the relationship with the lymph nodes is sometimes a problem. Can you make a 3D demonstration of the lymph nodes adjacent to the vessels?

Tokuno et al

Dr Tokuno. No. It could describe the location or existence of tumor or lymph node, but it can’t show how

severe the invasion to PA is. So it is one of the

limitations.

Dr Nestor Villamizar (Miami, Fla).

Can this show us the intersegmental

planes so we can see where the tumor

is located in like the intersegmental

fissure?

Dr Tokuno. Yes, we can.

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