V-046SURGICAL SIMULATION GUIDED NAVIGATION: A NEW APPROACH IN THORACIC SURGERY

Objectives: Not visible or non-palpable lesions of the chest wall remain a challenging situation for thoracic surgeons; therefore, resection of a large portion of the chest wall is often required to achieve free margin disease. Computer-based surgery and three-dimensional imaging technology associated with navigational systems are increasingly being used in surgery to experiment different surgical procedures. Video description: We report three cases of non-palpable metastatic lesions of the chest wall that were surgically planned preoperatively and intraoperatively identified using computer-based surgery. We used sternal allograft transplantation to reconstruct the chest wall in 2 patients who underwent partial sternectomy, and titanium bars in the third patient who underwent partial resection of the IV-V-VI ribs. In all patients the postoperative course was uneventful and on the follow-up after 12 months there were no complications and all patients were free of disease. Conclusions: Three-dimensional surgical simulation guided navigation could be a helpful procedure for planning of surgical resection and reconstruction of the chest wall; this technique is simple and easy to use and requires a limited learning curve. Disclosure: No significant relationships.