Comparative analysis of Exoview and Mimics three-dimensional reconstruction in thoracoscopic pulmonary segmentectomy

ZHU Jun-ping; GUO Meng-meng; SHI Jia-xing; GUO Zhi-gang; YANG Sheng-hui; QIAO Zhen

doi:10.11659/jjssx.02E025025

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Comparative analysis of Exoview and Mimics three-dimensional reconstruction in thoracoscopic pulmonary segmentectomy

Clinical Research | 更新时间：2025-11-25

- Comparative analysis of Exoview and Mimics three-dimensional reconstruction in thoracoscopic pulmonary segmentectomy
- JOURNAL OF REGIONAL ANATOMY AND OPERATIVE SURGERY Vol. 34, Issue 11, Pages: 998-1003(2025)
- 作者机构：
  
  1.华北医疗健康集团邢台总医院胸外科，河北邢台 054000
  2.华北医疗健康集团邢台总医院手术室，河北邢台 054000
- 作者简介：
- 基金信息：
- DOI：10.11659/jjssx.02E025025
  CLC： R734.2;R655.3
- Received：07 February 2025，
  
  Published：25 November 2025
- 稿件说明：
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朱军平,郭濛濛,史家星等.Exoview与Mimics三维重建在胸腔镜肺段切除术中的应用比较[J].局解手术学杂志,2025,34(11):998-1003.

ZHU Jun-ping,GUO Meng-meng,SHI Jia-xing,et al.Comparative analysis of Exoview and Mimics three-dimensional reconstruction in thoracoscopic pulmonary segmentectomy[J].JOURNAL OF REGIONAL ANATOMY AND OPERATIVE SURGERY,2025,34(11):998-1003.
朱军平,郭濛濛,史家星等.Exoview与Mimics三维重建在胸腔镜肺段切除术中的应用比较[J].局解手术学杂志,2025,34(11):998-1003. DOI： 10.11659/jjssx.02E025025.

ZHU Jun-ping,GUO Meng-meng,SHI Jia-xing,et al.Comparative analysis of Exoview and Mimics three-dimensional reconstruction in thoracoscopic pulmonary segmentectomy[J].JOURNAL OF REGIONAL ANATOMY AND OPERATIVE SURGERY,2025,34(11):998-1003. DOI： 10.11659/jjssx.02E025025.

摘要

目的

比较Exoview与Mimics三维重建序贯荧光法用于胸腔镜肺段切除术的效果。

方法

回顾性分析2020年1月至2023年6月我院收治的160例肺癌患者的临床资料，其中术前采用Exoview三维重建序贯荧光法的79例胸腔镜肺段切除术患者为Exoview组，术前采用Mimics三维重建序贯荧光法的81例胸腔镜肺段切除术患者为Mimics组。比较2组患者手术完成情况、术前评估左肺和右肺动脉分支数量与术中所见符合率、重建时间、段面显示效果、手术一般指标（手术时间、术中出血量、淋巴结清扫数量、胸管放置时间、术后住院时间）、肺功能[第1秒用力呼气容积（FEV

）、第1秒用力呼气容积占预计值百分比（FEV

%）

]

及并发症。

结果

2组患者顺利完成胸腔镜肺段切除术，吲哚菁绿均注射1次，手术过程与术前模拟情况大致相同，无中转开胸。2组患者手术切除肺段部位比较，差异无统计学意义（

0.05）。Exovie

w组患者术前评估左肺和右肺动脉分支数量与术中所见符合率高于Mimics组（

0.05）；Exoview组患者段面显示效果与Mimics组比较，差异无统计学意义（

0.05）；Exoview组患者手术时间、重建时间短于Mimics组，术中出血量少于Mimics组（

0.05）。2组患者淋巴结清扫数量、胸管放置时间、术后住院时间比较，差异无统计学意义（

0.05）；Exoview组患者术后7 d的FEV

和FEV

%与术前比较，差异无统计学意义（

0.05）；Mimics组患者术后7 d的FEV

和FEV

%低于术前（

0.05）；Exoview组患者术前、术后7 d的FEV

和FEV

%与Mimics组比较，差异无统计学意义（

0.05）；Exoview组患者并发症总发生率为1.27%，与Mimics组的4.94%比较，差异无统计学意义（

0.05）。

结论

Exoview与Mimics三维重建序贯荧光法用于胸腔镜肺段切除术均安全有效，但Exoview在术前评估肺段动脉分支数量方面更有优势，且重建时间、手术时间更短，对肺功能影响小。

Abstract

Objective

To compare the effects of sequential Exoview and Mimics three-dimensional reconstruction with fluorescence method in thoracoscopic pulmonary segmentectomy.

Methods

The clinical data of 160 patients with lung cancer admitted to our hospital from January 2020 to June 2023 were retrospectively analyzed.Among them，79 patients who underwent thoracoscopic pulmonary segmentectomy with the sequential Exoview three-dimensional reconstruction and fluorescence method before the operation were classified as the Exoview group，and 81 patients who underwent thoracoscopic pulmonary segmentectomy with the sequential Mimics three-dimensional reconstruction and fluorescence method before the operation were classified as the Mimics group.The surgical completion status，the coincidence rate between the number of left and right pulmonary artery branches evaluated before operation and intraoperative findings，reconstruction time，segment display effect，general indicators of operation （operation time，intraoperative blood loss，number of lymph node dissection，thoracic tube placement time，postoperative hospital stay），pulmonary function ［ forced expiratory volume in one second （FEV

），percentage of forced expiratory volume in one second （FEV

%）］ and complications were compared between the two groups.

Results

All patients in the two groups successfully completed thoracoscopic pulmonary segmentectomy，and indocyanine green was injected once in each group.The operation process was roughly consistent with the preoperative simulation，and no thoracotomy was performed.There was no statistically significant difference in the resection of lung segment between the two groups of patients （

0.05）.The coincidence rate between the number of left and right pulmonary artery branches evaluated before operation and intraoperative findings in the Exoview group was higher than that in the Mimics group （

0.05）.There was no significant difference in the segment display effect between the Exoview group and the Mimics group （

0.05）.The operation time and the reconstruction time in the Exoview group were shorter those that in the Mimics group，and the intraoperative blood loss was less than that in the Mimics group （

0.05）.There was no significant difference in the number of lymph node dissection，the thoracic tube placement time，or the postoperative hospital stay between the two groups （

0.05）.There was no statistically significant difference in FEV

or FEV

% 7 days after surgery compared with those before surgery （

0.05）.The FEV

and FEV

% of patients in the Mimics group 7 days after surgery were lower than those beforesurgery （

0.05）.There was no statistically significant difference in FEV

or FEV

% between the Exoview group and the Mimics group before and 7 days after surgery （

0.05）.The total incidence of complications in the Exoview group was 1.27%，compared with 4.94% in the Mimics group，the difference was not statistically signifi

cant （

0.05）.

Conclusion

Both sequential Exoview and Mimics three-dimensional reconstruction with fluorescence method are safe and effective for thoracoscopic pulmonary segmentectomy，while Exoview has more advantages in preoperative assessment of the number of pulmonary artery branches，and it has shorter reconstruction time and operation time，with less impact on lung function.

关键词

Keywords

references

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