{"id":74524669,"date":"2026-04-24T09:12:01","date_gmt":"2026-04-24T07:12:01","guid":{"rendered":"https:\/\/www.chu-poitiers.fr\/?p=74524669"},"modified":"2026-04-24T09:12:04","modified_gmt":"2026-04-24T07:12:04","slug":"chirurgie-cardio-thoracique-la-3d-pour-plus-de-precision-et-de-securite","status":"publish","type":"post","link":"https:\/\/www.chu-poitiers.fr\/en\/chirurgie-cardio-thoracique-la-3d-pour-plus-de-precision-et-de-securite\/","title":{"rendered":"Chirurgie cardio-thoracique\u00a0: la 3D pour plus de pr\u00e9cision et de s\u00e9curit\u00e9"},"content":{"rendered":"\n

La chirurgie occupe une place centrale dans la prise en charge du cancer du poumon, avec pour objectif principal l\u2019ablation compl\u00e8te de la tumeur. Selon l\u2019\u00e9tendue de la maladie, les chirurgiens peuvent \u00eatre amen\u00e9s \u00e0 pratiquer l\u2019ablation d\u2019un ou plusieurs lobes pulmonaires, appel\u00e9e lobectomie. Dans certains cas et pour de petites l\u00e9sions canc\u00e9reuses, le chirurgien peut r\u00e9aliser une segmentectomie correspondant \u00e0 une partie d\u2019un lobe pulmonaire. Ces interventions visent \u00e0 \u00e9liminer la totalit\u00e9 des tissus canc\u00e9reux tout en pr\u00e9servant au maximum la fonction respiratoire du patient. Lors de l\u2019op\u00e9ration, les chirurgiens proc\u00e8dent \u00e9galement \u00e0 l\u2019ablation des ganglions lymphatiques voisins de la tumeur, une \u00e9tape appel\u00e9e curage ganglionnaire. Ce geste est crucial pour \u00e9valuer l\u2019\u00e9tendue de la maladie et r\u00e9duire le risque de r\u00e9cidive.<\/p>\n

Au CHU de Poitiers, le service de chirurgie cardio-thoracique, dirig\u00e9 par le Pr Christophe Jayle, r\u00e9alise ces interventions \u00e0 l\u2019aide du robot Da Vinci. Cet \u00e9quipement, dot\u00e9 de quatre bras robotis\u00e9s, permet aux chirurgiens d\u2019effectuer des gestes d\u2019une pr\u00e9cision extr\u00eame, tout en pr\u00e9servant les tissus sains. Cette approche mini-invasive r\u00e9duit les cicatrices, limite les douleurs postop\u00e9ratoires et acc\u00e9l\u00e8re la r\u00e9cup\u00e9ration des patients.<\/p>\n

Pour renforcer encore la pr\u00e9cision et la s\u00e9curit\u00e9 des patients, les Dr Aur\u00e9lien Bobiet et Cl\u00e9ment Colombier, sous l\u2019impulsion du Pr Jayle, utilisent depuis deux ans le logiciel Synapse 3D. Ce logiciel cr\u00e9\u00e9 par Fujifilm transforme les images 2D des scanners pr\u00e9op\u00e9ratoires en une mod\u00e9lisation 3D d\u00e9taill\u00e9e des organes. En seulement dix minutes, la solution informatique g\u00e9n\u00e8re une image exploitable, qui peut \u00eatre affin\u00e9e manuellement si n\u00e9cessaire. Cette reconstruction 3D qui est r\u00e9alis\u00e9e par les chirurgiens eux-m\u00eames, leur permet de localiser pr\u00e9cis\u00e9ment la tumeur et d\u2019identifier avec exactitude les art\u00e8res, les veines et les bronches pulmonaires. \u00a0\u00ab L\u2019image fournie offre une vision pr\u00e9cise et d\u00e9taill\u00e9e des zones anatomiques concern\u00e9es. Elle nous aide comme un plan de vol, aussi bien en planification pr\u00e9op\u00e9ratoire qu\u2019en cours d\u2019intervention, car la reconstruction 3D peut \u00eatre consult\u00e9e sur ordinateur ou t\u00e9l\u00e9phone directement au bloc op\u00e9ratoire. Cette innovation combine exactitude et protection accrue pour les patients<\/em>\u00a0\u00bb, expliquent les Dr Aur\u00e9lien Bobiet et Cl\u00e9ment Colombier. La reconstruction 3D permet d\u2019\u00e9viter toute erreur en identifiant avec exactitude la zone \u00e0 cibler, m\u00eame en pr\u00e9sence d\u2019anomalies.<\/p>\n

Ce dispositif repr\u00e9sente une avanc\u00e9e majeure pour la chirurgie, offrant aux \u00e9quipes m\u00e9dicales un outil de navigation pr\u00e9cis pour des interventions plus s\u00fbres et plus efficaces. \u00ab\u00a0L’objectif reste toujours le m\u00eame pour nous : planifier, mieux pr\u00e9voir pour mieux r\u00e9agir et anticiper<\/em>\u00a0\u00bb.<\/p>\n

La reconstruction 3D se r\u00e9v\u00e8le \u00e9galement int\u00e9ressante pour les patients. Les Dr Bobiet et Colombier l\u2019utilisent pour expliquer de mani\u00e8re claire et visuelle le d\u00e9roulement de l\u2019op\u00e9ration, ce qui permet aux patients d\u2019aborder leur prise en charge avec plus de s\u00e9r\u00e9nit\u00e9. Du c\u00f4t\u00e9 des \u00e9tudiants en m\u00e9decine et des jeunes chirurgiens, Synapse 3D est un outil p\u00e9dagogique. L\u2019anatomie pulmonaire, r\u00e9put\u00e9e pour sa complexit\u00e9 et ses nombreuses variations, devient plus accessible gr\u00e2ce \u00e0 cette visualisation interactive.<\/p>\n

\u00c0 court terme, l\u2019objectif est d\u2019int\u00e9grer les images 3D directement dans la console du robot Da Vinci. Les chirurgiens pourraient ainsi consulter ces images sans quitter la console, voire les superposer \u00e0 l\u2019image en direct du patient pour une navigation encore plus pr\u00e9cise.<\/p>\n\n\n\n

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Depuis pr\u00e8s de deux ans, le service de chirurgie cardio-thoracique du CHU de Poitiers utilise le logiciel Synapse 3D de Fujifilm, un logiciel qui permet\u2026","protected":false},"author":12,"featured_media":74524679,"comment_status":"closed","ping_status":"closed","sticky":false,"template":"","format":"standard","meta":{"_acf_changed":false,"footnotes":""},"categories":[96],"tags":[],"class_list":["post-74524669","post","type-post","status-publish","format-standard","has-post-thumbnail","hentry","category-non-classifiee"],"acf":[],"yoast_head":"\nChirurgie cardio-thoracique\u00a0: la 3D pour plus de pr\u00e9cision et de s\u00e9curit\u00e9 - Site du CHU de Poitiers<\/title>\n<meta name=\"robots\" content=\"index, follow, max-snippet:-1, max-image-preview:large, max-video-preview:-1\" \/>\n<link rel=\"canonical\" href=\"https:\/\/www.chu-poitiers.fr\/chirurgie-cardio-thoracique-la-3d-pour-plus-de-precision-et-de-securite\/\" \/>\n<meta property=\"og:locale\" content=\"en_US\" \/>\n<meta property=\"og:type\" content=\"article\" \/>\n<meta property=\"og:title\" content=\"Chirurgie cardio-thoracique\u00a0: la 3D pour plus de pr\u00e9cision et de s\u00e9curit\u00e9 - Site du CHU de Poitiers\" \/>\n<meta property=\"og:description\" content=\"Depuis pr\u00e8s de deux ans, le service de chirurgie cardio-thoracique du CHU de Poitiers utilise le logiciel Synapse 3D de Fujifilm, un logiciel qui permet une reconstruction 3D d\u2019un organe \u00e0 partir des images issues des scanners pr\u00e9op\u00e9ratoires. 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