{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,9,21]],"date-time":"2026-09-21T13:42:44Z","timestamp":1789998164320,"version":"4.0.1"},"reference-count":16,"publisher":"Oxford University Press (OUP)","issue":"3","license":[{"start":{"date-parts":[[2023,3,9]],"date-time":"2023-03-09T00:00:00Z","timestamp":1678320000000},"content-version":"vor","delay-in-days":8,"URL":"https:\/\/creativecommons.org\/licenses\/by\/4.0\/"}],"content-domain":{"domain":[],"crossmark-restriction":false},"short-container-title":[],"published-print":{"date-parts":[[2023,3,1]]},"abstract":"<jats:title>Abstract<\/jats:title><jats:p>If until few years ago the surgeon could study a complex surgery only on the basis of two-dimensional images, today can use 3D physical models on a scale of 1 to 1 of an organ. We report the case of a 53\u00a0years old woman with Cushing\u2019s syndrome and a giant right adrenal tumor. To better define the relationship between the neoplasm and inferior vena cava, the vascularization of the adrenal gland, any anatomical anomalies and the specific location of the middle adrenal vein, a 3D printed model was created in 1: 1 size based on the preoperative CT. A laparoscopic right adrenalectomy was performed. No intraoperative and postoperative complications were observed with resolution of the adrenal disorder. This case highlights the feasibility and clinical effectiveness of 3D anatomical models for correct preoperative planning, the surgeon\u2019s intraoperative guidance to reduce possible errors and therefore improve the patient\u2019s postoperative outcome.<\/jats:p>","DOI":"10.1093\/jscr\/rjad104","type":"journal-article","created":{"date-parts":[[2023,3,9]],"date-time":"2023-03-09T17:15:28Z","timestamp":1678382128000},"source":"Crossref","is-referenced-by-count":4,"title":["Laparoscopic adrenalectomy for large adrenal tumor guided by a 3D anatomic model. New frontiers in abdominal surgery"],"prefix":"10.1093","volume":"2023","author":[{"ORCID":"https:\/\/orcid.org\/0000-0002-9505-791X","authenticated-orcid":false,"given":"Alessio","family":"Giordano","sequence":"first","affiliation":[{"name":"General Surgery Unit, Nuovo Ospedale \u201cS. Stefano\u201d, Azienda ASL Toscana Centro , Via Suor Niccolina Infermiera 20\/22, 59100 Prato , Italy"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Francesco","family":"Moroni","sequence":"additional","affiliation":[{"name":"General Surgery Unit, Nuovo Ospedale \u201cS. Stefano\u201d, Azienda ASL Toscana Centro , Via Suor Niccolina Infermiera 20\/22, 59100 Prato , Italy"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Giacomo di","family":"Filippo","sequence":"additional","affiliation":[{"name":"General Surgery Unit, Nuovo Ospedale \u201cS. Stefano\u201d, Azienda ASL Toscana Centro , Via Suor Niccolina Infermiera 20\/22, 59100 Prato , Italy"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Francesca","family":"Cammelli","sequence":"additional","affiliation":[{"name":"General Surgery Unit, Nuovo Ospedale \u201cS. Stefano\u201d, Azienda ASL Toscana Centro , Via Suor Niccolina Infermiera 20\/22, 59100 Prato , Italy"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Tommaso","family":"Guagni","sequence":"additional","affiliation":[{"name":"General Surgery Unit, Nuovo Ospedale \u201cS. Stefano\u201d, Azienda ASL Toscana Centro , Via Suor Niccolina Infermiera 20\/22, 59100 Prato , Italy"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Davina","family":"Perini","sequence":"additional","affiliation":[{"name":"General Surgery Unit, Nuovo Ospedale \u201cS. Stefano\u201d, Azienda ASL Toscana Centro , Via Suor Niccolina Infermiera 20\/22, 59100 Prato , Italy"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Stefano","family":"Cantafio","sequence":"additional","affiliation":[{"name":"General Surgery Unit, Nuovo Ospedale \u201cS. Stefano\u201d, Azienda ASL Toscana Centro , Via Suor Niccolina Infermiera 20\/22, 59100 Prato , Italy"}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"286","published-online":{"date-parts":[[2023,3,9]]},"reference":[{"key":"2023030915132759400_","doi-asserted-by":"crossref","first-page":"1","DOI":"10.1007\/s00464-019-07155-5","article-title":"An overview on 3D printing for abdominal surgery","volume":"34","author":"Pietrabissa","year":"2020","journal-title":"Surg Endosc"},{"key":"2023030915132759400_","first-page":"364","article-title":"Laparoscopic resection of large adrenal tumors","volume":"14","author":"Zografos","year":"2010","journal-title":"JSL"},{"key":"2023030915132759400_","first-page":"2581","article-title":"Contemporary review of large adrenal tumors in a tertiary referral center","volume":"34","author":"Mege","year":"2014","journal-title":"Antitumorale Res"},{"key":"2023030915132759400_","doi-asserted-by":"crossref","first-page":"1033","DOI":"10.1056\/NEJM199210013271417","article-title":"Laparoscopic adrenalectomy in Cushing's syndrome and pheochromocytoma","volume":"327","author":"Gagner","year":"1992","journal-title":"N Inglese J Med"},{"key":"2023030915132759400_","doi-asserted-by":"crossref","first-page":"76","DOI":"10.4103\/jmas.JMAS_266_19","article-title":"Laparoscopic adrenalectomy for giant adrenal tumours: technical considerations and surgical outcome","volume":"17","author":"Giordano","year":"2021","journal-title":"J Minim Access Surg"},{"key":"2023030915132759400_","doi-asserted-by":"crossref","first-page":"1485","DOI":"10.1016\/j.surg.2015.12.017","article-title":"Advantages and disadvantages of 3-dimensional printing in surgery: a systematic review","volume":"159","author":"Martelli","year":"2016","journal-title":"Surgery"},{"key":"2023030915132759400_","doi-asserted-by":"crossref","first-page":"1046505","DOI":"10.3389\/fonc.2022.1046505","article-title":"3D renal model for surgical planning of partial nephrectomy: a way to improve surgical outcomes","volume":"12","author":"Bianchi","year":"2022","journal-title":"Front Oncol"},{"key":"2023030915132759400_","doi-asserted-by":"crossref","first-page":"2112","DOI":"10.1016\/j.jpedsurg.2015.08.037","article-title":"Preoperative surgical simulation of laparoscopic adrenalectomy for neuroblastoma using a three-dimensional printed model based on preoperative CT images","volume":"50","author":"Souzaki","year":"2015","journal-title":"J Pediatr Surg"},{"key":"2023030915132759400_","doi-asserted-by":"crossref","first-page":"115","DOI":"10.1186\/s12938-016-0236-4","article-title":"3D-printing techniques in a medical setting: a systematic literature review","volume":"15","author":"Tack","year":"2016","journal-title":"Biomed Eng Online"},{"key":"2023030915132759400_","doi-asserted-by":"crossref","first-page":"643","DOI":"10.1097\/SLE.0000000000001105","article-title":"The role of intraoperative indocyanine green (ICG) and preoperative 3-dimensional (3D) reconstruction in laparoscopic adrenalectomy: a propensity score-matched analysis","volume":"32","author":"Palomba","year":"2022","journal-title":"Surg Laparosc Endosc Percutan Tech"},{"key":"2023030915132759400_","doi-asserted-by":"crossref","first-page":"65","DOI":"10.1007\/s10544-018-0301-9","article-title":"3D printing for preoperative planning and surgical training: a review","volume":"20","author":"Pagan-Diaz","year":"2018","journal-title":"Biomed Microdevices"},{"key":"2023030915132759400_","doi-asserted-by":"crossref","first-page":"943","DOI":"10.1089\/tmj.2017.0049","article-title":"3D printing in liver surgery: a systematic review","volume":"23","author":"Witowski","year":"2017","journal-title":"Telemed J E Health"},{"key":"2023030915132759400_","first-page":"1","article-title":"NIH state-of-the-science statement on management of the clinically inapparent adrenal mass (\"incidentaloma\")","volume":"19","year":"2002","journal-title":"NIH Consens State Sci Statements"},{"key":"2023030915132759400_","first-page":"1158","article-title":"Open versus endoscopic adrenalectomy in the treatment of localized (stage I\/II) adrenocortical carcinoma: results of a multiinstitutional Italian survey","volume":"152","author":"Lombardi","year":"2012","journal-title":"Chirurgia"},{"key":"2023030915132759400_","doi-asserted-by":"crossref","first-page":"617","DOI":"10.1007\/s00464-007-9709-7","article-title":"The role of laparoscopic adrenalectomy for adrenal tumours of 6 cm or greater","volume":"22","author":"Parnaby","year":"2008","journal-title":"Surg Endosc"},{"key":"2023030915132759400_","first-page":"1043","article-title":"Results of laparoscopic adrenalectomy for large and potentially malignant tumors","volume":"26","author":"Henry","year":"2002","journal-title":"Mondo J Surg"}],"container-title":["Journal of Surgical Case Reports"],"original-title":[],"language":"en","link":[{"URL":"https:\/\/academic.oup.com\/jscr\/article-pdf\/2023\/3\/rjad104\/49472306\/rjad104.pdf","content-type":"application\/pdf","content-version":"vor","intended-application":"syndication"},{"URL":"https:\/\/academic.oup.com\/jscr\/article-pdf\/2023\/3\/rjad104\/49472306\/rjad104.pdf","content-type":"unspecified","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2023,3,27]],"date-time":"2023-03-27T19:42:59Z","timestamp":1679946179000},"score":1,"resource":{"primary":{"URL":"https:\/\/academic.oup.com\/jscr\/article\/doi\/10.1093\/jscr\/rjad104\/7073986"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2023,3,1]]},"references-count":16,"journal-issue":{"issue":"3","published-print":{"date-parts":[[2023,3,1]]}},"URL":"https:\/\/doi.org\/10.1093\/jscr\/rjad104","relation":{},"ISSN":["2042-8812"],"issn-type":[{"value":"2042-8812","type":"electronic"}],"subject":[],"published-other":{"date-parts":[[2023,3]]},"published":{"date-parts":[[2023,3,1]]},"article-number":"rjad104"}}