Treatment of thoracoscopic subsegmental resection under the guidance of 3D reconstruction of bronchial blood vessels of pulmonary for pulmonary nodule
10.3969/j.issn.1672-8270.2024.01.022
- VernacularTitle:三维CT支气管血管重建引导下胸腔镜亚节段切除术对肺结节的治疗
- Author:
Shimin LU
1
;
Jianghua CHANG
;
Jun RONG
;
Shuai ZHANG
;
Jiangwen HU
Author Information
1. 南通大学附属南京江北医院胸心外科 南京 210048
- Keywords:
Three dimensional(3D)computed tomography bronchography and angiography(3D-CTBA);
Pulmonary nodule;
Subsegmental resection;
Thoracoscope
- From:
China Medical Equipment
2024;21(1):110-113
- CountryChina
- Language:Chinese
-
Abstract:
Objective:To analyze the effect of thoracoscopic subsegmental resection under the guidance of three dimensional(3D)computed tomography bronchography and angiography(3D-CTBA)for resection of pulmonary nodules.Methods:A total of 40 patients who underwent 3D-CTBA-guided thoracoscopic subsegmental resection in Nanjing Jiangbei Hospital of Nantong University from January 2020 to October 2021 were selected as the observation group,and other 35 patients who underwent 3D-CTBA-guided thoracoscopic pulmonary segmentectomy were selected as the control group.The intraoperative and postoperative conditions,and the incidence of postoperative complications of the two groups were observed.Results:The differences of amount of intraoperative blood loss,average margin width,postoperative drainage,retention time of drainage tube between observation group and control group were significant(t=8.644,2.862,10.03,3.277,P<0.05),respectively.The numbers of occurring postoperative chest leakage,pulmonary infection and hemoptysis in observation group and control group were respectively"3,1,1"and"2,1,2".The incidences of complications of two groups were respectively 12.5%and 14.29%,without statistical significance between the two groups(P>0.05).Conclusion:3D-CTBA-guided thoracoscopic subsegmental resection can shorten the operation time,and reduce intraoperative blood loss and the injury of tracheas and blood vessels,and improve the postoperative recovery of patients.
