Efficacy of visualized precise lung expansion for determining intersegmental plane in thoracoscopic segmentectomy
10.3760/cma.j.cn131073.20230626.00404
- VernacularTitle:可视化精准膨肺用于胸腔镜肺段切除术中确定段间平面的效果
- Author:
Hongchun BIAN
1
;
Xue WU
;
Huixia WANG
;
Fei WANG
;
Qiang SONG
;
Xiaoxia WANG
;
Long-Xiang ZHANG
;
Wei ZHANG
;
Zhiqiang ZOU
;
Chengjie GAO
Author Information
1. 解放军第九六〇医院麻醉科，济南 250031
- Keywords:
Thoracoscopes;
Pneumonectomy;
Visualized precise lung expansion
- From:
Chinese Journal of Anesthesiology
2024;44(4):401-405
- CountryChina
- Language:Chinese
-
Abstract:
Objective:To evaluate the efficacy of visualized precise lung expansion for determining the intersegmental plane in thoracoscopic segmentectomy.Methods:Sixty-four American Society of Anesthesiologists Physical Status classification Ⅰ or Ⅱ patients, regardless of gender, aged 33-77 yr, with body mass index of 16-34 kg/m 2, undergoing elective thoracoscopic segmentectomy under general anesthesia, were included. They were preoperatively reconstructed with 3D CT bronchovascularization to reconstruct the pulmonary vasculature, bronchus, and the virtual intersegmental planes of the lungs. The patients were divided into 2 groups ( n=32 each) using a random number table method: visualized precise lung expansion group (group V) and modified expansion and atrophy group (group E). Group V used visualized precision lung expansion to determine the intersegmental planes, and group E used the modified expansion and atrophy method to determine the intersegmental planes. The intraoperative intersegmental plane determination time, target segmental bronchus identification and treatment time, anesthesia time, operation time, postoperative air leakage, pulmonary atelectasis, fever, occurrence of lung infection, postoperative 24 h drainage volume, drain removal time and hospitalization time were recorded in the two groups. Results:Compared with group E, the intersegmental plane determination time, target segment bronchial identification and treatment time, anesthesia time and operation time were significantly shortened in group V( P<0.05).There were no significant differences between groups in the 24 h postoperative drainage volume, drain removal time, hospitalization time or incidence of postoperative pulmonary complications ( P>0.05). Conclusions:Compared with the modified expansion and atrophy method, visualized precise lung expansion can effectively shorten the intersegmental plane determination time in thoracoscopic segmentectomy.
