Evaluation on clinical efficacy of three-dimensional reconstruction guided uniportal fluorescence thoracoscopic subsegmentectomy for the pulmonary nodules
10.3760/cma.j.cn112434-20240408-00101
- VernacularTitle:三维重建指导下单孔荧光胸腔镜肺亚段切除肺结节的疗效分析
- Author:
Bicheng ZHAN
1
;
Jian LIU
;
Jian CHEN
;
Yongzhi LIU
;
Kunliang GUO
;
Xiao WANG
;
Yanzheng XIONG
;
Yong TANG
;
Mingbo GU
Author Information
1. 安徽医科大学附属安庆医学中心 安庆市立医院心胸外科，安徽安庆 246003
- Keywords:
Three dimensional reconstruction;
Fluorescence thoracoscopy;
Subsegmentectomy;
Pulmonary nodule
- From:
Chinese Journal of Thoracic and Cardiovascular Surgery
2024;40(11):641-646
- CountryChina
- Language:Chinese
-
Abstract:
Objective:To analyze the clinical efficacy of three-dimensional(3D) reconstruction guided uniportal fluorescence thoracoscopic subsegmentectomy for the pulmonary nodules.Methods:We retrospectively analyzed 50 patients with nodules who underwent uniportal fluorescence thoracoscopic subsegmentectomy from December 2021 to February 2024. All patients underwent thin-slice CT scanning and 3D reconstruction preoperatively. 12 patients were given CT-guided hookwire localization preoperatively.The intersegmental plane was identified by fluorescence method.Results:One patient was converted to right upper lobectomy due to no lesion found in S1b. The mean blood loss was(23.4±16.5)ml and the mean operative time was(126.5±38.5)min. The mean duration of postoperative drainage was(2.6±0.8)days. Mean postoperative hospitalization was(4.8±1.8)days. There were 2 cases with postoperative pulmonary infections, including one with encapsulated pleural effusion. There was no air leakage over 3 days, and no death within 30 days after surgery.Conclusion:3D reconstruction guided uniportal fluorescence thoracoscopic subsegmentectomy is a safe and feasible technique for resection of pulmonary nodules in lung subsegments, and surgical indications must be strictly controlled.
