Clinical application of multi-slice computed tomography angiogra-phy in pulmonary lobectomy of patients with lung cancer
10.3969/j.issn.1000-8179.20130967
- VernacularTitle:胸部MSCTA技术辅助肺癌肺叶切除术的临床应用
- Author:
Miao LI
;
Wanpeng WU
;
Chao CUI
;
Zhiheng XING
;
Kai WANG
- Publication Type:Journal Article
- Keywords:
3D reconstruction;
lung cancer;
blood loss;
time;
surgery
- From:
Chinese Journal of Clinical Oncology
2013;(20):1252-1255
- CountryChina
- Language:Chinese
-
Abstract:
Objective:To explore the clinical value of chest multi-slice computed tomography angiography (MSCTA) as a preoper-ative examination for lung cancer patients undergoing pulmonary lobectomy. Methods: Sixty lung cancer patients formed the study population and were randomly divided into 2 groups of 30 cases each. In the experimental group, CTA images of the tumors and pulmo-nary artery, bronchial artery, pulmonary vein were acquired, analyzed, and post-processed using VR to determine the anatomical rela-tionship between vessels and tumors. Pulmonary lobectomy followed. Cases in the control group underwent pulmonary lobectomy with-out guidance by chest MSCTA. Operation times and amounts of operative blood loss were compared between the two groups. Results:Significant differences between groups in terms of operation time (study group vs. control group, 199±55.7 vs. 231.5±51.2(min);P=0.02) and amount of operative blood loss (study group vs. control group, 318.33±99.6 vs. 431.7±89.5(mL), P<0.01) were observed. Val-ues of operation time and amount of contrast agents in the study group were consistently lower than those in the control group. Conclu-sion:Chest MSCTA can shorten the operation time and reduce the amount of operative blood loss during pulmonary lobectomy. Thus, the technique has significant clinical value.
