Technical process and quality control of precise thoracoscopic lung segmentectomy

Chen Liang; Wang Jun; WU Weibing; Zhu Quan; Wen Wei; XU Jing; HE Zhicheng; XU Xinfeng; Pan Xianglong

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Technical process and quality control of precise thoracoscopic lung segmentectomy

VernacularTitle:胸腔镜精准肺段切除术技术流程和质量控制
Author: CHEN Liang ^{1
,

2} ; WANG Jun ^{1
,

2} ; WU Weibing ^{1
,

2} ; ZHU Quan ^{1
,

2} ; WEN Wei, ^{1
,

2} ; XU Jing ^{1
,

2} ; HE Zhicheng ^{1
,

2} ; XU Xinfeng ^{1
,

2} ; PAN Xianglong ^{1
,

2}
Author Information

1. Department of Thoracic Surgery, The First Affiliated Hospital of Nanjing Medical University, Jiangsu Province People&rsquo
2. s Hospital, Nanjing, 210029, P.R.China
Publication Type:Journal Article
Keywords: Lung segmentectomy; three dimensional-computed tomography bronchography and angiography (3D-CTBA); intersegmental demarcation; quality control
From: Chinese Journal of Clinical Thoracic and Cardiovascular Surgery 2019;26(1):21-28
CountryChina
Language:Chinese
Abstract: Thoracoscopic pulmonary segmentectomy is one of the important treatment methods for early lung cancer. Only the premise of surgical precision can make the radical resection of lesions and maximum reservation of healthy lung tissue be simultaneously guaranteed. As a representative of the precise lung operation, the “cone-shaped lung segmentectomy” focuses on the lesion, and combines the anatomical characteristic of the patient to design individualized operation scheme. The technological core consists of three parts, three dimensional-computed tomography bronchography and angiography (3D-CTBA) surgery path planning, accurate definition of intersegmental demarcation and anatomic dissection of intersegmental borders along the demarcation. This paper aims to explore the technical process and quality control of the key techniques of thoracoscopic precise segmentectomy, so as to standardize the segmentectomy procedure under the principle of radical and minimally invasive therapy.