The application of 3D reconstruction technique in thoracoscopic posterior basal segmentectomy
10.3760/cma.j.issn.1008-1372.2019.11.002
- VernacularTitle: 3D重建技术在胸腔镜解剖性下肺后基底段切除术中的应用
- Author:
Lei GAO
1
;
Jihong LIN
;
Shaobin YU
;
Zhimin SHEN
;
Mingqiang KANG
Author Information
1. Department of Thoracic Surgery, Fujian Medical University Union Hospital, Fuzhou 350001, China
- Publication Type:Journal Article
- Keywords:
Imaging, three-dimensional;
Bronchography;
Thoracoscopy;
Pneumonectomy
- From:
Journal of Chinese Physician
2019;21(11):1605-1608
- CountryChina
- Language:Chinese
-
Abstract:
Objective:To explore the safety and effectiveness of 3D reconstruction in thoracoscopic posterior basal segmentectomy (S10).
Methods:Between March 2018 to September 2018, 14 patients underwent thoracoscopic anatomical resection of the posterior basal segment of the lung (S10).
Results:Of the 14 patients, including 5 males and 9 females, age (52.2±5.3)years, size (1.1±0.6)cm, 6 left S10 and 8 right S10. The number of pathological type of microinvasive adenocarcinoma, benign nodule, and metastatic carcinoma was 12, 1, and 1 cases. The average preoperative planning time was (44.9±5.7)min, and the average operation time was (134.8±26.3)min. The blood loss was (25.5±4.1)ml, with (8.1±2.7) lymphadenectomy, no positive metastasis. The coincidence rate of 3D reconstruction and intraoperative anastomosis in the tumor location, B10, A10, and V10 were 100%(14/14), 100%(14/14), 93%(13/14) and 71%(10/14). The median duration of chest tube insertion was (2.3±2.1)day. The incidence of postoperative complications was 21%(3/14), including 7%(1/14) of air leakage, 7%(1/14) of arrhythmia, 14%(2/14) of pulmonary infection, and 14%(2/14) of operation. All the cutting edge was >2 cm. There was no perioperative death, no conversion to thoracotomy or lobectomy. The mean follow-up time was (8.1±2.2)months. There were no recurrence, metastasis or death in the 14 patients. One patient had chronic cough and no hemoptysis.
Conclusions:Preoperative 3D reconstruction make the anatomic thoracoscopic posterior basal segmentectomy (S10) safer and more effective.
