pplication value of three-dimensional reconstruction for localization of pulmonary nodules in thoracoscopic lung wedge resection: A retrospective cohort study
0.7507/1007-4848.202101047
- VernacularTitle:基于三维重建肺结节定位法在胸腔镜肺楔形切除术应用的回顾性队列研究
- Author:
Yuanguo LIU
1
;
Sheng YAO
1
;
Canhui LIU
1
;
Jiyang XU
1
;
Chengxiang ZHU
1
;
Guohua DONG
1
Author Information
1. Department of Thoracic and Cardiovascular Surgery, Nanjing Hospital of Traditional Chinese Medicine, Nanjing University of Traditional Chinese Medicine, Nanjing, 210001, P.R.China
- Publication Type:Journal Article
- Keywords:
Three-dimensional reconstruction;
pulmonary nodules;
preoperative localization;
thoracoscopic lung wedge resection
- From:
Chinese Journal of Clinical Thoracic and Cardiovascular Surgery
2021;28(10):1207-1211
- CountryChina
- Language:Chinese
-
Abstract:
Objective To evaluate the safety and application value of three-dimensional reconstruction for localization of pulmonary nodules in thoracoscopic lung wedge resection. Methods The clinical data of 96 patients undergoing thoracoscopic lung wedge resection in our hospital from January 2019 to August 2020 were retrospectively reviewed and analyzed, including 30 males and 66 females with an average age of 57.62±12.13 years. The patients were divided into two groups, including a three-dimensional reconstruction guided group (n=45) and a CT guided Hook-wire group (n=51). The perioperative data of the two groups were compared. Results All operations were performed successfully. There was no statistically significant difference between the two groups in the failure rate of localization (4.44% vs. 5.88%, P=0.633), operation time [15 (12, 19) min vs. 15 (13, 17) min, P=0.956], blood loss [16 (10, 20) mL vs. 15 (10, 19) mL, P=0.348], chest tube placement time [2 (2, 2) d vs. 2 (2, 2) d, P=0.841], resection margin width [2 (2, 2) cm vs. 2 (2, 2) cm, P=0.272] or TNM stage (P=0.158). The complications of CT guided Hook-wire group included pneumothorax in 2 patients, hemothorax in 2 patients and dislodgement in 4 patients. There was no complication related to puncture localization in the three-dimensional reconstruction guided group. Conclusion Based on three-dimensional reconstruction, the pulmonary nodule is accurately located. The complication rate is low, and it has good clinical application value.
