Application of Three-dimensional Computed Tomography Bronchography and
Angiography Combined with Perfusion Area Identification Technique
in Uniport Thoracoscopic Complex Segmentectomy.
10.3779/j.issn.1009-3419.2023.101.02
- Author:
Yuanbo LI
1
;
Yi ZHANG
1
;
Xiuyi ZHI
1
;
Lei SU
1
;
Baodong LIU
1
Author Information
1. Department of Thoracic Surgery, Xuanwu Hospital, Capital Medical University, Beijing 100053, China.
- Publication Type:Journal Article
- Keywords:
Identification technique;
Intersegmental plane;
Lung neoplasms;
Perfusion area;
Segmentectomy;
Uniport thoracoscopy
- MeSH:
Humans;
Lung Neoplasms/pathology*;
Bronchography;
Pneumonectomy/methods*;
Retrospective Studies;
Thoracic Surgery, Video-Assisted/methods*;
Tomography, X-Ray Computed;
Angiography/methods*;
Perfusion
- From:
Chinese Journal of Lung Cancer
2023;26(1):17-21
- CountryChina
- Language:Chinese
-
Abstract:
BACKGROUND:With the extensive application of segmental lung resection in the treatment of early-stage lung cancer, how to complete segmentectomy more accurately and minimally invasively has become a research hotspot. The aim of this study is to explore the application of three-dimensional computed tomography bronchography and angiography (3D-CTBA) combined with perfusion area recognition technique in single-hole thoracoscopic complex segmentectomy.
METHODS:From January 2021 to January 2022, the clinical data of 112 consecutive patients undergoing single-port thoracoscopic complex segmentectomy in the Department of Thoracic Surgery, Xuanwu Hospital, Capital Medical University were retrospectively analyzed. The three-dimensional reconstruction combined with perfusion area identification technique was used to perform the operation and the clinical data were analyzed.
RESULTS:The average operation time was (141.1±35.4) min; the initial time of intersegmental plane display was (12.5±1.7) s; the maintenance time of intersegmental plane was (114.3±10.9) s; the intersegmental plane was clearly displayed (100%); the amount of bleeding was [10 (10, 20)] mL; the total postoperative drainage volume was (380.5±139.7) mL; the postoperative extubation time was (3.9±1.2) d; and the postoperative hospitalization time was (5.2±1.6) d. Postoperative complications occurred in 8 cases.
CONCLUSIONS:The advantages of 3D-CTBA combined with perfusion area recognition technique are fast, accurate and safe in identifying intersegmental boundary in single-port thoracoscopic complex segmentectomy, which could provide guidances for accuratding resection of tumors, shortening operation time and reducing surgical complications.
