The application of virtual navigation bronchoscopy assisted localization in thoracoscopic sublobectomy and its impact on perioperative outcomes
10.3760/cma.j.cn112434-20240803-00189
- VernacularTitle:虚拟导航支气管镜辅助定位在胸腔镜下亚肺叶切除术中的应用及其对围术期的影响
- Author:
Yu HUANG
1
;
Longyu JIN
1
;
Wei FENG
1
;
Yuyang NI
1
;
Yingji CHEN
1
;
Hongchun XU
1
;
Yuchao MA
1
Author Information
1. 中南大学湘雅三医院心胸外科，长沙 410013
- Publication Type:Journal Article
- Keywords:
Sublobectomy;
Virtual navigation bronchoscopy assisted localization;
Intraoperative blood loss
- From:
Chinese Journal of Thoracic and Cardiovascular Surgery
2025;41(4):212-219
- CountryChina
- Language:Chinese
-
Abstract:
Objective:To investigate the impact of virtual navigation bronchoscopy on perioperative information in patients undergoing thoracoscopic pulmonary resection.Methods:Employed three distinct propensity score matching models to effectively address the baseline data disparities among patients undergoing thoracoscopic pulmonary resection. Categorized the patients into two groups: pulmonary wedge resection and pulmonary segmentectomy. Compared the disparities in clinical characteristics, intraoperative lesion resection, and postoperative recovery between patients who underwent virtual navigation bronchoscopy assisted localization prior to surgery and those who did not employ any specific localization methods.Results:This reserch included a total of 127 patients who underwent localization assisted by virtual navigation bronchoscopy, and 122 patients who did not undergo specialized localization. After propensity score matching, the navigation group demonstrated a statistically significant reduction in intraoperative blood loss[model 3, 40(20, 50) ml vs. 50(20, 100) ml, P=0.027], drainage volume on the first day post-surgery[model 3, 100(50, 175) ml vs. 150(100, 220) ml, P=0.023], and incidence of residual pleural effusion(model 3, 31 cases vs. 38 cases, P=0.046) compared to the non-positioning group among patients undergoing pulmonary wedge resection. In the pulmonary segmentectomy group, we observed a reduction in intraoperative blood loss[model 3, 50(30, 100) ml vs. 100(50, 100) ml, P=0.003] and incidence of residual pneumothorax(model 3, 18 cases vs. 28 cases, P=0.012) in patients who underwent navigation-assisted procedures compared to those without specialized positioning. Conclusion:The utilization of virtual navigation bronchoscopy for preoperative localization assistance in thoracoscopic sublobectomy(including wedge resection and segmental resection) may represent a viable approach to mitigate intraoperative injury and facilitate postoperative recovery.
