Three-Dimensional Computed Tomography Bronchography and Angiography-Guided Thoracoscopic Segmentectomy for Pulmonary Nodules
| Autor: | Cheng-Guang Hu, Guan-Hua Liu, Zhi-Long Li, Xiao-Tang Yang, Jian-Hong Lian, Yan-Li Zhao, Kang Zheng, Ming Zhao, Shi-Ping Guo |
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| Rok vydání: | 2021 |
| Předmět: |
medicine.medical_specialty
Lung Neoplasms Pulmonary segmentectomy Computed tomography Mastectomy Segmental Resection Imaging Three-Dimensional Humans Medicine Pneumonectomy Retrospective Studies Bronchography medicine.diagnostic_test Thoracic Surgery Video-Assisted business.industry Medical record Angiography Resection margin Surgery Radiology medicine.symptom Tomography X-Ray Computed business Subcutaneous emphysema |
| Zdroj: | Surgical Innovation. 29:343-352 |
| ISSN: | 1553-3514 1553-3506 |
| DOI: | 10.1177/15533506211044389 |
| Popis: | Background Three-dimensional computed tomography bronchography and angiography (3D-CTBA) provides detailed imaging information for pulmonary segmentectomy. This study was performed to verify the feasibility of 3D-CTBA-guided thoracoscopic segmentectomy for the treatment of pulmonary nodules. Methods A retrospective analysis was performed on all patients who underwent 3D-CTBA-guided uniport thoracoscopic segmentectomies or subsegmentectomies for pulmonary nodules in the period from May 2019 to May 2020. All of the information related to perioperative management and surgical operations was retrieved from the medical records and operating notes for detailed analysis. Results A total of 104 eligible operations involving the resection of 110 nodules with diameters in the range of 5-20 mm were included. Under 3D-CTBA guidance, the pulmonary nodules were located with an accuracy of 100% (110/110) and the median resection margin was 24.3 mm (17-33 mm). Additionally, the segmental (subsegmental) bronchi, arteries, and veins were identified with accuracy rates of 100% (104/104), 96.2% (100/104), and 94.2% (98/104), respectively. The postoperative complications consisted of 3 cases of pulmonary infection (2.9%), 6 cases of arrhythmia (5.8%), 2 cases of hemoptysis (1.9%), 4 cases of air leak (3.8%), and 2 cases of subcutaneous emphysema (1.9%). No perioperative death occurred. Conclusion 3D-CTBA-guided thoracoscopic segmentectomy is an effective surgical approach for the management of pulmonary nodules. |
| Databáze: | OpenAIRE |
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