Application of three-dimensional computed tomography bronchography and angiography in thoracoscopic pulmonary segmentectomy for early lung cancer(PDF)
《中国医学物理学杂志》[ISSN:1005-202X/CN:44-1351/R]
- Issue:
- 2022年第8期
- Page:
- 967-971
- Research Field:
- 医学影像物理
- Publishing date:
Info
- Title:
- Application of three-dimensional computed tomography bronchography and angiography in thoracoscopic pulmonary segmentectomy for early lung cancer
- Author(s):
- DAI Zujian; LIN Kengqiang; HUANG Mingxiang; WANG Shizhong; YE Jiangang; XU Dexin; PAN Shan
- Department of Thoracic Surgery, Fuzhou Pulmonary Hospital of Fujian Province, Fuzhou 350008, China
- Keywords:
- Keywords: three-dimensional bronchial vascular reconstruction lung cancer thoracoscope pulmonary segmentectomy
- PACS:
- R318；R734.2
- DOI:
- DOI:10.3969/j.issn.1005-202X.2022.08.009
- Abstract:
- Abstract: Objective To evaluate the application value of three-dimensional computed tomography bronchography and angiography (3D-CTBA) in thoracoscopic pulmonary segmentectomy for early lung cancer. Methods The clinical data of 60 patients with early non-small cell lung cancer were analyzed retrospectively. All patients were treated with thoracoscopic pulmonary segmentectomy and lymph node dissection (or sampling). Among them, 30 patients were subjected to 3D-CTBA (3D reconstruction group), and the other 30 received preoperative routine two-dimensional CT examination (CT group). The operation indicators, total hospitalization expense, postoperative recovery, the incidence rates of complications and recurrence in 6 months after operation were recorded. Results Compared with CT group, 3D reconstruction group had less intraoperative blood loss (P<0.05), shorter operation time (P<0.05), and larger margin width (P<0.05). The postoperative chest tube indwelling time and hospital stay were noticeably shorter in 3D reconstruction group than CT group (P<0.05), and the chest tube drainage volume and hospitalization expense in 3D reconstruction group were significantly less (P<0.05). The total incidence of complications in 3D reconstruction group was obviously lower than that in CT group (P<0.05). No recurrence was found in the two groups during 6 months of follow-up. Conclusion The application of 3D-CTBA in thoracoscopic pulmonary segmentectomy for patients with early lung cancer can effectively improve the safety of the operation, and obtain better surgical results while reducing postoperative complications, which is more conducive to recovery and reducing hospitalization expense.
Last Update: 2022-09-05