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Journal Of Modern Oncology[ISSN:1672-4992/CN:61-1415/R]

Issue:

2023 04

Page:

659-663

Research Field:

Publishing date:

Info

Title:

Thoracic parameter analysis for optimizing the magnetic anchoring device used to pull the esophagus in thoracoscopic esophagectomy

Author(s):

CHEN Wenwen¹; 2; WU Jiayi²; CHENG Yuan²; ZHAO Yixin²; SONG Yali¹; LYU Yi³; 4; FU Junke¹; ZHANG Yong¹; 4

1.Department of Thoracic Surgery;3.Department of Hepatobiliary Surgery;4.National Local Joint Engineering Research Center for Precision Surgery & Regenerative Medicine,the First Affiliated Hospital of Xi'an Jiaotong University,Shaanxi Xi'an 710061,China;2.Xi'an Jiaotong University,Shaanxi Xi'an 710061,China.

Keywords:

thoracoscopic surgery; magnetic anchoring device; chest wall thickness; inner thoracic diameter

PACS:

R730.49

DOI:

10.3969/j.issn.1672-4992.2023.04.012

Abstract:

Objective:To provide a theoretical basis for optimizing the magnetic anchoring device used to pull the esophagus in thoracoscopic esophagectomy.Methods:It were measured that the chest wall thicknesses at the point of intersection of two ribs (the fourth rib and sixth rib) and four chest marking lines (the mid-clavicular line,the anterior axillary line,the mid-axillary line,and the posterior axillary line) of 105 patients (male 71 and female 34) on the right chest in our hospital.The chest wall thicknesses on the right chest of different BMI levels were also measured.The inner diameters in thorax of the fourth and sixth rib levels (anteroposterior diameter,cross diameter) were measured.The right triangle consists of a hypotenuse and two right sides,the length of whom is the maximum distance from esophagus to the parietal pleura,the posterior part of the anteroposterior diameter,and the right part of the cross diameter,respectively.The hypotenuse's length of the right triangle equal to the maximum distance from esophagus to the parietal pleura,is calculated by the pythagorean theorem.The sum of the hypotenuse's length with the chest wall thickness is the maximum distance causing the magnetic anchoring device attenuated.Results:The chest wall thicknesses of different genders,rib levels,chest marking lines and BMI levels are as follows:The chest wall thicknesses of the fourth and sixth rib of men were (19.43±4.57~61.6±9.63)mm and (16.91±3.69~48.19±8.3)mm.Those of women were (25.74±7.16~58.41±10.22)mm and (19.76±6.6~47.07±7.99)mm.The inner diameters of different genders and rib levels are as follows:The anteroposterior diameters of the fourth and sixth rib of men were (103.21±14.99)mm and (123.73±15.83)mm.Those of women were (88.08±12.74)mm and (105.67±12.9)mm.The cross diameters of the fourth and sixth rib of men were (230.20±19.06)mm and (249.01±15.24)mm.Those of women were (213.88±11.19)mm and (228.03±11.84)mm.Based on the obtained data,we calculated the distance causing the magnetic attenuation of magnetic anchoring device.Conclusion:The measured chest wall thickness and thoracic inner diameter parameters can provide a theoretical basis for optimization of the magnetic anchoring device used to pull the esophagus in thoracoscopic esophagectomy.

References:

［1］CHEN WW,LI YH,QIAN RK,et al.Application of a novel magnetic anchoring and traction technique in thoracoscopic esophagectomy:a swine experiment［J］.Ann Transl Med,2021,9(22):1663.
［2］张勇,熊力,李奇灵,等.磁锚定技术及其临床应用［J］.科学通报,2020,65(13):1274-1282. ZHANG Y,XIONG L,LI QL,et al.Magnetic anchor technique and its clinical application［J］.Chinese Science Bulletin,2020,65(13):1274-1282.
［3］白纪刚,吕毅,严小鹏,等.磁锚定技术在腹腔镜胆囊切除术中的临床应用［J］.腹腔镜外科杂志,2019,24(10):4. BAI JG,LYU Y,YAN XP,et al.Clinical application of magnetic anchor technique in laparoscopic cholecystectomy［J］.Journal of Laparoscopic Surgery,2019,24(10):4.
［4］WANCURA M,MCCRACKEN JM,STEEN E,et al.Emerging technologies in pediatric gynecology:new paradigms in women's health care［J］.Curr Opin Obstet Gynecol,2019,31(5):309-316.
［5］STEINBERG RL,JOHNSON BA,CADEDDU JA.Magnetic-assisted robotic surgery:initial case series of reduced-port robotic prostatectomy［J］.J Robot Surg,2019,13(4):599-603.
［6］严小鹏,陈雯雯,付军科,等.磁锚定牵引技术辅助胸腔镜下食管切除术三例［J］.中国胸心血管外科临床杂志,2022,29(06):793-796. YAN XP,CHEN WW,FU JK,et al.Magnetic anchoring and traction technique-assisted thoracoscopic esophagectomy:Three case reports［J］.Chinese Journal of Clinical Thoracic and Cardiovascular Surgery,2022,29(06):793-796.
［7］严小鹏,李益行,刘培楠,等.磁锚定技术辅助胸腔镜肺切除术的临床应用效果［J］.西安交通大学学报(医学版),2021,42(02):262-266. YAN XP,LI YX,LIU PN,et al.Clinical application effects of thoracoscopic pulmonary resection assisted with magnetic anchor technique［J］.Journal of Xi'an Jiaotong University(Medical Sciences),2021,42(02):262-266.
［8］MATSUZAKI I,YAMAUCHI H,GOTO N,et al.Magnetic anchor-guided endoscopic submucosal dissection using a stainless steel anchor［J］.Endoscopy,2020,52(2):E80-E81.
［9］GONZALEZ-RIVAS D.Unisurgeon' uniportal video-assisted thoracoscopic surgery lobectomy［J］.J Vis Surg,2017,3:163.
［10］GIACCONE A,SOLLI P,BERTOLACCINI L.Magnetic anchoring guidance system in video-assisted thoracic surgery［J］.J Vis Surg,2017,3:17.
［11］谢春艳.基于MSCT三维成像测量中国3～12岁儿童胸廓正常值［D］.长沙:中南大学,2013. XIE CY.Measurement of thoracic cage with three-dimensional reconstruction of MSCT in 3~12 years old children in China［D］. Changsha:Zhongnan University,2013.
［12］SCHROEDER E,VALDEZ C,KRAUTHAMER A,et al.Average chest wall thickness at two anatomic locations in trauma patients［J］.Injury,2013,44(9):1183-1185.
［13］CUESTA MA.Review of different approaches of the left recurrent laryngeal nerve area for lymphadenectomy during minimally invasive esophagectomy［J］.J Thorac Dis,2019,11(Suppl 5):S766-S770.
［14］CHEN WS,ZHU LH,LI WJ,et al.Novel technique for lymphadenectomy along left recurrent laryngeal nerve during thoracoscopic esophagectomy［J］.World J Gastroenterol,2020,26(12):1340-1351.
［15］LYU W,ZENG G,WU W,et al.Application of single-port video-assisted thoracoscope in treating thoracic oesophageal squamous cell carcinoma using McKeown approach［J］.J Minim Access Surg,2018,14(2):105-110.
［16］陈雯雯,严小鹏,雷凤萍,等.磁锚定牵引技术辅助胸腔镜下食管切除术的实验研究［J］.中国胸心血管外科临床杂志,2021,28(09):1090-1094. CHEN WW,YAN XP,LEI FP,et al.Experimental study of magnetic anchoring and traction device assisting thoracoscopic esophagectomy［J］.Chinese Journal of Clinical Thoracic and Cardiovascular Surgery,2021,28(09):1090-1094.
［17］TERBOVEN T,BETKA I,WEISS C,et al.Sonographic assessment of pediatric chest wall thickness and width of the intercostal space:correlation with anthropometric data and implications for needle decompression［J］.Ultrasound J,2021,13(1):25.
［18］田言杰.峰谷比法测量等效胸壁厚度技术研究［D］.哈尔滨:哈尔滨工程大学,2013. TIAN YJ.Research on measurement of MEQ-CWT by "peak to valley" method［D］.Harbin:Harbin Engineering University,2013.
［19］张大,尚华,赵鸽,等.健康儿童胸廓CT各径线测量研究［J］.河南外科学杂志,2020,26(04):13-15. ZHANG D,SHANG H,ZHAO G,et al.A preliminary study on measurement of thorax by CT imaging in healthy children［J］.Henan Journal of Surgery,2020,26(04):13-15.

Memo

Memo:

中央高校基本科研业务费专项资金(编号：XZD012020026);陕西省重点研发计划(编号：2019SF-014);白求恩公益基金项目(编号：HX201885);西安交通大学大学生创新训练项目(编号：XJ201910698086);西安交通大学临床新技术项目（编号：XJLS-2019-048）

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