|Table of Contents|

Application effect of 3D reconstruction technique in uniportal video-assisted thoracoscopic lobectomy

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

Issue:
2024 06
Page:
1066-1070
Research Field:
Publishing date:

Info

Title:
Application effect of 3D reconstruction technique in uniportal video-assisted thoracoscopic lobectomy
Author(s):
CHENG Dongliang1; ZHANG Jun2; LIN Chengyi2; ZENG Min2; LIU Huasong2
1.Department of Thoracic Surgery,the Third People's Hospital of Shenzhen,Guangdong Shenzhen 518000,China；2.Department of Cardiothoracic Surgery,Shiyan Taihe Hospital,Affiliated Hospital of Hubei University of Medicine,Hubei Shiyan 442000，China.
Keywords:
3D reconstruction technique; U-VATS; incision selection; path planning
PACS:
R734.2
DOI:
10.3969/j.issn.1672-4992.2024.06.014
Abstract:
Objective:To evaluate the effect of preoperative 3D reconstruction technique on the relevant indexes of uniportal video-assisted thoracoscopic lobectomy by observing the differences between the 3D reconstruction group and the non-reconstruction group.Methods:A retrospective study was conducted on 164 consecutive patients who underwent single-port thoracoscopic lobectomy from May 2020 to December 2021.The patients were divided into reconstruction group (75 cases) and non-reconstruction group (89 cases) according to whether CT three-dimensional reconstruction was performed before surgery.Intraoperative and postoperative outcomes were compared between the two groups,with evaluation indicators including differences in operative time,blood loss,transit porosity or thoracotomy,postoperative pain,and postoperative complications．Results:Basic information such as gender,age,location of diseased lung lobe and preoperative tumor stage were comparable between the two groups (P＞0.05).The operative time,intraoperative blood loss,transporosity or thoracotomy ratio in the reconstruction group were lower than those in the non-reconstruction group (P＜0.05).There was no statistical significance in the number of intraoperative lymph node dissection,postoperative pain,postoperative drainage volume and postoperative complications between the two groups (P＞0.05).Conclusion:Preoperative individualized 3D reconstruction of thoracic,bronchial and pulmonary vessels is helpful to safely and effectively perform uniportal video-assisted thoracoscopic lobectomy,reduce intraoperative bleeding and reduce the rate of conversion to thoracotomy.

References:

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