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Three-dimensional reconstruction for determining positional indications of pulmonary segmentectomy/subsegmentectomy for ground glass opacity-dominant clinical T1a-bN0 non-small cell lung cancer.
Transl Lung Cancer Res
November 2024
Department of Thoracic Surgery, Jiangsu Province Hospital and The First Affiliated Hospital of Nanjing Medical University, Nanjing, China.
Background: The precision of segmentectomy/subsegmentectomy for ground glass opacity (GGO)-dominant cT1a-bN0 non-small cell lung cancer (NSCLC), including mono-segmentectomy, mono-subsegmentectomy, combined subsegmentectomies, and single segmentectomy with adjacent subsegmentectomy, has improved. The aim of this study is to investigate their positional indications by focusing on the three-dimensional location of lesions, utilizing three-dimensional computed tomography bronchography and angiography (3D-CTBA).
Methods: We retrospectively analyzed 195 patients with GGO-dominant cT1a-bN0 NSCLC who underwent segmentectomy/subsegmentectomy between August 2015 and November 2020.
Oncologic outcomes of three-dimensional navigation-guided segmentectomy for early-stage non-small cell lung cancer >2-3 cm.
Asian J Surg
November 2024
Department of Thoracic Surgery, Jiangsu Province Hospital, The First Affiliated Hospital of Nanjing Medical University, Nanjing, China. Electronic address:
Background: The outcomes of segmentectomy for small (≤2 cm) non-small cell lung cancer (NSCLC) have been well demonstrated. This study aimed to investigate whether segmentectomy could achieve comparable oncologic outcomes with lobectomy for >2-3 cm lung cancer.
Methods: Patients who underwent segmentectomy or lobectomy for NSCLC >2-3 cm were retrospectively screened.
Uniportal left middle lobectomy in a patient with situs inversus totalis: a case report.
J Cardiothorac Surg
September 2024
Department of Thoracic Surgery, The First Affiliated Hospital of Soochow University, Medical College of Soochow University, Suzhou, 215000, China.
Article Synopsis
- Situs inversus totalis (SIT) is a rare genetic condition where internal organs are reversed in position, and cases involving lung cancer are very uncommon.
- A 57-year-old woman with SIT successfully underwent a minimally invasive lobectomy for lung adenocarcinoma, facilitated by advanced 3D imaging for surgical planning.
- The surgery proceeded without complications, and the patient remained cancer-free two years after the operation, demonstrating the effectiveness of careful preoperative planning.
Application of three-dimensional printed models with near-infrared fluorescence technology in video-assisted thoracoscopic surgery segmentectomy: a single-center propensity-score matching analysis.
J Thorac Dis
July 2024
Department of Thoracic Surgery, Fujian Medical University Union Hospital, Fuzhou, China.
Background: The combination of three-dimensional printing (3DP) technology and near-infrared fluorescence (NIF) technology using indocyanine green (ICG) has demonstrated significant potential in enhancing surgical margin and safety, as well as simplifying segmental resection. However, there is limited literature available on the integrated use of these techniques. The current study assessed the effectiveness and value of integrating 3DP-NIF technologies in the perioperative outcomes of thoracoscopic segmental lung resection.
View Article and Find Full Text PDFPulmonary Arterial Anatomical Patterns: A Classification Scheme Based on Lobectomy and 3D-CTBA.
Thorac Cardiovasc Surg
October 2024
Department of Thoracic Surgery, First Affiliated Hospital of Soochow University, Suzhou, Jiangsu, China.
Purpose: Preoperative evaluation of pulmonary vascular and tracheal routes and variations is of great importance to the surgeon. Three-dimensional computed tomography bronchography and angiography (3D-CTBA) has evolved in recent years with the optimization of 3D reconstruction techniques and artificial intelligence. We aim to apply CT angiography and Exoview 3D reconstruction technology to assess patients' pulmonary arterial tree and its anatomical variants and to try to summarize a set of anatomical typing of the pulmonary arterial tree that is relatively easy and conducive to promoting teaching based on surgical habits of lobectomy.
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