The application of 3D reconstruction technique in thoracoscopic posterior basal segmentectomy / 中国医师杂志

ABSTRACT

Objective To explore the safety and effectiveness of 3D reconstruction in thoracoscopic posterior basal segmentectomy (S10).Methods Between March 2018 to September 2018,14 patients underwent thoracoscopic anatomical resection of the posterior basal segment of the lung (S10).Results Of the 14 patients,including 5 males and 9 females,age (52.2 ± 5.3) years,size (1.1 ± 0.6) cm,6 left S10 and 8 right S10.The number of pathological type of microinvasive adenocarcinoma,benign nodule,and metastatic carcinoma was 12,1,and 1 cases.The average preoperative planning time was (44.9 ± 5.7) min,and the average operation time was (134.8 ±26.3)min.The blood loss was (25.5 ±4.1)ml,with (8.1 ± 2.7) lymphadenectomy,no positive metastasis.The coincidence rate of 3D reconstruction and intraoperative anastomosis in the tumor location,B10,A10,and V10 were 100％ (14/14),100％ (14/14),93％ (13/14) and 71％ (10/14).The median duration of chest tube insertion was (2.3 ±2.1)day.The incidence of postoperative complications was 21％ (3/14),including 7％ (1/14) of air leakage,7％ (1/14) of arrhythmia,14％ (2/14) of pulmonary infection,and 14％ (2/14) of operation.All the cutting edge was ＞ 2 cm.There was no perioperative death,no conversion to thoracotomy or lobectomy.The mean follow-up time was (8.1 ±2.2)months.There were no recurrence,metastasis or death in the 14 patients.One patient had chronic cough and no hemoptysis.Conclusions Preoperative 3D reconstruction make the anatomic thoracoscopic posterior basal segmentectomy (S10) safer and more effective.