Department of Thoracic Surgery, Ina Central Hospital, Ina, Japan.
Eur J Cardiothorac Surg. 2012 Apr;41(4):893-7. doi: 10.1093/ejcts/ezr127. Epub 2012 Jan 18.
The requirement for anatomical lung segmentectomies has increased in recent years but this surgical procedure is relatively difficult. We herein present the benefits of using three-dimensional (3D) imaging navigation during a lung segmentectomy via the intra-operative use of an iPad.
Fourteen patients who had undergone an anatomic segmentectomy for a primary lung cancer or a metastatic lung tumour between 1 October 2010 and 30 April 2011 were included in this study. Contrast-enhanced scanning was performed twice on each patient, and 3D images were constructed using a workstation. These images were then transferred to an iPad and analysed during the operation using DICOM image viewer software.
The study group included 3 men (21%) and 11 women (79%) ranging in age from 57 to 83 (mean 69 ± 7.8 years). The operative procedure involved a resection in one case each of the right S1, the right S2, the right S2 + S6a, the right S3, the right S6, the left S8 and the left S8 + 9. The left S1 + 2 and the left basal segment were resected in two cases. The left upper division was resected in three cases. All segmentectomies were successful and no major post-operative complications developed in any patient during or after their procedures. No positive margins were detected pathologically.
A 3D computed tomography navigation using an iPad enhances the ability to perform a safe and secure segmentectomy.
近年来，解剖性肺段切除术的需求有所增加，但该手术相对较为复杂。本文旨在介绍术中使用 iPad 进行三维（3D）成像导航在肺段切除术中的优势。
本研究纳入了 2010 年 10 月 1 日至 2011 年 4 月 30 日期间接受解剖性肺段切除术治疗原发性肺癌或转移性肺肿瘤的 14 例患者。每位患者均进行了两次增强扫描，并使用工作站构建了 3D 图像。然后，将这些图像传输到 iPad 上，并使用 DICOM 图像查看器软件在手术中进行分析。
研究组包括 3 名男性（21%）和 11 名女性（79%），年龄 57 至 83 岁（平均 69 ± 7.8 岁）。手术涉及右 S1、右 S2、右 S2+S6a、右 S3、右 S6、左 S8 和左 S8+9 各 1 例切除，左 S1+2 和左基底段各 2 例切除，左肺上叶前段 3 例切除。所有段切除术均成功完成，患者在手术过程中和手术后均未发生重大术后并发症。病理检查未发现阳性切缘。
使用 iPad 进行 3D 计算机断层扫描导航可提高安全、可靠地进行段切除术的能力。
