Shimizu Kimihiro, Nakazawa Seshiru, Nagashima Toshiteru, Kuwano Hiroyuki, Mogi Akira
Division of General Thoracic Surgery, Integrative Center of General Surgery, Gunma University Hospital, Maebashi, Gunma, Japan.
J Vis Surg. 2017 Jul 1;3:88. doi: 10.21037/jovs.2017.05.10. eCollection 2017.
Segmentectomy has become a widely adopted surgical procedure, with recent reports describing the use of video-assisted thoracoscopic surgery (VATS) and robotic surgery. A major feature of segmentectomy is that it requires a three-dimensional (3D) understanding of the patient's pulmonary structure and a thorough preoperative analysis of the patient's individual anatomy. Here, we present our method for VATS segmentectomy based on 3D-computed tomography (3D-CT), with a review of the literature. We focus on techniques for 3D-CT reconstruction, analyses of the individual anatomy and anomalies, preoperative simulations of the procedure and surgical margin, and intraoperative navigation with 3D-CT images. We also reference the roles of members of our multi-disciplinary surgical team.
肺段切除术已成为一种广泛应用的外科手术，近期有报道描述了其在电视辅助胸腔镜手术（VATS）和机器人手术中的应用。肺段切除术的一个主要特点是需要对患者的肺部结构有三维（3D）的理解，并在术前对患者的个体解剖结构进行全面分析。在此，我们介绍基于三维计算机断层扫描（3D-CT）的VATS肺段切除术方法，并对文献进行综述。我们重点关注3D-CT重建技术、个体解剖结构和异常情况分析、手术过程和手术切缘的术前模拟以及术中3D-CT图像导航。我们还提及了我们多学科手术团队成员的作用。
