Division of Thoracic Surgery, Massachusetts General Hospital, 55 Fruit Street, Austen 7, Boston, MA 02114, USA.
Division of Thoracic Surgery, Massachusetts General Hospital, 55 Fruit Street, Austen 7, Boston, MA 02114, USA.
Surg Oncol Clin N Am. 2022 Oct;31(4):595-608. doi: 10.1016/j.soc.2022.06.003. Epub 2022 Sep 26.
Pulmonary segmentectomy has become a widely accepted technique for resection of early-stage lung cancers. Intraoperative identification of small nodules within the lung parenchyma and definition of segmental anatomy are essential for oncologic segmental resection and significantly enhanced by recent advances in imaging techniques. Advances in imaging for nodule localization, using preoperative markers and three-dimensional computed tomography, delineation of segmental anatomy, and sentinel lymph node mapping have become important components of planning and performing minimally invasive anatomic segmentectomies and are particularly well suited for the evolving robotic-assisted platform.
肺段切除术已成为一种广泛接受的早期肺癌切除技术。术中识别肺部小结节和定义节段解剖结构对于肿瘤学的节段性切除至关重要，而影像学技术的最新进展显著提高了这一能力。术前标记物和三维计算机断层扫描在结节定位、节段解剖描绘和前哨淋巴结绘图方面的影像学进展已成为规划和实施微创解剖性肺段切除术的重要组成部分，特别适合不断发展的机器人辅助平台。
