Vervoorn Mats T, Wulfse Maaike, Mohamed Hoesein Firdaus A A, Stellingwerf Margriet, van der Kaaij Niels P, de Heer Linda M
Department of Cardiothoracic Surgery, Division of Heart & Lungs, University Medical Center Utrecht, Utrecht, Netherlands.
Department of Radiology, Division of Imaging & Oncology, University Medical Center Utrecht, Utrecht, Netherlands.
Front Surg. 2022 Dec 26;9:1079857. doi: 10.3389/fsurg.2022.1079857. eCollection 2022.
Pulmonary surgery is an innovative discipline with increasing demands for minimally invasive techniques in complicated anatomical resections, warranting adequate preoperative imaging of relevant surgical anatomy to ensure safe and radical resection of target lesions. Over the recent years, the emergence of imaging techniques enabling three-dimensional reconstruction has exerted promising influence on pulmonary surgery, facilitating optimal surgical planning and easier identification of the spatial relationship between bronchovascular structures in the individual patient and aiding the safe resection of target pulmonary lesions. The goal of this mini-review is to provide an overview of three-dimensional computed tomography imaging within pulmonary surgery.
The authors performed a targeted qualitative review of the literature to identify current trends and to provide better understanding of three-dimensional reconstruction within the boundaries of pulmonary surgery.
Three-dimensional reconstructive techniques can be used for resectability assessment, identification of surgically relevant interindividual anatomic variance and may improve perioperative outcomes.
Three-dimensional reconstruction using computed tomography imaging improves surgical planning and there is evidence that it results in shorter operative times, less intraoperative blood loss and lower rates of surgical conversion, as it can be applied both pre- and intraoperatively.
肺外科是一门创新性学科，在复杂解剖结构切除术中对微创技术的需求不断增加，这就需要对相关手术解剖结构进行充分的术前成像，以确保安全、彻底地切除目标病变。近年来，能够进行三维重建的成像技术的出现对肺外科产生了积极影响，有助于进行最佳手术规划，并更易于识别个体患者支气管血管结构之间的空间关系，辅助安全切除目标肺部病变。本综述的目的是概述肺外科中的三维计算机断层扫描成像。
作者对文献进行了有针对性的定性综述，以确定当前趋势，并更好地理解肺外科范围内的三维重建。
三维重建技术可用于可切除性评估、识别手术相关的个体间解剖变异，并可能改善围手术期结局。
使用计算机断层扫描成像进行三维重建可改善手术规划，并且有证据表明，由于其可在术前和术中应用，因此可缩短手术时间、减少术中出血量并降低手术转换率。
