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三维技术在电视胸腔镜手术肺段切除术中的应用

Application of three-dimensional technology in video-assisted thoracoscopic surgery sublobectomy.

作者信息

Zhang Xinyu, Yang Di, Li Linqian, Wang Jianing, Liang Si, Li Peng, Han Zhe, Wang Xiaodong, Zhang Ke

机构信息

Clinical Medical College of Hebei University, Affiliated Hospital of Hebei University, Baoding, China.

Thoracic Surgery Department, Affiliated Hospital of Hebei University Cardiothoracic Surgical Department, Affiliated Hospital of Hebei University, Baoding, China.

出版信息

Front Oncol. 2024 Mar 8;14:1280075. doi: 10.3389/fonc.2024.1280075. eCollection 2024.

Abstract

BACKGROUND

Due to the widespread use of imaging techniques, the detection rate of early-stage lung cancer has increased. Video-assisted thoracoscopic surgery (VATS) sublobectomy has emerged as a prominent alternative to lobectomy, offering advantages like reduced resection range, better preservation of lung function, and enhanced postoperative quality of life. However, sublobectomy is more intricate than lobectomy, necessitating a higher level of surgical proficiency and anatomical understanding.

METHODS

Three electronic databases were searched to capture relevant studies from January 2016 to March 2023, which related to the application of three-dimensional(3D) technology in VATS sublobectomy.

RESULTS

Currently, clinical departments such as orthopedics, hepatobiliary surgery, and urology have started using 3D technology. This technology is expected to be widely used in thoracic surgery in future. Now 3D technology assists in preoperative planning, intraoperative navigation and doctor-patient communication.

CONCLUSION

3D technologies, instrumental in locating pulmonary nodules and identifying variations in target lung segmental vessels and bronchi, play pivotal roles in VATS sublobectomy, especially in preoperative planning, intraoperative navigation, and doctor-patient communication. The limitations of 3D technology in clinical application are analyzed, and the future direction of existing 3D technology development is prospected.

摘要

背景

由于成像技术的广泛应用,早期肺癌的检出率有所提高。电视辅助胸腔镜手术(VATS)亚肺叶切除术已成为肺叶切除术的一种重要替代方法,具有切除范围更小、肺功能保存更好以及术后生活质量提高等优点。然而,亚肺叶切除术比肺叶切除术更为复杂,需要更高水平的手术熟练度和解剖学理解。

方法

检索了三个电子数据库,以获取2016年1月至2023年3月期间与三维(3D)技术在VATS亚肺叶切除术中的应用相关的研究。

结果

目前,骨科、肝胆外科和泌尿外科等临床科室已开始使用3D技术。预计该技术未来将在胸外科中广泛应用。现在3D技术有助于术前规划、术中导航和医患沟通。

结论

3D技术在定位肺结节以及识别目标肺段血管和支气管变异方面发挥着关键作用,在VATS亚肺叶切除术中尤其在术前规划、术中导航和医患沟通方面发挥着关键作用。分析了3D技术在临床应用中的局限性,并展望了现有3D技术发展的未来方向。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/1b08/10957557/c1dbdefc07c3/fonc-14-1280075-g001.jpg

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