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- W4321003884 abstract "With the extensive application of segmental lung resection in the treatment of early-stage lung cancer, how to complete segmentectomy more accurately and minimally invasively has become a research hotspot. The aim of this study is to explore the application of three-dimensional computed tomography bronchography and angiography (3D-CTBA) combined with perfusion area recognition technique in single-hole thoracoscopic complex segmentectomy.From January 2021 to January 2022, the clinical data of 112 consecutive patients undergoing single-port thoracoscopic complex segmentectomy in the Department of Thoracic Surgery, Xuanwu Hospital, Capital Medical University were retrospectively analyzed. The three-dimensional reconstruction combined with perfusion area identification technique was used to perform the operation and the clinical data were analyzed.The average operation time was (141.1±35.4) min; the initial time of intersegmental plane display was (12.5±1.7) s; the maintenance time of intersegmental plane was (114.3±10.9) s; the intersegmental plane was clearly displayed (100%); the amount of bleeding was [10 (10, 20)] mL; the total postoperative drainage volume was (380.5±139.7) mL; the postoperative extubation time was (3.9±1.2) d; and the postoperative hospitalization time was (5.2±1.6) d. Postoperative complications occurred in 8 cases.The advantages of 3D-CTBA combined with perfusion area recognition technique are fast, accurate and safe in identifying intersegmental boundary in single-port thoracoscopic complex segmentectomy, which could provide guidances for accuratding resection of tumors, shortening operation time and reducing surgical complications.【中文题目:3D-CTBA结合灌注区识别技术 在单孔胸腔镜复杂肺段切除术中的应用】 【中文摘要:背景与目的 随着肺段切除术在早期肺癌治疗中的广泛应用,如何更加精准和微创地完成肺段切除成为研究热点。本研究旨在探讨三维计算机断层支气管血管成像(three-dimensional computed tomography bronchography and angiography, 3D-CTBA)结合灌注区识别技术在单孔胸腔镜复杂肺段切除术中的应用价值。方法 回顾性分析2021年1月-2022年1月首都医科大学宣武医院胸外科单诊疗组连续112例单孔胸腔镜复杂肺段切除术患者的资料,总结采用三维重建结合灌注区识别技术完成手术并分析其临床数据。结果 本组病例平均手术时间为(141.1±35.4)min,段间界显示初始时间为(12.5±1.7)s,段间界维持时间为(114.3±10.9)s,肺段间界均清晰显示(100%),出血量为[10 (10, 20)]mL,术后总引流量为(380.5±139.7)mL,术后拔管时间为(3.9±1.2)d,术后住院时间为(5.2±1.6)d。8例出现术后并发症。结论 3D-CTBA结合灌注区识别技术在单孔胸腔镜复杂肺段切除术中对段间界识别具有快速、准确和安全的优点,为精准切除肿瘤、减少手术时间及降低手术并发症提供指导。 】 【中文关键词:肺肿瘤;单孔胸腔镜;肺段切除术;段间界;灌注区;识别技术】." @default.
- W4321003884 created "2023-02-17" @default.
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- W4321003884 date "2023-01-20" @default.
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- W4321003884 title "[Application of Three-dimensional Computed Tomography Bronchography and Angiography Combined with Perfusion Area Identification Technique in Uniport Thoracoscopic Complex Segmentectomy]." @default.
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- W4321003884 doi "https://doi.org/10.3779/j.issn.1009-3419.2023.101.02" @default.
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