Thoracoscopic anatomical lung segmentectomy using 3D computed tomography simulation without tumour markings for non-palpable and non-visualized small lung nodules

Interactive Cardiovascular and Thoracic Surgery
Hirohisa KatoMitsuaki Sadahiro

Abstract

Although wedge resection can be curative for small lung tumours, tumour marking is sometimes required for resection of non-palpable or visually undetectable lung nodules as a method for identification of tumours. Tumour marking sometimes fails and occasionally causes serious complications. We have performed many thoracoscopic segmentectomies using 3D computed tomography simulation for undetectable small lung tumours without any tumour markings. The aim of this study was to investigate whether thoracoscopic segmentectomy planned with 3D computed tomography simulation could precisely remove non-palpable and visually undetectable tumours. Between January 2012 and March 2016, 58 patients underwent thoracoscopic segmentectomy using 3D computed tomography simulation for non-palpable, visually undetectable tumours. Surgical outcomes were evaluated. A total of 35, 14 and 9 patients underwent segmentectomy, subsegmentectomy and segmentectomy combined with adjacent subsegmentectomy, respectively. All tumours were correctly resected without tumour marking. The median tumour size and distance from the visceral pleura was 14 ± 5.2 mm (range 5-27 mm) and 11.6 mm (range 1-38.8 mm), respectively. Median values related to the procedures were op...Continue Reading

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Citations

Sep 18, 2020·Interactive Cardiovascular and Thoracic Surgery·Nobuhiro TanakaHirofumi Takemura
Dec 20, 2017·General Thoracic and Cardiovascular Surgery·Seshiru NakazawaHiroyuki Kuwano
Feb 5, 2021·The Thoracic and Cardiovascular Surgeon·Satoshi TakamoriTakanobu Kabasawa
Aug 27, 2021·Interactive Cardiovascular and Thoracic Surgery·Hirohisa KatoSatoshi Takamori
Dec 29, 2021·Interactive Cardiovascular and Thoracic Surgery·Satoshi TakamoriKaito Sato

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