Published online Dec 6, 2021. doi: 10.12998/wjcc.v9.i34.10494
Peer-review started: February 15, 2021
First decision: July 16, 2021
Revised: July 20, 2021
Accepted: September 14, 2021
Article in press: September 14, 2021
Published online: December 6, 2021
Performance of video-assisted thoracoscopic surgery (VATS) segmentectomy and lobectomy for primary lung cancer has currently increased. For small lung lesions, identification of the anatomical variation and intersegmental line is often difficult, and ensuring a sufficient surgical margin is more likely to be uncertain.
A lack of stereoscopic vision and the existence of anatomical variations create problems for surgeons during VATS, which can lead to unexpected complications.
The purpose of this study was to evaluate the therapeutic effect of VATS segmen
The 3D-CTBA during VATS segmentectomy and lobectomy was used for identifying the location of lesions, confirming anatomical variations, and securing the resection margins.
There was no intraoperative massive hemorrhages, postoperative intensive-care unit stays or 30-d mortalities. Three-dimensional navigation was performed to confirm the segmental structure, precisely cut off the targeted segment, and avoid intersegmental veins injury.
The combination of VATS and 3D-CTBA worked in harmony in our study. This combination also demonstrated a new pattern of transition from lesion-directed location of tumors to computer-aided surgery for the management of small lung lesions.
Intraoperative 3D-CTBA navigation could enable a more definitive VATS segmentectomy and lobectomy for early lung cancer.