摘要
目的探讨个体化肺结节三维重建模拟手术在胸腔镜肺段切除中的应用价值。方法2018年12月~2019年12月接受手术治疗的肺结节病人60例,随机分为三维重建模拟手术组和非三维重建模拟手术组,每组各30例。比较两组围手术期相关指标的差异。结果两组均顺利完成胸腔镜下肺段切除术;三维重建模拟手术组术前与术中吻合率分别为:结节部位100%,靶段血管96.67%,靶段支气管96.42%;三维重建模拟手术组的手术时间、术中出血量、引流管留置时间、术后总引流量以及术后住院时间均低于非三维重建模拟手术组,差异有统计学意义(P<0.05),两组术中清扫淋巴结个数与术后并发症发生率比较,差异无统计学意义(P>0.05)。结论肺结节基于三维重建个体化胸腔镜解剖性肺段切除术安全有效,较常规手术更具临床应用价值。
Objective To explore the application value of individualized 3D reconstruction of lung nodules in thoracoscopic segmentectomy.Methods Sixty patients with pulmonary nodules who underwent surgical treatment were randomly divided into three-dimensional reconstructionsimulated surgery group and non-three-dimensional reconstruction simulated surgery group in our hospital from December 2018 to December 2019,and 30 cases each group.A comparative analysis of the differences in the perioperative indicators of the two groups of patients.Results Both groups of patients successfully completed thoracoscopic lung segmentectomy.Preoperative and intraoperative anastomosis rates of the three-dimensional reconstruction simulated surgery group were 100%of the nodule site,96.67%of the target segment blood vessel,and 96.42%of the target segment bronchus respectively.The operation time,intraoperative blood loss,drainage tube retention time,postoperative total drainage volume and postoperative hospital stay were significantly lower in the simulated surgery group than in the non-three-dimensional reconstruction simulated surgery group,the difference was statistically significant(P<0.05).There was no statistically significant difference in the number of intermediate dissection lymph nodes and the incidence of postoperative complications between the two groups(P>0.05).Conclusion Individualized thoracoscopic anatomical segmentectomy of lung nodules based on three-dimensional reconstruction is safe and effective,and has more clinical value than conventional surgery.
作者
陈刚
汪方清
阮卫民
胡卫建
CHEN Gang;WANG Fangqing;RUAN Weimin(Department of thoracic surgery,Tongling People's Hospital,Anhui Province,Tongling 244000,China)
出处
《临床外科杂志》
2020年第7期643-646,共4页
Journal of Clinical Surgery
关键词
肺结节
三维重建
模拟手术
胸腔镜
肺段切除术
pulmonary nodules
three-dimensional reconstruction
simulated surgery
thoracoscopy
segmentectomy
