青岛大学学报（医学版）2023，Vol.59Issue(6)：921-925,5.DOI:10.11712/jms.2096-5532.2023.59.193
虚拟手术规划在肺结节微弹簧圈定位胸腔镜切除术中的应用
APPLICATION OF VIRTUAL SURGICAL PLANNING IN THORACOSCOPIC RESECTION WITH MICROCOIL LOCALIZATION FOR PULMONARY NODULES
摘要
Abstract
Objective To evaluate the value of perioperative virtual planning based on the medical image control system for thoracoscopic anatomical sublobectomy with invasive localization for pulmonary nodules.Methods We included a total of 75 patients who underwent thoracoscopic sublobectomy in the Department of Thoracic Surgery of Qingdao Central Hospital from April 2019 to July 2020.According to the lung nodule localization methods,they were divided into three groups:three-dimensional(3D)reconstruction group,microcoil group,and 3D reconstruction + microcoil group.The three groups were compared in terms of complications,localization time,surgical time,nodule localization time,the number of closure staples used,first-attempt success rate for nodule resection,and total hospitalization cost.Results The localization time differed significantly between the three groups(F=265.37,P<0.05);the 3D reconstruction + microcoil group had a significantly longer localization time than the 3D re-construction group and the microcoil group,and the 3D reconstruction group had a significantly longer localization time than the microcoil group(P<0.05).The nodule localization time was significantly different between the three groups(F=2.98,P<0.05),which was significantly longer in the 3D reconstruction + microcoil group than in the 3D reconstruction group and the micro coil group(P<0.05).There was a significant difference in the number of staples used between the three groups(F=2.51,P<0.05);the 3D reconstruction + microcoil group used significantly fewer staples than the 3D reconstruction group(P<0.05).No signifi-cant differences were found between the three groups in surgical time,total hospitalization cost,and first-attempt success rate for nodule resection(P>0.05).Conclusion 3D reconstruction-based virtual surgical planning combined with microcoil localization after puncture localization of pulmonary nodules can ensure a safe distance to the margin and quickly determine the location of no-dules during thoracoscopic anatomical sublobectomy.It is accurate,safe,effective,and of great value for clinical application.关键词
成像,三维/胸外科手术,电视辅助/定位/多发性肺结节Key words
imaging,three-dimensional/thoracic surgery,video-assisted/positioning/multiple pulmonary nodules分类
医药卫生引用本文复制引用
崔翔宇,鲁瑞珍,由玉梅,韩文洁,张志学,赵景岚..虚拟手术规划在肺结节微弹簧圈定位胸腔镜切除术中的应用[J].青岛大学学报（医学版）,2023,59(6):921-925,5.基金项目
青岛市医药科研指导计划项目(2020-WJZD072) （2020-WJZD072）
