Three-Dimensional Interactive Quantitative Surgical Planning with Complete Thoracoscopic Lateral Basal Segmentectomy

Yun Liu1,2#, Songlin Zhang1,2*, Chaobing Liu1,2#, Ming Yan1,2 and Lailong Sun1,2

1Department of Cardiothoracic Surgery, The First College of Clinical Medical Science, China Three Gorges University, China
2Department of Cardiothoracic Surgery, Yichang Central People's Hospital, China
#These authors contributed equally to this work

^*Correspondance to: Songlin Zhang 

 PDF  Full Text DOI: 10.25107/2474-1647.3581

Abstract

Objectives: Thoracoscopic segmentectomy for the lateral basal Segment (S9) is one of the most technically challenging anatomical segmentectomy. This study aimed to describe thoracoscopic segmentectomy of S9 or S9b using Three-Dimensional (3D) interactive quantitative surgical planning through inferior pulmonary ligament approach. Methods: This retrospective study included 17 patients who underwent thoracoscopic S9 segmentectomy or S9b subsegmentectomy between February 2018 and December 2020. All procedures were performed using 3D interactive quantitative surgical planning through inferior pulmonary ligament approach. Results: All procedures were successfully performed under thoracoscopic visualization, with no conversion to thoracotomy or lobectomy. The operation time of RS9 segmentectomy was significantly longer than that of LS9 segmentectomy (P<0.01). The operation time of S9 segmentectomy was significantly longer than that of S9b subsegmentectomy (P<0.01). Surgical resection margin ranged from 20.0 mm to 27.7 mm (median, 21.7 mm). Chest tube duration was 2 days (range 1 to 4 days) and postoperative hospital stay was 4 days (range 3 to 7 days). No postoperative morbidity and death were identified. Pathological examination revealed 7 cases of adenocarcinoma, 7 cases of Minimally Invasive Adenocarcinoma (MIA), 2 cases of Adenocarcinoma in Situ (AIS), and 1 cases of Atypical Adenomatous Hyperplasia (AAH). No recurrence or mortality was observed during the median follow-up period of 13 months (range, 1 to 34 months). Conclusion: This is the first report of a cohort of patients undergoing S9 segmentectomy or S9b subsegmentectomy, 3D interactive quantitative surgical planning through inferior pulmonary ligament approach method for thoracoscopic S9 segmentectomy was feasible in our hands with acceptable safety and complications.

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Cite the article

Liu Y, Zhang S, Liu C, Yan M, Sun L. Three-Dimensional Interactive Quantitative Surgical Planning with Complete Thoracoscopic Lateral Basal Segmentectomy. Clin Surg. 2022; 7: 3581.