Surgery Today

, Volume 39, Issue 10, pp 844–847 | Cite as

Importance of preoperative imaging with 64-row three-dimensional multidetector computed tomography for safer video-assisted thoracic surgery in lung cancer

  • Tadashi Akiba
  • Hideki Marushima
  • Junta Harada
  • Susumu Kobayashi
  • Toshiaki Morikawa
Original Article



Video-assisted thoracic surgery (VATS) has recently been adopted for complicated anatomical lung resections. During these thoracoscopic procedures, surgeons view the operative field on a two-dimensional (2-D) video monitor and cannot palpate the organ directly, thus frequently encountering anatomical difficulties. This study aimed to estimate the usefulness of preoperative three-dimensional (3-D) imaging of thoracic organs.


We compared the preoperative 64-row three-dimensional multidetector computed tomography (3DMDCT) findings of lung cancer-affected thoracic organs to the operative findings.


In comparison to the operative findings, the branches of pulmonary arteries, veins, and bronchi were well defined in the 3D-MDCT images of 27 patients.


3D-MDCT imaging is useful for preoperatively understanding the individual thoracic anatomy in lung cancer surgery. This modality can therefore contribute to safer anatomical pulmonary operations, especially in VATS.

Key words

Lung/mediastinum Lung cancer Video-assisted thoracic surgery Pulmonary artery Three-dimensional computed tomography 


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  1. 1.
    Shields TW. Surgical anatomy of the lungs. In: General thoracic surgery. 5th ed. Philadelphia: Lippincott Williams & Wilkins; 2000. p. 63–75.Google Scholar
  2. 2.
    Akiba T, Marushima H, Takagi M, Odaka M, Harada J, Kobayashi S, et al. Preoperative evaluation of a tracheal bronchus by three-dimensional 64-row multidetector-row computed tomography (MDCT) bronchography and angiography, report of a case. Surg Today 2008;38(9):841–843.PubMedCrossRefGoogle Scholar
  3. 3.
    Kaseda S, Aoki T, Hangai N. Video-assisted thoracic surgery (VATS) lobectomy: the Japanese experience. Semin Thorac Cardiovasc Surg 1998;10:300–304.PubMedGoogle Scholar
  4. 4.
    Bauer TL, Steiner KV. Virtual bronchoscopy: clinical application and limitations. Surg Oncol Clin North Am 2007;16(2):323–328.CrossRefGoogle Scholar
  5. 5.
    Duong PA, Ferson PF, Fuhrman CR, McCurry KR, Lacomis JM. 3D-multidetector CT angiography in the evaluation of potential donors for living donor lung transplantation. J Thorac Imaging 2005;20(1):17–23.PubMedCrossRefGoogle Scholar
  6. 6.
    Tanaka T, Gohra H, Furukawa S, Hamano K. The usefulness of pre-operative three-dimensional computed tomographic pulmonary angiography for anatomical resections of primary lung cancer (in Japanese with English abstract). Nihon Kokyukigeka Gakkaizasshi (J Jpn Assoc Chest Surg) 2005;19(1):8–11.Google Scholar
  7. 7.
    Watanabe S, Arai K, Watanabe T, Koda W, Urayama H. Use of three-dimensional computed tomographic angiography of pulmonary vessels for lung resections. Ann Thorac Surg 2003;75: 388–392.PubMedCrossRefGoogle Scholar
  8. 8.
    Akiba T, Marushima H, Harada J, Kobayashi S, Morikawa T. Anomalous pulmonary vein detected using three-dimensional computed tomography in a patient with lung cancer undergoing thoracoscopic lobectomy. Gen Thorac Cardiovasc Surg 2008; 56(8):413–416.PubMedCrossRefGoogle Scholar

Copyright information

© Springer 2009

Authors and Affiliations

  • Tadashi Akiba
    • 1
  • Hideki Marushima
    • 1
  • Junta Harada
    • 2
  • Susumu Kobayashi
    • 1
  • Toshiaki Morikawa
    • 3
  1. 1.Department of SurgeryJikei University Kashiwa HospitalKashiwa, ChibaJapan
  2. 2.Department of RadiologyJikei University Kashiwa HospitalKashiwa, ChibaJapan
  3. 3.Division of General Thoracic SurgeryJikei University HospitalTokyoJapan

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