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

Abstract

Purpose

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.

Methods

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

Results

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.

Conclusion

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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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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