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The application of virtual segmentectomy based on three-dimensional computed tomography and angiography in thoracoscopic segmentectomy for children and infants

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Abstract

Objectives

The purpose of this retrospective study was to evaluate the efficacy of anatomic thoracoscopic pulmonary segmentectomy performed based on three-dimensional computed tomography bronchography and angiography (3D-CTBA) in children and infants.

Methods

Totally, 22 patients received thoracoscopic segmentectomy from October 2019 to February 2020. The procedures were performed virtual segmentectomy based on 3D-CTBA. The preoperative planning depended on the 3D-CTBA result.

Results

All of the 22 cases ( 1 left S1, 1 right S3, 1 left S1 + 2, 1 left S1 + 2 + 3, 1 left S4 + 5, 1 right S6, 1 right S10, 1 left S10, 2 right S9 + 10, 3 left S9 + 10, 1 right S7 + 8 + 9 + 10, 8 left S7 + 8 + 9 + 10) were received thoracoscopic segmentectomy successfully. The mean procedure length was 76.6 ± 17.2 min, and the intraoperative blood loss was 16.5 ± 2.8 ml. The mean duration of chest tube insertion was 3.2 ± 0.7 days, and the mean hospital stay was 8.2 ± 2.8 days. Postoperative complications included infection (n = 1), atelectasis (n = 1), hydropneumothorax (n = 1) and pneumothorax (n = 1). No recurrence or mortality was observed during the short-term follow-up period of 3 months.

Conclusions

Based on the 3D-CTBA technique, the specific pulmonary segments invaded by the lesions and the relationship between the corresponding pulmonary vessels and bronchi can be acknowledged before the operation, which is of positive significance for the resection of complex pulmonary segments and good preoperative surgical planning. It’s worth popularizing in the pediatric population.

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References

  1. Oizumi H, Kanauchi N, Kato H et al (2011) Anatomic thoracoscopic pulmonary segmentectomy under 3-dimensional multidetector computed tomography simulation: a report of 52 consecutive cases. J Thorac Cardiovasc Surg 141(3):678–682. https://doi.org/10.1016/j.jtcvs.2010.08.027

    Article  PubMed  Google Scholar 

  2. Saji H, Inoue T, Kato Y et al (2013) Virtual segmentectomy based on high-quality three-dimensional lung modeling from computed tomography images. Interact Cardiovasc Thorac Surg 17(2):227–232. https://doi.org/10.1093/icvts/ivt120

    Article  PubMed  PubMed Central  Google Scholar 

  3. Hagiwara M, Shimada Y, Kato Y et al (2014) High-quality 3-dimensional image simulation for pulmonary lobectomy and segmentectomy: results of preoperative assessment of pulmonary vessels and short-term surgical outcomes in consecutive patients undergoing video-assisted thoracic surgery. Eur J Cardiothorac Surg 46(6):e120–e126. https://doi.org/10.1093/ejcts/ezu375

    Article  PubMed  Google Scholar 

  4. Yang CF, D’Amico TA (2012) Thoracoscopic segmentectomy for lung cancer. Ann Thorac Surg 94(2):668–681. https://doi.org/10.1016/j.athoracsur.2012.03.080 ((epub 2012 Jun 27))

    Article  PubMed  Google Scholar 

  5. Okada M, Tsutani Y, Ikeda T et al (2012) Radical hybrid video-assisted thoracic segmentectomy: long-term results of minimally invasive anatomical sublobar resection for treating lung cancer. Interact Cardiovasc Thorac Surg 14(1):5–11. https://doi.org/10.1093/icvts/ivr065 ((epub 2011 Nov 17))

    Article  PubMed  Google Scholar 

  6. Eguchi T, Takasuna K, Kitazawa A et al (2012) Three-dimensional imaging navigation during a lung segmentectomy using an iPad. Eur J Cardiothorac Surg 41(4):893–897. https://doi.org/10.1093/ejcts/ezrl27

    Article  PubMed  Google Scholar 

  7. Miyajima M, Watanabe A, Uehara M et al (2011) Total thoracoscopic lung segmentectomy of anterior basal segment of the right lower lobe (RS8) for NSCLC stage IA (case report). J Cardiothorac Surg 24(6):115. https://doi.org/10.1186/1749-8090-6-115

    Article  Google Scholar 

  8. Iwano S, Yokoi K, Taniguchi T et al (2013) Planning of segmentectomy using three-dimensional computed tomography angiography with a virtual safety margin: technique and initial experience. Lung Cancer 81(3):410–415. https://doi.org/10.1016/j.lungcan.2013.06.001 ((epub 2013 Jul 6))

    Article  PubMed  Google Scholar 

  9. Nakamoto K, Omori K, Nezu K et al (2010) Superselective segmentectomy for deep and small pulmonary nodules under the guidance of three-dimensional reconstructed computed tomographic angiography. Ann Thorac Surg 89(3):877–883. https://doi.org/10.1016/j.athoracsur.2009.11.037

    Article  PubMed  Google Scholar 

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Funding

This research did not receive any specific grant from funding agencies in the public, commercial, or not-for-profit sectors.

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Authors and Affiliations

  1. Department of Thoracic Surgery, The Children’s Hospital, Zhejiang University School of Medicine, National Clinical Research Center for Child Health, Hangzhou, 310052, Zhejiang, China

    Zheng Tan, Jian-gen Yu, Jian-hua Li, Liang Liang & Qiang Shu

  2. Department of Extracorporeal Circulation and Extracorporeal Life Support, The Children’s Hospital, Zhejiang University School of Medicine, National Clinical Research Center for Child Health, Hangzhou, China

    Lijun-Yang

  3. Department of Surgery, The Children’s Hospital, Zhejiang University School of Medicine, National Clinical Research Center for Child Health, Hangzhou, China

    Chen Zou

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  1. Zheng Tan
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  2. Lijun-Yang
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  3. Chen Zou
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  4. Jian-gen Yu
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  5. Jian-hua Li
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  7. Qiang Shu
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Corresponding author

Correspondence to Zheng Tan.

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Conflict of interest:

Authors Zheng Tan, Lijun-Yang, Chen Zou, Jian-gen Yu, Jian-hua Li, Liang Liang, Qiang Shu declare that they have no conflict of interest.

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This article does not contain any studies with human participants or animals performed by any of the authors.

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Informed consent was obtained from all individual participants included in the study.

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Tan, Z., Lijun-Yang, Zou, C. et al. The application of virtual segmentectomy based on three-dimensional computed tomography and angiography in thoracoscopic segmentectomy for children and infants. Pediatr Surg Int 37, 1207–1214 (2021). https://doi.org/10.1007/s00383-021-04899-x

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  • DOI: https://doi.org/10.1007/s00383-021-04899-x

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