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3D-CT anatomy for VATS segmentectomy

Authors :
Toshiteru Nagashima
Kimihiro Shimizu
Akira Mogi
Seshiru Nakazawa
Hiroyuki Kuwano
Publication Year :
2017
Publisher :
AME Publishing Company, 2017.

Abstract

Segmentectomy has become a widely adopted surgical procedure, with recent reports describing the use of video-assisted thoracoscopic surgery (VATS) and robotic surgery. A major feature of segmentectomy is that it requires a three-dimensional (3D) understanding of the patient’s pulmonary structure and a thorough preoperative analysis of the patient’s individual anatomy. Here, we present our method for VATS segmentectomy based on 3D-computed tomography (3D-CT), with a review of the literature. We focus on techniques for 3D-CT reconstruction, analyses of the individual anatomy and anomalies, preoperative simulations of the procedure and surgical margin, and intraoperative navigation with 3D-CT images. We also reference the roles of members of our multi-disciplinary surgical team.

Details

Language :
English
Database :
OpenAIRE
Accession number :
edsair.doi.dedup.....00032e8ec4d23939b618620c3623c5a4