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Importance of Preoperative Imaging with 64-row Three-dimensional Multidetector Computed Tomography for Safer Video-assisted Thoracic Surgery in Lung Cancer

Overview
Journal Surg Today
Specialty General Surgery
Date 2009 Sep 29
PMID 19784721
Citations 28
Authors
Tadashi Akiba
Hideki Marushima
Junta Harada
Susumu Kobayashi
Toshiaki Morikawa
Affiliations
Soon will be listed here.
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.

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An analysis of the left top pulmonary vein and comparison with the right top pulmonary vein for lung resection by three-dimensional CT angiography and thin-section images.

Murota M, Norikane T, Yamamoto Y, Ishimura M, Mitamura K, Takami Y Jpn J Radiol. 2023; 41(9):965-972.

PMID: 37040023 PMC: 10468950. DOI: 10.1007/s11604-023-01424-z.

References
1.
Duong P, Ferson P, Fuhrman C, McCurry K, Lacomis J . 3D-multidetector CT angiography in the evaluation of potential donors for living donor lung transplantation. J Thorac Imaging. 2005; 20(1):17-23. DOI: 10.1097/01.rti.0000155040.51662.c7. View
2.
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(2):388-92; discussion 392. DOI: 10.1016/s0003-4975(02)04375-8. View
3.
Akiba T, Marushima H, Takagi M, Odaka M, Harada J, Kobayashi S . 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):841-3. DOI: 10.1007/s00595-007-3717-z. View
4.
Kaseda S, Aoki T, Hangai N . Video-assisted thoracic surgery (VATS) lobectomy: the Japanese experience. Semin Thorac Cardiovasc Surg. 1998; 10(4):300-4. DOI: 10.1016/s1043-0679(98)70031-0. View
5.
Bauer T, Steiner K . Virtual bronchoscopy: clinical applications and limitations. Surg Oncol Clin N Am. 2007; 16(2):323-8. DOI: 10.1016/j.soc.2007.03.005. View