ArticleJournal of thoracic disease2021
Three-dimensional reconstruction facilitates thoracoscopic anatomical partial lobectomy by an inexperienced surgeon: a single-institution retrospective review.
Article in Journal of thoracic disease, 2021. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 13 papers.
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13 citing papers in PubMed, 9 citations in OpenAlex.
- Thoracoscopic left apicoposterior segmentectomy for bronchiectasis with a displaced B¹⁺² bronchus: a case report.Journal of cardiothoracic surgery · 2026Article
- Impact of patient-specific three-dimensional reconstruction on surgical planning and perioperative outcomes in early-stage lung cancer: a randomised clinical trial.Frontiers in oncology · 2026Article
- 3DCT reconstruction-does 3DCT improve anatomical lung resection?-a narrative review of the literature.Journal of thoracic disease · 2025Review
- Advances in the Application of Three-Dimensional Reconstruction in Thoracic Surgery: A Comprehensive Review.Thoracic cancer · 2025Review
- Advancements in 3D lung models for minimally invasive lung cancer surgery: from static to real-time dynamic modeling.Translational lung cancer research · 2025Review
- The branching patterns of bronchi and pulmonary arteries are associated with lingula division volume.Journal of thoracic disease · 2025Article
- Development of a CT image-based virtual atelectasis simulation model and noninvasive lung nodule localization system.Journal of thoracic disease · 2024Article
- Rare complex anatomical variation of right pulmonary vessels and bronchi: a case report.Journal of thoracic disease · 2024Article
- Anatomical partial lobectomy for lung cancer: less or more?Journal of thoracic disease · 2024Article
- Three-Dimensional Imaging-Guided Lung Anatomic Segmentectomy: A Single-Center Preliminary Experiment.Medicina (Kaunas, Lithuania) · 2023Article
- Learning curve analysis of single-port thoracoscopic combined subsegmental resections.Frontiers in oncology · 2023Article
- Anatomical type analysis of right interlobar artery based on chest thin-slice CT scan and three-dimensional reconstruction.Journal of cardiothoracic surgery · 2022Article
- Application of three-dimensional computed tomography imaging and reconstructive techniques in lung surgery: A mini-review.Frontiers in surgery · 2022Review
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Authors and funding
5 authors at 2 institutions in 1 country.
Funding
No grant is acknowledged in the PubMed record.
Abstract
backgroundThis study aimed to evaluate the effect of three-dimensional (3D) interactive quantitative surgical planning on the outcome of video-assisted thoracoscopic surgery (VATS) anatomical partial lobectomy (APL), and to investigate the learning curve of 3D reconstruction-assisted VATS APL assisted.
methodsWe retrospectively analyzed 156 cases of solitary pulmonary ground-glass opacity (GGO) lesions in patients who underwent 3D interactive quantitative VATS APL. Digital imaging and communications in medicine data were recorded for each patient. We used Materialise 3-Matic software to make 3D reconstructed images. All surgeries were performed by the same thoracic surgeon at the Cardiothoracic Surgery Department of Yichang Central People's Hospital between February 28, 2018, and April 20, 2020. The learning curve was evaluated using operative time and the cumulative sum (CUSUM) value of operative time in all cases.
resultsVATS APL was performed in every patient successfully, and there were no conversions to thoracotomy or lobectomy. The median surgical margin distance was 2.2 (range, 2.0-2.8) cm. All patients had an R0 complete cancer resection on histology. The histological subtypes of the segmental lesions included 69 cases of minimally invasive adenocarcinoma (MIA), 61 cases of adenocarcinoma, one case of squamous cell carcinoma, 16 cases of adenocarcinoma in situ (AIS), and nine cases of atypical adenomatous hyperplasia (AAH). The median operation time was 119 (range, 57-245) min, and median intraoperative blood loss was 37 (range, 15-247) mL. The median duration of thoracic drainage tube insertion was 2.3 (range, 1-23) days after surgery. The median length of postoperative hospital stay was 3.7 (range, 3-25) days. There were no cases of perioperative death. During the median postoperative follow-up period of 11 (range, 2-26) months, no tumor recurrence or postoperative death was observed. 3D interactive quantitative surgical planning facilitates safe and efficient VATS APL with a learning curve of 30 cases.
conclusions3D interactive quantitative surgical planning for VATS APL is a feasible option for inexperienced surgeons, with acceptable safety and complications.
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