Modified method for distinguishing the intersegmental border for lung segmentectomy.
Modified method for distinguishing the intersegmental border for lung segmentectomy.
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DOI：
10.1111/1759-7714.12540
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发表时间：
2018-03
期刊：
影响因子：
2.9
通讯作者：
Chen L
中科院分区：
文献类型：
--
作者：
Wang J;Xu X;Wen W;Wu W;Zhu Q;Chen L
本文分析了肺段切除术中一种改进的、简单的肺段间边界识别技术的结果。2013年1月至2015年12月，539名筛查发现最大直径<2厘米的肺结节患者接受了解剖性肺段切除术。在术前三维CT支气管造影和血管造影的指导下，在单侧差异通气下精确解剖靶段的支气管、动脉和段内静脉，然后通过改良的充气-放气方法确定段间分界。该方法所给出的边界与真实的椎体间边界高度吻合。使用电烙术或斯台普斯沿塌陷和充盈节段之间的边界进行沿着剥离是安全的，几乎没有漏气或出血。这种技术是一种简单而有效的替代先前描述的节间边界标记方法。
This paper analyzed the results of a modified and simpler technique for distinguishing the intersegmental border during lung segmentectomy surgery. From January 2013 to December 2015, 539 patients with screening‐detected lung nodules <2 cm in maximum diameter underwent anatomic segmentectomy. With the guidance of preoperative three‐dimensional computed tomography bronchography and angiography, the bronchus, artery, and intrasegmental vein of the targeted segment could be precisely dissected under unilateral differential ventilation, and then intersegmental demarcation was confirmed by the modified inflation‐deflation method. The demarcation presented by this method was highly coincident with the real intersegmental border. Dissection along the border between the collapsed and inflated segments using either electrocautery or staples was safe, with almost no air leak or bleeding. This technique is a simple and effective alternative to previously described intersegmental border marking methods.
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DOI：
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发表时间：
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影响因子：
6
作者：
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