Application Of Three-Dimensional Reconstruction And Virtual Surgery Planning In Thoracoscopic Anatomical Segmentectomy

Objective: To explore the value of three-dimensional reconstruction and virtual surgery planning in thoracoscopic anatomicalsegmentectomy.Methods:A retrospective study was conducted to collect the clinical data of 87 patients undergoing thoracoscopic anatomical segmentectomy for the treatment of early stage non-small cell lung cancer from January 2016 to December 2017 in the First Hospital of Jiaxing City.A total of 87 patients with early stage non-small cell lung cancer,including25 males,28.74%,62 females,accounting for 71.26%.The age ranged from 24-79 years,with an average of 60.81 ± 12.14 years old.36 cases were ≥ 65 years old,accounting for 41.38%,and 51 cases were <65 years old,accounting for 58.62%.The diameter of the mall pulmonary nodules or ground glass opacity is 0.6-2.0 cm,with an average of 1.32 ± 0.28 cm.20 cases in stage 0,accounting for 22.99%,and 55 cases in stage I,accounting for 77.01%.Divided into two groups: three-dimensional reconstruction and virtual surgery planning group(42 cases)and non-three-dimensional reconstruction and virtual surgery planning group(45 cases).Three-dimensional reconstruction and virtual surgery planning group: The use of three-dimensional reconstruction and virtual surgery planning to develop and implement individualized thoracoscopic anatomical segmentectomy.Non-three-dimensional reconstruction and virtual surgery planning group: Thoracoscopy anatomical segmentectomy was performed as usual.To compare the perioperative outcomes of the two groups of patients,to explore the value of three-dimensional reconstruction and virtual surgery in thoracoscopic anatomical segmentectomy.Results:The operation of both groups was successfully completed under thoracoscopic surgery,and there was no case of transthoracic chest surgery.The size of the three-dimensional reconstruction and virtual surgery planning group in the age,gender,small pulmonary nodules or ground glass,the size of the small pulmonary nodules or ground glass,the number of serious complications and non-three-dimensional reconstruction There was no significant difference in the virtual surgery planning group,and there was no statistical significance(P>0.05).Three-dimensional reconstruction and virtual surgery planning group operation time,intraoperative blood loss,intraoperative lymph node group,intraoperative lymph node dissection,postoperative hospital stay,postoperative thoracic closed drainage tube,postoperative complication rate There were significant differences between the two groups(P<0.05).Conclusions: Three-dimensional reconstruction and virtual surgery have significant perioperative effects in the treatment of early stage non-small cell lung cancer with thoracoscopic anatomical segmentectomy,which can improve the accuracy and safety of surgery.