Application of CT Three-dimensional Reconstruction Assisted Single-aperture Thoracoscopic Lobectomy in Early-stage Non-small Cell Lung Cancer
Objective:To explore the application effect of CT three-dimensional reconstruction assisted by single-aperture thoracoscopic pulmonary lobectomy in the treatment of early-stage non-small cell lung cancer(NSCLC).Method:A total of 88 patients with early-stage NSCLC admitted to Ganzhou Cancer Hospital from January 2021 to December 2023 were retrospectively selected as the study objects.All patients underwent single-aperture thoracoscopic lobotomy.The patients were divided into reconstruction group(n=37)and non-reconstruction group(n=51)according to whether CT three-dimensional reconstruction was performed before surgery.Positioning condition of preoperative CT three-dimensional reconstruction was observed in the reconstruction group.Perioperative indexes and postoperative complications were compared between the two groups.Result:In the reconstruction group,the coincidence rates of preoperative CT three-dimensional reconstruction of pulmonary artery,pulmonary vein and bronchus with intraoperative exploration were 94.59%,97.30%and 100%,respectively.The incidence of anatomic variation in pulmonary vein or pulmonary artery was 18.92%.The operative time,thoracic drainage time and hospital stay in the reconstruction group were shorter than those in the non-reconstruction group,and the intraoperative blood loss and total thoracic drainage volume were less than those in the non-reconstruction group,the differences were statistically significant(P<0.05).The total incidence of complications in the reconstruction group was 13.51%,which was lower than 33.33%in the non-reconstruction group,the difference was statistically significant(P<0.05).Conclusion:In the treatment of patients with early-stage NSCLC,CT three-dimensional reconstruction assisted by single-aperture thoracoscopic lobectomy can shorten operation time and hospital stay,reduce bleeding,thoracic drainage and postoperative complications,and improve surgical safety and accuracy.
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