The Guidance of Thin Cross- Section of CT in Anatomic Segmentectomy
- Conditions
- Three-dimensional-computed Tomography (3D-CT)SegmentectomyVideo- Assisted Thoracoscopic SurgeryThin Cross- Section of CT
- Interventions
- Other: 3D simulation Guided Anatomic SegmentectomyOther: Cross- Section of CT Guided Anatomic Segmentectomy
- Registration Number
- NCT04842578
- Lead Sponsor
- The Second Hospital of Shandong University
- Brief Summary
Three-dimensional (3D) simulation of pulmonary vessels and the space between the lesion and adjacent tissues is regarded improving the safety and accuracy of video-assisted thoracoscopic surgery (VATS) for segmentectomy for ground glass opacity (GGO) in lung. However, not every thoracic surgeon can handle the technique, in addition, the 3D reconstruction originate from the thin CT scan. Actually, the investigators found that, the reading and comprehension of the thin cross- section of CT can guide the accurate anatomic segmentectomy in most situations. The investigators designed a retrospective study to compare the reading of thin cross- section of CT with 3D reconstruction or without 3D reconstruction during the guidance of anatomic segmentectomy.
- Detailed Description
Not available
Recruitment & Eligibility
- Status
- COMPLETED
- Sex
- All
- Target Recruitment
- 200
Selection criteria for VATS segmentectomy in the present study were as follows:
(I) patients with single peripheral GGO lesion considered suspicious for malignancy;
(II) the lesion <2 cm in diameter and with at least one of the followings:
(i) pure adenocarcinoma in situ (AIS) histology;
(ii) nodule has ≥50% ground-glass appearance on high resolution CT;
(iii) radiologic surveillance conforms a long doubling time (≥400 days).
(I) patients with insufficient cardiopulmonary function;
(II) other contraindication for segmentectomy.
Study & Design
- Study Type
- INTERVENTIONAL
- Study Design
- PARALLEL
- Arm && Interventions
Group Intervention Description group of thin 3D simulation 3D simulation Guided Anatomic Segmentectomy Anatomic Segmentectomy with the Guidance of 3D simulation group of thin cross- section of CT Cross- Section of CT Guided Anatomic Segmentectomy Anatomic Segmentectomy with the Guidance of Thin Cross- Section of CT
- Primary Outcome Measures
Name Time Method time before surgery (days) from the day of being hospitalized to the day of surgery, within 5 days days before surgery after being hospitalized
confirmation time during surgery （number） Intraoperative review time of the 3D reconstruction or the thin cross- section of CT during surgery
the incidence of atelectasis （percentage） within 7 days after surgery the incidence of atelectasis after surgery
Chest tube duration (days) within 7 days after surgery Chest tube duration after surgery
operation time (minutes) from beginning to the end of surgery, up to 180 minutes the duration of the operation time
planning time (minutes) from the first time of thin cross- section of CT is presented to the end of surgery, within 7 days the planning time for anatomic segmentectomy before surgery, including the time- cost of the decision making and the planning time for surgery
air leakage after surgery (days) within 7 days after surgery the days of air leakage after surgery
the incidence of pneumonia （percentage） within 7 days after surgery the incidence of pneumonia after surgery
Intraoperative bleeding (ml) Intraoperative bleeding during anatomic segmentectomy, through the operation, an average of 100 ml
Postoperative hospital stay (days) within 7 days after surgery hospital stay after surgery
- Secondary Outcome Measures
Name Time Method
Trial Locations
- Locations (1)
The Second Hospital of Shandong University
🇨🇳Jinan, Shandong, China