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Three‐dimensional lung reconstructions for the localization of lung nodules to be resected during surgery

BACKGROUND: The localization of lung nodules is challenging during thoracoscopy. In this study, we evaluated the use of three‐dimensional (3D) lung reconstruction for use in the operating room to guide the identification of lung nodules during thoracoscopy. METHODS: This was a single‐center retrospe...

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Autores principales: Natale, Giovanni, Leonardi, Beatrice, Messina, Gaetana, Bergameo, Grazia, Di Filippo, Vincenzo, Chisari, Giulia, Raciti, Gabriele, Lombardo, Sofia Paola, Mirra, Rosa, Capasso, Francesca, Leone, Francesco, Pica, Davide Gerardo, Fiorelli, Alfonso
Formato: Online Artículo Texto
Lenguaje:English
Publicado: John Wiley & Sons Australia, Ltd 2023
Materias:
Acceso en línea:https://www.ncbi.nlm.nih.gov/pmc/articles/PMC10693940/
https://www.ncbi.nlm.nih.gov/pubmed/37860943
http://dx.doi.org/10.1111/1759-7714.15131
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author Natale, Giovanni
Leonardi, Beatrice
Messina, Gaetana
Bergameo, Grazia
Di Filippo, Vincenzo
Chisari, Giulia
Raciti, Gabriele
Lombardo, Sofia Paola
Mirra, Rosa
Capasso, Francesca
Leone, Francesco
Pica, Davide Gerardo
Fiorelli, Alfonso
author_facet Natale, Giovanni
Leonardi, Beatrice
Messina, Gaetana
Bergameo, Grazia
Di Filippo, Vincenzo
Chisari, Giulia
Raciti, Gabriele
Lombardo, Sofia Paola
Mirra, Rosa
Capasso, Francesca
Leone, Francesco
Pica, Davide Gerardo
Fiorelli, Alfonso
author_sort Natale, Giovanni
collection PubMed
description BACKGROUND: The localization of lung nodules is challenging during thoracoscopy. In this study, we evaluated the use of three‐dimensional (3D) lung reconstruction for use in the operating room to guide the identification of lung nodules during thoracoscopy. METHODS: This was a single‐center retrospective study. All consecutive patients undergoing thoracoscopic resection of lung nodules were included in the study. Patients were retrospectively divided into two groups based upon whether the thoracoscopic resection was performed with the assistance (3D group) or not (standard group) of 3D lung reconstruction. The operative time (minutes) to detect lung nodules was statistically compared between the two study groups in relation to the characteristics of lung nodules as size, localization, and distance from the visceral pleura. RESULTS: Our study population consisted of 170 patients: 85 in the 3D group and 85 in the standard group. No intergroup difference differences were found regarding the characteristics and histological diagnosis of lesions. The standard group compared to the 3D group was associated with a significantly longer operative time for the detection of lesions <10 mm (13.87 ± 2.59 vs. 5.52 ± 1.01, p < 0.001), lesions between 10 and 20 mm (5.05 ± 0.84 vs. 3.89 ± 0.92; p = 0.03), lesions localized in complex segments (7.49 ± 4.25 vs. 5.11 ± 0.97; p < 0.001), and deep lesions (9.58 ± 4.82 vs. 5.4 ± 1.01, p < 0.001). CONCLUSIONS: Our 3D lung reconstruction model for use in the operating room may be an additional tool for thoracic surgeons to guide the detection of small and deep nodules during thoracoscopy. It is a noninvasive and cost saving procedure and may be widely used.
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spelling pubmed-106939402023-12-04 Three‐dimensional lung reconstructions for the localization of lung nodules to be resected during surgery Natale, Giovanni Leonardi, Beatrice Messina, Gaetana Bergameo, Grazia Di Filippo, Vincenzo Chisari, Giulia Raciti, Gabriele Lombardo, Sofia Paola Mirra, Rosa Capasso, Francesca Leone, Francesco Pica, Davide Gerardo Fiorelli, Alfonso Thorac Cancer Original Articles BACKGROUND: The localization of lung nodules is challenging during thoracoscopy. In this study, we evaluated the use of three‐dimensional (3D) lung reconstruction for use in the operating room to guide the identification of lung nodules during thoracoscopy. METHODS: This was a single‐center retrospective study. All consecutive patients undergoing thoracoscopic resection of lung nodules were included in the study. Patients were retrospectively divided into two groups based upon whether the thoracoscopic resection was performed with the assistance (3D group) or not (standard group) of 3D lung reconstruction. The operative time (minutes) to detect lung nodules was statistically compared between the two study groups in relation to the characteristics of lung nodules as size, localization, and distance from the visceral pleura. RESULTS: Our study population consisted of 170 patients: 85 in the 3D group and 85 in the standard group. No intergroup difference differences were found regarding the characteristics and histological diagnosis of lesions. The standard group compared to the 3D group was associated with a significantly longer operative time for the detection of lesions <10 mm (13.87 ± 2.59 vs. 5.52 ± 1.01, p < 0.001), lesions between 10 and 20 mm (5.05 ± 0.84 vs. 3.89 ± 0.92; p = 0.03), lesions localized in complex segments (7.49 ± 4.25 vs. 5.11 ± 0.97; p < 0.001), and deep lesions (9.58 ± 4.82 vs. 5.4 ± 1.01, p < 0.001). CONCLUSIONS: Our 3D lung reconstruction model for use in the operating room may be an additional tool for thoracic surgeons to guide the detection of small and deep nodules during thoracoscopy. It is a noninvasive and cost saving procedure and may be widely used. John Wiley & Sons Australia, Ltd 2023-10-20 /pmc/articles/PMC10693940/ /pubmed/37860943 http://dx.doi.org/10.1111/1759-7714.15131 Text en © 2023 The Authors. Thoracic Cancer published by China Lung Oncology Group and John Wiley & Sons Australia, Ltd. https://creativecommons.org/licenses/by/4.0/This is an open access article under the terms of the http://creativecommons.org/licenses/by/4.0/ (https://creativecommons.org/licenses/by/4.0/) License, which permits use, distribution and reproduction in any medium, provided the original work is properly cited.
spellingShingle Original Articles
Natale, Giovanni
Leonardi, Beatrice
Messina, Gaetana
Bergameo, Grazia
Di Filippo, Vincenzo
Chisari, Giulia
Raciti, Gabriele
Lombardo, Sofia Paola
Mirra, Rosa
Capasso, Francesca
Leone, Francesco
Pica, Davide Gerardo
Fiorelli, Alfonso
Three‐dimensional lung reconstructions for the localization of lung nodules to be resected during surgery
title Three‐dimensional lung reconstructions for the localization of lung nodules to be resected during surgery
title_full Three‐dimensional lung reconstructions for the localization of lung nodules to be resected during surgery
title_fullStr Three‐dimensional lung reconstructions for the localization of lung nodules to be resected during surgery
title_full_unstemmed Three‐dimensional lung reconstructions for the localization of lung nodules to be resected during surgery
title_short Three‐dimensional lung reconstructions for the localization of lung nodules to be resected during surgery
title_sort three‐dimensional lung reconstructions for the localization of lung nodules to be resected during surgery
topic Original Articles
url https://www.ncbi.nlm.nih.gov/pmc/articles/PMC10693940/
https://www.ncbi.nlm.nih.gov/pubmed/37860943
http://dx.doi.org/10.1111/1759-7714.15131
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