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Comparison of three‐dimensional and two‐dimensional visualization in video‐assisted thoracoscopic lobectomy
BACKGROUND: Video‐assisted thoracoscopic surgery (VATS) lobectomy has emerged as a safe and effective technique for treating early‐stage lung cancer. Novel three‐dimensional, high‐definition (3D HD) imaging has removed this technical obstacle and is increasingly used in laparoscopic surgery. We comp...
Autores principales: | , , , , , , |
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Formato: | Online Artículo Texto |
Lenguaje: | English |
Publicado: |
John Wiley & Sons Australia, Ltd
2016
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Materias: | |
Acceso en línea: | https://www.ncbi.nlm.nih.gov/pmc/articles/PMC5130219/ https://www.ncbi.nlm.nih.gov/pubmed/27766782 http://dx.doi.org/10.1111/1759-7714.12361 |
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author | Dong, Song Yang, Xue‐Ning Zhong, Wen‐Zhao Nie, Qiang Liao, Ri‐Qiang Lin, Jun‐Tao Wu, Yi‐Long |
author_facet | Dong, Song Yang, Xue‐Ning Zhong, Wen‐Zhao Nie, Qiang Liao, Ri‐Qiang Lin, Jun‐Tao Wu, Yi‐Long |
author_sort | Dong, Song |
collection | PubMed |
description | BACKGROUND: Video‐assisted thoracoscopic surgery (VATS) lobectomy has emerged as a safe and effective technique for treating early‐stage lung cancer. Novel three‐dimensional, high‐definition (3D HD) imaging has removed this technical obstacle and is increasingly used in laparoscopic surgery. We compared our initial experience of 3D HD VATS with standard two‐dimensional (2D) HD VATS to identify the advantages and disadvantages of 3D HD visualization in VATS. METHODS: The data of consecutive patients diagnosed with lung cancer who underwent 2D or 3D thoracoscopic lobectomy or bilobectomy at the Guangdong Lung Cancer Institute from July 2013 to October 2014 were retrospectively analyzed. Operation duration, estimated blood loss, length of postoperative stay, major complications, and mortality were recorded for each patient. RESULTS: In total, 359 patients were enrolled in the study. Lobectomy was performed in 339 patients and bilobectomy in 20; the 3D HD system was used for 178 of the 359 patients, and the 2D HD system for 181. Tumor size, distribution of the resected lobes, and the demographic characteristics of the patients were matched between the two groups. The mean operative time for 3D VATS was 163 minutes (range 60–330), whereas 2D VATS required 184 minutes (range 75–360; P < 0.001). The volume of blood loss was 109 and 144 mL in the 3D and 2D VATS groups, respectively (P = 0.064). CONCLUSIONS: The new‐generation 3D HD imaging system is feasible and safe for thoracic lobectomy. The 3D system required a shorter operative duration. |
format | Online Article Text |
id | pubmed-5130219 |
institution | National Center for Biotechnology Information |
language | English |
publishDate | 2016 |
publisher | John Wiley & Sons Australia, Ltd |
record_format | MEDLINE/PubMed |
spelling | pubmed-51302192016-12-12 Comparison of three‐dimensional and two‐dimensional visualization in video‐assisted thoracoscopic lobectomy Dong, Song Yang, Xue‐Ning Zhong, Wen‐Zhao Nie, Qiang Liao, Ri‐Qiang Lin, Jun‐Tao Wu, Yi‐Long Thorac Cancer Original Articles BACKGROUND: Video‐assisted thoracoscopic surgery (VATS) lobectomy has emerged as a safe and effective technique for treating early‐stage lung cancer. Novel three‐dimensional, high‐definition (3D HD) imaging has removed this technical obstacle and is increasingly used in laparoscopic surgery. We compared our initial experience of 3D HD VATS with standard two‐dimensional (2D) HD VATS to identify the advantages and disadvantages of 3D HD visualization in VATS. METHODS: The data of consecutive patients diagnosed with lung cancer who underwent 2D or 3D thoracoscopic lobectomy or bilobectomy at the Guangdong Lung Cancer Institute from July 2013 to October 2014 were retrospectively analyzed. Operation duration, estimated blood loss, length of postoperative stay, major complications, and mortality were recorded for each patient. RESULTS: In total, 359 patients were enrolled in the study. Lobectomy was performed in 339 patients and bilobectomy in 20; the 3D HD system was used for 178 of the 359 patients, and the 2D HD system for 181. Tumor size, distribution of the resected lobes, and the demographic characteristics of the patients were matched between the two groups. The mean operative time for 3D VATS was 163 minutes (range 60–330), whereas 2D VATS required 184 minutes (range 75–360; P < 0.001). The volume of blood loss was 109 and 144 mL in the 3D and 2D VATS groups, respectively (P = 0.064). CONCLUSIONS: The new‐generation 3D HD imaging system is feasible and safe for thoracic lobectomy. The 3D system required a shorter operative duration. John Wiley & Sons Australia, Ltd 2016-05-23 2016-09 /pmc/articles/PMC5130219/ /pubmed/27766782 http://dx.doi.org/10.1111/1759-7714.12361 Text en © 2016 The Authors. Thoracic Cancer published by China Lung Oncology Group and John Wiley & Sons Australia, Ltd This is an open access article under the terms of the Creative Commons Attribution‐NonCommercial (http://creativecommons.org/licenses/by-nc/4.0/) License, which permits use, distribution and reproduction in any medium, provided the original work is properly cited and is not used for commercial purposes. |
spellingShingle | Original Articles Dong, Song Yang, Xue‐Ning Zhong, Wen‐Zhao Nie, Qiang Liao, Ri‐Qiang Lin, Jun‐Tao Wu, Yi‐Long Comparison of three‐dimensional and two‐dimensional visualization in video‐assisted thoracoscopic lobectomy |
title | Comparison of three‐dimensional and two‐dimensional visualization in video‐assisted thoracoscopic lobectomy |
title_full | Comparison of three‐dimensional and two‐dimensional visualization in video‐assisted thoracoscopic lobectomy |
title_fullStr | Comparison of three‐dimensional and two‐dimensional visualization in video‐assisted thoracoscopic lobectomy |
title_full_unstemmed | Comparison of three‐dimensional and two‐dimensional visualization in video‐assisted thoracoscopic lobectomy |
title_short | Comparison of three‐dimensional and two‐dimensional visualization in video‐assisted thoracoscopic lobectomy |
title_sort | comparison of three‐dimensional and two‐dimensional visualization in video‐assisted thoracoscopic lobectomy |
topic | Original Articles |
url | https://www.ncbi.nlm.nih.gov/pmc/articles/PMC5130219/ https://www.ncbi.nlm.nih.gov/pubmed/27766782 http://dx.doi.org/10.1111/1759-7714.12361 |
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