Video-assisted thoracoscopic left S8 segmentectomy guided by pre-operative 3D reconstruction in a patient with synchronous bilateral primary lung cancer: a case report

Boon-Hean Ong
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Abstract

Background: Future adoption of segmentectomy for lung cancer will likely increase with two recent randomized control trials demonstrating its oncological efficacy compared to lobectomy. It has also been used to great effect in patients with bilateral primary lung cancer to preserve lung parenchyma as these patients require more extensive lung resection compared to patients with a single primary lung cancer. However, segmentectomy, particularly complex ones which involve resection of more than one inter-segmental plane remains a more difficult operation than lobectomy. Here we report a case of synchronous bilateral primary lung cancer successfully treated with thoracoscopic left S8 segmentectomy. This case is unique in terms of utilizing a novel cloud-based platform that allows the 3D reconstruction to be easily accessible anywhere with an Internet-connected device.
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术前三维重建引导下电视胸腔镜左S8节段切除同步双侧原发性肺癌1例
背景:最近的两项随机对照试验表明,与肺叶切除术相比,肺癌节段切除术的肿瘤疗效可能会增加。它也被用于双侧原发性肺癌患者,以保留肺实质,因为这些患者比单发原发性肺癌患者需要更广泛的肺切除术。然而,节段切除术,特别是涉及切除多个节段间平面的复杂手术,仍然比肺叶切除术更困难。我们在此报告一例胸腔镜下左S8节段切除术成功治疗的双侧原发性肺癌。这种情况的独特之处在于利用了一种新颖的基于云的平台,可以通过连接互联网的设备轻松访问任何地方的3D重建。
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