PMID- 28213996 OWN - NLM STAT- MEDLINE DCOM- 20180403 LR - 20180403 IS - 1578-147X (Electronic) IS - 0009-739X (Linking) VI - 95 IP - 2 DP - 2017 Feb TI - Three dimensional computed tomography for preoperative assessment of the pulmonary artery in patients undergoing endoscopic lobectomy or segmentectomy. PG - 102-108 LID - S0009-739X(17)30020-9 [pii] LID - 10.1016/j.ciresp.2017.01.005 [doi] AB - BACKGROUND: The interest for endoscopic pulmonary anatomic resections has grown exponentially during the last decade. During thoracoscopic procedures surgeons cannot rely on digital handling and operative field is viewed on a two-dimensional video monitor, thus frequently encountering anatomical difficulties. The hypothesis is that foreknowledge of the anatomy of each patient would greatly contribute to the safety and accuracy of the operation. The aim of the study was to evaluate the effectiveness of 3dimensional multidetector computed tomography (3D-MDCT) software to identify the pulmonary artery branching pattern during the preoperative study of endoscopic lobectomies and segmentectomies. METHODS: Descriptive prospective study of 25consecutive patients scheduled from November 2015 to July 2016 in a tertiary referral academic hospital for VATS lobectomy or segmentectomy and evaluated about branching pattern of the pulmonary artery with preoperative 16-row 3D-MDCT angiography. Intraoperative findings of the pulmonary branching pattern were compared with the preoperative 3D-MDCT angiography images. RESULTS: According to the intraoperative findings, 67 out of 68 (98%) of pulmonary artery branches were well defined in the 3D-MDCT angiography images. There was a unique 2mm undetected branch. No conversion to open thoracotomy was needed because of intraoperative bleending. CONCLUSION: 3D-MDCT angiography imaging is useful for preoperative identification of the pulmonary artery branching pattern. CI - Copyright (c) 2017 AEC. Publicado por Elsevier Espana, S.L.U. All rights reserved. FAU - Ojanguren, Amaia AU - Ojanguren A AD - Unidad de Cirugia Toracica, Departamento de Cirugia, Hospital Universitari Arnau de Vilanova, Lerida, Espana. Electronic address: aojanguren.lleida.ics@gencat.cat. FAU - Recuero, Jose Luis AU - Recuero JL AD - Unidad de Cirugia Toracica, Departamento de Cirugia, Hospital Universitari Arnau de Vilanova, Lerida, Espana. FAU - Pardina, Marina AU - Pardina M AD - Servicio de Radiodiagnostico, Hospital Universitari Arnau de Vilanova, Lerida, Espana. FAU - Milla, Lucia AU - Milla L AD - Unidad de Cirugia Toracica, Departamento de Cirugia, Hospital Universitari Arnau de Vilanova, Lerida, Espana. FAU - Santamaria, Maite AU - Santamaria M AD - Unidad de Cirugia Toracica, Departamento de Cirugia, Hospital Universitari Arnau de Vilanova, Lerida, Espana. LA - eng LA - spa PT - Journal Article TT - Rentabilidad de la reconstruccion volumetrica de la arteria pulmonar para la planificacion de lobectomias y segmentectomias endoscopicas. DEP - 20170216 PL - Spain TA - Cir Esp JT - Cirugia espanola JID - 1254104 SB - IM MH - Aged MH - Aged, 80 and over MH - *Endoscopy MH - Female MH - Humans MH - *Imaging, Three-Dimensional MH - Male MH - Middle Aged MH - *Multidetector Computed Tomography MH - Pneumonectomy/*methods MH - Preoperative Care/*methods MH - Prospective Studies MH - Pulmonary Artery/*diagnostic imaging OTO - NOTNLM OT - Arteria pulmonar OT - Computed tomography OT - Lobectomy OT - Lobectomia OT - Pulmonary artery OT - Segmentectomy OT - Segmentectomia OT - Tomografia computarizada OT - VATS OT - Videotoracoscopia EDAT- 2017/02/19 06:00 MHDA- 2018/04/04 06:00 CRDT- 2017/02/19 06:00 PHST- 2016/10/12 00:00 [received] PHST- 2017/01/01 00:00 [revised] PHST- 2017/01/14 00:00 [accepted] PHST- 2017/02/19 06:00 [pubmed] PHST- 2018/04/04 06:00 [medline] PHST- 2017/02/19 06:00 [entrez] AID - S0009-739X(17)30020-9 [pii] AID - 10.1016/j.ciresp.2017.01.005 [doi] PST - ppublish SO - Cir Esp. 2017 Feb;95(2):102-108. doi: 10.1016/j.ciresp.2017.01.005. Epub 2017 Feb 16.