Presentation is loading. Please wait.

Presentation is loading. Please wait.

Intraoperative Computed Tomography Navigation During Thoracoscopic Segmentectomy for Small-sized Lung Tumors  Sung Soo Chang, MD, Taku Okamoto, MD, Yoshimasa.

Published byNorma Angelica Burns Modified over 6 years ago

Similar presentations

Presentation on theme: "Intraoperative Computed Tomography Navigation During Thoracoscopic Segmentectomy for Small-sized Lung Tumors  Sung Soo Chang, MD, Taku Okamoto, MD, Yoshimasa."— Presentation transcript:

1 Intraoperative Computed Tomography Navigation During Thoracoscopic Segmentectomy for Small-sized Lung Tumors  Sung Soo Chang, MD, Taku Okamoto, MD, Yoshimasa Tokunaga, MD, Takayuki Nakano, MD  Seminars in Thoracic and Cardiovascular Surgery  Volume 30, Issue 1, Pages (March 2018) DOI: /j.semtcvs Copyright © 2017 Elsevier Inc. Terms and Conditions

2 Figure 1 Case 11, a patient who underwent S3 segmentectomy. Preoperative reconstructed 3D-CT images show the location of the lesion and the extent of lung parenchyma to be resected. (Color version of figure is available online.) Seminars in Thoracic and Cardiovascular Surgery  , DOI: ( /j.semtcvs ) Copyright © 2017 Elsevier Inc. Terms and Conditions

3 Figure 2 Case 1, a patient with 2 nodular shadows. Chest CT shows (A) a 1.5 × 1.2-cm nodule with speculated border on the left S1 + 2a and (B) a left S1 + 2c nodule that measures 0.6 cm × 0.4 cm and is in contact with the wall of a bulla. (C) The surface of the pleura on the intersegmental border is marked by the VIO soft coagulation system and clipping (arrowhead). A nonpalpable nodule is marked by double clips (arrow). (D) Using Vincent at the time of surgery, intraoperative 3D-CT images are reconstructed and colorized by a medical radiation technologist. A nonpalpable nodule is located just below the marking (double clips, arrow). The intersegmental border is marked by clipping (arrowhead). (Color version of figure is available online.) Seminars in Thoracic and Cardiovascular Surgery  , DOI: ( /j.semtcvs ) Copyright © 2017 Elsevier Inc. Terms and Conditions

4 Figure 3 Case 9 patient. (A) Chest CT findings shows a 2.5-cm ground glass nodule without solid component on the right S1. (B) The surface of the pleura on the intersegmental border is marked by clipping. (C) 3D images are reconstructed and colorized from intraoperative CT scan data. (Color version of figure is available online.) Seminars in Thoracic and Cardiovascular Surgery  , DOI: ( /j.semtcvs ) Copyright © 2017 Elsevier Inc. Terms and Conditions

5 Figure 4 Measurement of the surgical margin. The surgical margin is calculated from the corresponding cross-sectional image that was reconstructed from intraoperative CT data. The shortest distance of the tumor from the line connecting the clip on the pleura to the staples of the bronchial stump was considered as the surgical margin. Seminars in Thoracic and Cardiovascular Surgery  , DOI: ( /j.semtcvs ) Copyright © 2017 Elsevier Inc. Terms and Conditions

6 Three-dimensional images were reconstructed and colorized using Synapse Vincent from intraoperative computed tomography (CT) scan data. Seminars in Thoracic and Cardiovascular Surgery  , DOI: ( /j.semtcvs ) Copyright © 2017 Elsevier Inc. Terms and Conditions

Download ppt "Intraoperative Computed Tomography Navigation During Thoracoscopic Segmentectomy for Small-sized Lung Tumors  Sung Soo Chang, MD, Taku Okamoto, MD, Yoshimasa."

Similar presentations

Figure 2: The Medical Imaging Projection System projecting the real-time fluorescent image on the surface of the lung during surgery (left). The cut surface.

Figure 2: The Medical Imaging Projection System projecting the real-time fluorescent image on the surface of the lung during surgery (left). The cut surface.
Complex diaphragm reconstruction using dermal collagen matrix after multivisceral resection of retroperitoneal sarcoma  Nicholas J. Harms, MD, Sima Naderi,

Complex diaphragm reconstruction using dermal collagen matrix after multivisceral resection of retroperitoneal sarcoma  Nicholas J. Harms, MD, Sima Naderi,
Noriyasu Usami, MD, Shingo Iwano, MD, Kohei Yokoi, MD 

Noriyasu Usami, MD, Shingo Iwano, MD, Kohei Yokoi, MD 
Vascular Thoracic Outlet Syndrome

Vascular Thoracic Outlet Syndrome
Living related donor middle lobe lung transplant in a pediatric patient  Takahiro Oto, MD, Kentaroh Miyoshi, MD, Seiichiro Sugimoto, MD, Masaomi Yamane,

Living related donor middle lobe lung transplant in a pediatric patient  Takahiro Oto, MD, Kentaroh Miyoshi, MD, Seiichiro Sugimoto, MD, Masaomi Yamane,
Efficacy and feasibility of a novel and noninvasive computed tomography–guided marking technique for peripheral pulmonary nodules  Yosuke Matsuura, MD,

Efficacy and feasibility of a novel and noninvasive computed tomography–guided marking technique for peripheral pulmonary nodules  Yosuke Matsuura, MD,
A novel video-assisted anatomic segmentectomy technique: Selective segmental inflation via bronchofiberoptic jet followed by cautery cutting  Morihito.

A novel video-assisted anatomic segmentectomy technique: Selective segmental inflation via bronchofiberoptic jet followed by cautery cutting  Morihito.
Use of virtual assisted lung mapping (VAL-MAP), a bronchoscopic multispot dye- marking technique using virtual images, for precise navigation of thoracoscopic.

Use of virtual assisted lung mapping (VAL-MAP), a bronchoscopic multispot dye- marking technique using virtual images, for precise navigation of thoracoscopic.
Timothy L. Van Natta, MD, Mark D. Iannettoni, MD, MBA 

Timothy L. Van Natta, MD, Mark D. Iannettoni, MD, MBA 
Preoperative Localization of Lung Nodules With Fiducial Markers: Feasibility and Technical Considerations  Amita Sharma, MD, Shaunagh McDermott, MD, Douglas.

Preoperative Localization of Lung Nodules With Fiducial Markers: Feasibility and Technical Considerations  Amita Sharma, MD, Shaunagh McDermott, MD, Douglas.
Bronchopleural Fistula After Pneumonectomy: Risk Factors and Management, Focusing on Open-Window Thoracostomy  Antonio Mazzella, MD, Alessandro Pardolesi,

Bronchopleural Fistula After Pneumonectomy: Risk Factors and Management, Focusing on Open-Window Thoracostomy  Antonio Mazzella, MD, Alessandro Pardolesi,
Fatal air embolism during computed tomography–guided pulmonary marking with a hook-type marker  Shoji Sakiyama, MD, PhD, Kazuya Kondo, MD, PhD, Hisashi.

Fatal air embolism during computed tomography–guided pulmonary marking with a hook-type marker  Shoji Sakiyama, MD, PhD, Kazuya Kondo, MD, PhD, Hisashi.
Three-dimensional printing titanium ribs for complex reconstruction after extensive posterolateral chest wall resection in lung cancer  Lei Wang, MD,

Three-dimensional printing titanium ribs for complex reconstruction after extensive posterolateral chest wall resection in lung cancer  Lei Wang, MD,
Characteristics and outcomes of secondary nodules identified on initial computed tomography scan for patients undergoing resection for primary non–small.

Characteristics and outcomes of secondary nodules identified on initial computed tomography scan for patients undergoing resection for primary non–small.
Gaetano Rocco, MD, FRCSEd 

Gaetano Rocco, MD, FRCSEd 
Infections related to totally implantable venous-access ports

Infections related to totally implantable venous-access ports
Subroto Paul, MD, Michael Kurtz, BS, Steven J. Mentzer, MD 

Subroto Paul, MD, Michael Kurtz, BS, Steven J. Mentzer, MD 
Radiologic Characteristics of Surgically Resected Non-Small Cell Lung Cancer With ALK Rearrangement or EGFR Mutations  Tae Jung Kim, MD, PhD, Choon-Taek.

Radiologic Characteristics of Surgically Resected Non-Small Cell Lung Cancer With ALK Rearrangement or EGFR Mutations  Tae Jung Kim, MD, PhD, Choon-Taek.
Vascular Thoracic Outlet Syndrome

Vascular Thoracic Outlet Syndrome
Pure ground glass nodular adenocarcinomas: Are preoperative positron emission tomography/computed tomography and brain magnetic resonance imaging useful.

Pure ground glass nodular adenocarcinomas: Are preoperative positron emission tomography/computed tomography and brain magnetic resonance imaging useful.

Similar presentations

Ads by Google