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Effect of virtual-assisted lung mapping in acquisition of surgical margins in sublobar lung resection  Masaaki Sato, MD, PhD, Masashi Kobayashi, MD, PhD,

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Presentation on theme: "Effect of virtual-assisted lung mapping in acquisition of surgical margins in sublobar lung resection  Masaaki Sato, MD, PhD, Masashi Kobayashi, MD, PhD,"— Presentation transcript:

1 Effect of virtual-assisted lung mapping in acquisition of surgical margins in sublobar lung resection  Masaaki Sato, MD, PhD, Masashi Kobayashi, MD, PhD, Fumitsugu Kojima, MD, PhD, Fumihiro Tanaka, MD, PhD, Masahiro Yanagiya, MD, Shinji Kosaka, MD, PhD, Ryuta Fukai, MD, PhD, Jun Nakajima, MD, PhD  The Journal of Thoracic and Cardiovascular Surgery  Volume 156, Issue 4, Pages e5 (October 2018) DOI: /j.jtcvs Copyright © 2018 The American Association for Thoracic Surgery Terms and Conditions

2 The Journal of Thoracic and Cardiovascular Surgery 2018 156, 1691-1701
The Journal of Thoracic and Cardiovascular Surgery  , e5DOI: ( /j.jtcvs ) Copyright © 2018 The American Association for Thoracic Surgery Terms and Conditions

3 Figure 1 Consort diagram. *Some patients were registered twice, and these cases counted as 2 cases. †The reasons for exclusion from the FAS were deviation from the inclusion criteria, deviation from the exclusion criteria, no efficacy evaluation conducted after bronchoscopic marking, and other. ‡In 1 patient, 1 lesion was not resected, and the other was resected. The Journal of Thoracic and Cardiovascular Surgery  , e5DOI: ( /j.jtcvs ) Copyright © 2018 The American Association for Thoracic Surgery Terms and Conditions

4 Figure 2 The relationship between required resection depth and risk of resection failure. A restricted cubic spine regression depicting the relationship between probability of resection success and required depth of resection line (mm) calculated by depth (distance from the closest pleura) + {[diameter × 2 (tumor <2 cm)] or [diameter + 20 (tumor ≥2 cm)]}. The interrupted curves indicate 95% CI. The Journal of Thoracic and Cardiovascular Surgery  , e5DOI: ( /j.jtcvs ) Copyright © 2018 The American Association for Thoracic Surgery Terms and Conditions

5 VAL-MAP has increased risk of insufficient margins when deeper resection lines are needed.
The Journal of Thoracic and Cardiovascular Surgery  , e5DOI: ( /j.jtcvs ) Copyright © 2018 The American Association for Thoracic Surgery Terms and Conditions

6 Video 1 The video shows the background, methods including the technique of VAL-MAP, and results of the present study. Video available at: The Journal of Thoracic and Cardiovascular Surgery  , e5DOI: ( /j.jtcvs ) Copyright © 2018 The American Association for Thoracic Surgery Terms and Conditions

7 The Journal of Thoracic and Cardiovascular Surgery 2018 156, 1691-1701
The Journal of Thoracic and Cardiovascular Surgery  , e5DOI: ( /j.jtcvs ) Copyright © 2018 The American Association for Thoracic Surgery Terms and Conditions

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