ROLE OF THREE-DIMENSIONAL COMPUTER MODELING OF BRONCHOVASCULAR STRUCTURES IN RADICAL SUBLOBAR ANATOMICAL RESECTIONS FOR PATIENTS WITH PERIPHERAL PULMONARY LESIONS

In recent years, there is a steady tendency of increase in the number of minimally invasive, organ safety surgical treatment in thoracic oncology, such as video-assisted thoracoscopic segmentectomy, requiring a maximal information about broncho- and angioarchitectonics in the affected lung segment. The use of multislice computed tomography and postprocessing software packages allows to get highly informative three-dimensional reconstruction of broncho-vascular structures that contribute to safety and individual approach of surgical admission.

рак легкого, НМРЛ, легочные метастазы, сублобарные резекции, сегментэктомия, видеоассистированная торакальная хирургия, МСКТ, КТ-ангиопульмонография, 3D-моделирование, предоперационная навигация, lung cancer, NSCLC, lung metastases, sublobar resections, segmentectomy, VATS, MDCT, CT-angio-pulmonography, 3D-modeling, preoperative navigation

1. Martin-Ucar A. E., Delgado R. M. Indication for VATS sublobar resections in early lung cancer // J. Thorac Dis. - 2013.- Vol. 5.- P 194-199.

2. Bao F., Ye P., Yang Y., Wang L., Zhang C., Lv X., Hu J. Segmentectomy or lobectomy for early stage lung cancer: a meta-analysis // Eur. J. Cardiothorac Surg.- 2014.- Vol. 46, № 1.- P. 1-7.

3. Martin-Ucar A. E., Waller D. А., Atkins J. L. et al. The beneficial effects of specialist thoracic surgery on the resection rate for non-small-cell lung cancer // Lung Cancer.- 2004.- Vol. 46, № 2.- P. 227-232.

4. Riaz S. Р., Linklater K. М., Page R. et al. Recent trends in resection rates among non-small cell lung cancer patients in England // Thorax.- 2012.- Vol. 67, № 9.- P. 811-814.

5. Griffin J. Р., Eastridge C. E., Tolley E. А. et al. Wedge resection for non-small cell lung cancer in patients with pulmonary insufficiency: prospective ten-year survival // J. Thorac. Oncol.- 2006.- Vol. 1, № 9.- P. 960-964.

6. Lau K. К., Martin-Ucar A. E., Nakas A. et al. Lung cancer surgery in the breathless patient - the benefits of avoiding the gold standard // Eur. J. Cardiothorac Surg.- 2010.- Vol. 38, № 1.- P 6-13.

7. Schuchert M. J., Pettiford B. L., Pennathur A. et al. Anatomic segmentectomy for stage I non-small-cell lung cancer: comparison of video-assisted thoracic surgery versus open approach // J. Thorac Cardiovasc Surg.- 2009.- Vol. 138, № 6.- P. 1318-1325.

8. Jaklitsch M. Т., Burt B. М., Jett J. R. et al. Surgical resection of pulmonary metastases: Benefits, indications, preoperative evaluation and techniques // UpToDate.- 2015.

9. Oizumi H., Kanauchi N., Kato H. et al. Anatomic thoracoscopic pulmonary segmentectomy under 3-dimensional multidetector computed tomography simulation: a report of 52 consecutive cases // J. Thorac. Cardiovasc Surg.- 2011. Vol. 141, № 3.- P 678-682.

10. Gossot D., Zaimi R., Fournel L., Grigoroiu M., Brian E., Neveu C. Totally thoracoscopic pulmonary anatomic segmentectomies: technical considerations // J. Thorac Dis.- 2013.- Vol. 5.- P 200-206.

11. Yamada S., Suga A., Inoue Y. et al. Use of multi-detector row angiography for the arrangement of video-assisted modified segmental resection // Eur. J. Cardiothorac Surg.- 2009.- Vol. 36, № 4.- P 727-730.

12. Fukuhara K., Akashi A., Nakane S., Tomita E. Preoperative assessment of the pulmonary artery by three-dimensional computed tomography before video-assisted thoracic surgery lobectomy // Eur. J. Cardiothorac. Surg.- 2008.- Vol. 34, № 4.- FI 875-877.

13. Watanabe S., Arai K., Watanabe T., Koda W., Urayama H. Use of three-dimensional computed tomographic angiography of pulmonary vessels for lung resections // Ann. Thorac. Surg.- 2003.- Vol. 75, № 2.- P. 388-392.

14. Oizumi H., Kanauchi N., Kato H. et al. Anatomic thoracoscopic pulmonary segmentectomy under 3-dimensional multidetector computed tomography simulation: a report of 52 consecutive cases // J. Thorac. Cardiovasc. Surg.- 2011.- Vol. 141, № 3.- P 678-682.

15. Hagiwara M., Shimada Y., Kato Y. et al. High-quality 3-dimensional image simulation for pulmonary lobectomy and segmentectomy: results of preoperative assessment of pulmonary vessels and short-term surgical outcomes in consecutive patients undergoing video-assisted thoracic surgery // Eur. J. Cardiothorac. Surg.- 2014.- Vol. 46, № 6.- P. 120-126.