Comparison of three-dimensional and two-dimensional thoracoscopic segmentectomy in lung cancer

Ming-Sheng Shen; Ming-Yu Hsieh; Ching-Hsiung Lin; Bing-Yen Wang

doi:10.1016/j.asjsur.2022.09.154

Comparison of three-dimensional and two-dimensional thoracoscopic segmentectomy in lung cancer

Asian J Surg. 2023 Jul;46(7):2657-2661. doi: 10.1016/j.asjsur.2022.09.154. Epub 2022 Oct 29.

Authors

Ming-Sheng Shen¹, Ming-Yu Hsieh², Ching-Hsiung Lin³, Bing-Yen Wang⁴

Affiliations

¹ Division of Pulmonary and Critical Care Medicine, Department of Internal Medicine, Tri-Service General Hospital, National Defense Medical Center, Taipei, Taiwan; Division of Pulmonary and Critical Care Medicine, Department of Internal Medicine, Taichung Armed-Forces General Hospital, Taichung, Taiwan.
² Department of Otorhinolaryngology-Head and Neck Surgery, Changhua Christian Hospital, Changhua, Taiwan; Institute of Medicine, Chung Shan Medical University, Taichung, Taiwan; Department of Post-Baccalaureate Medicine, College of Medicine, National Chung Hsing University, Taiwan.
³ Department of Recreation and Holistic Wellness, Ming Dao University, Changhua, Taiwan; Division of Chest Medicine, Department of Internal Medicine, Changhua Christian Hospital, Changhua, Taiwan; Institute of Genomics and Bioinformatics, National Chung Hsing University, Taichung, Taiwan.
⁴ Institute of Genomics and Bioinformatics, National Chung Hsing University, Taichung, Taiwan; Division of Thoracic Surgery, Department of Surgery, Changhua Christian Hospital, Changhua, Taiwan; School of Medicine, College of Medicine, Kaohsiung Medical University, Kaohsiung, Taiwan; School of Medicine, Chung Shan Medical University, Taichung, Taiwan; Center for General Education, Ming Dao University, Changhua, Taiwan; College of Medicine, National Chung Hsing University, Taichung, Taiwan. Electronic address: 156283@cch.org.tw.

PMID: 37430487
DOI: 10.1016/j.asjsur.2022.09.154

Abstract

Background: Thoracoscopic segmentectomy is considered to be a safe and effective procedure for early lung cancer. A three-dimensional (3D) thoracoscope can provide high resolution and accurate images. We compared the outcomes from using two-dimensional (2D) and 3D video systems in thoracoscopic segmentectomy for lung cancer.

Methods: The data of consecutive patients diagnosed with lung cancer that underwent 2D or 3D thoracoscopic segmentectomy in Changhua Christian Hospital from January 2014 to December 2020 were retrospectively analyzed. Tumor characteristics and perioperative short-term outcomes (operative time, blood loss, incision numbers, length of stay and complication) were compared between 2D and 3D thoracoscopic segmentectomy.

Results: Among the 192 patients, 68 patients underwent segmentectomy with a 2D thoracoscopic system and 124 patients had 3D thoracoscopic surgery. Patients undergoing 3D thoracoscopic segmentectomy had a shorter operative time (174.19 ± 64.63 min vs. 207.06 ± 72.99 min, p = 0.002), less blood loss (34.40 ± 43.58 ml vs. 50.81 ± 57.61 ml, p = 0.028), fewer incisions (1.50 ± 0.716 vs. 2.19 ± .058, p < 0.001) and a shorter length of stay (5.67 ± 3.44 days vs. 8.18 ± 11.862 days, p = 0.029). The postoperative complications were similar between the two groups. Surgical mortality was not found in any patient.

Conclusion: Our finding suggests that the incorporation of a 3D endoscopic system could facilitate thoracoscopic segmentectomy in lung cancer patients.

Keywords: 3D; Lung cancer; Segmentectomy; Video-assisted thoracoscopic surgery (VATS).

MeSH terms

Humans
Lung Neoplasms* / surgery
Pneumonectomy* / statistics & numerical data
Surgical Wound
Thoracoscopy*