Three-dimensional imaging assisted segmentectomy in the treatment of localized bronchiectasis: a retrospective analysis
Abstract Background Surgical treatment is crucial in managing bronchiectasis. Segmentectomy, although a complex procedure, has become more feasible with advancements in thin-slice CT and three-dimensional imaging. These technologies enhance preoperative anatomical understanding and surgical planning...
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BMC
2025-02-01
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| Series: | Journal of Cardiothoracic Surgery |
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| Online Access: | https://doi.org/10.1186/s13019-024-03249-x |
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| author | Zhiwei Yan Jian Feng Xinyu Zhu Ziqing Shen Jun Zhao Jinfeng Ge |
| author_facet | Zhiwei Yan Jian Feng Xinyu Zhu Ziqing Shen Jun Zhao Jinfeng Ge |
| author_sort | Zhiwei Yan |
| collection | DOAJ |
| description | Abstract Background Surgical treatment is crucial in managing bronchiectasis. Segmentectomy, although a complex procedure, has become more feasible with advancements in thin-slice CT and three-dimensional imaging. These technologies enhance preoperative anatomical understanding and surgical planning. This study aims to demonstrate the viability of using three-dimensional imaging assistance for treating localized bronchiectasis through segmentectomy. Methods From 2021 to 2023, a total of 34 patients with bronchiectasis underwent segmentectomy. We collected and then analyzed potential factors including general conditions, preoperative clinical symptoms, surgical procedures, length of postoperative hospital stay, incidence of postoperative complications and postoperative follow-ups. Results Of the 34 surgical patients, 8 were men and 26 were women, resulting in a total of 34 operations. The average surgical time for segmentectomy was 157.7 ± 63.4 min. The average intraoperative blood loss was 115.9 ± 107.4 ml. Postoperative tube placement lasted an average of 6.5 ± 2.4 days, with an average drainage volume of 724.7 ± 500.9 ml. The average hospital stay was 8.2 ± 3.4 days. Among these patients, 2 developed pneumothorax and 2 experienced air leaks. Additionally, 4 patients developed pneumonia postoperatively. Over an average follow-up period of 14.3 months, most patients showed symptom improvement, with only two cases of recurrence. Conclusions Segmentectomy has acceptable postoperative morbidity, mortality, and outcomes. Therefore, segmentectomy is a viable option for the treatment of localized bronchiectasis. |
| format | Article |
| id | doaj-art-6ad50caa61524441ad9dbb61459bb53f |
| institution | DOAJ |
| issn | 1749-8090 |
| language | English |
| publishDate | 2025-02-01 |
| publisher | BMC |
| record_format | Article |
| series | Journal of Cardiothoracic Surgery |
| spelling | doaj-art-6ad50caa61524441ad9dbb61459bb53f2025-08-20T03:11:07ZengBMCJournal of Cardiothoracic Surgery1749-80902025-02-012011810.1186/s13019-024-03249-xThree-dimensional imaging assisted segmentectomy in the treatment of localized bronchiectasis: a retrospective analysisZhiwei Yan0Jian Feng1Xinyu Zhu2Ziqing Shen3Jun Zhao4Jinfeng Ge5Department of Thoracic Surgery, The First Affiliated Hospital of Soochow UniversityDepartment of Thoracic Surgery, The First Affiliated Hospital of Soochow UniversityDepartment of Thoracic Surgery, The First Affiliated Hospital of Soochow UniversityDepartment of Thoracic Surgery, The First Affiliated Hospital of Soochow UniversityDepartment of Thoracic Surgery, The First Affiliated Hospital of Soochow UniversityDepartment of Thoracic Surgery, The First Affiliated Hospital of Soochow UniversityAbstract Background Surgical treatment is crucial in managing bronchiectasis. Segmentectomy, although a complex procedure, has become more feasible with advancements in thin-slice CT and three-dimensional imaging. These technologies enhance preoperative anatomical understanding and surgical planning. This study aims to demonstrate the viability of using three-dimensional imaging assistance for treating localized bronchiectasis through segmentectomy. Methods From 2021 to 2023, a total of 34 patients with bronchiectasis underwent segmentectomy. We collected and then analyzed potential factors including general conditions, preoperative clinical symptoms, surgical procedures, length of postoperative hospital stay, incidence of postoperative complications and postoperative follow-ups. Results Of the 34 surgical patients, 8 were men and 26 were women, resulting in a total of 34 operations. The average surgical time for segmentectomy was 157.7 ± 63.4 min. The average intraoperative blood loss was 115.9 ± 107.4 ml. Postoperative tube placement lasted an average of 6.5 ± 2.4 days, with an average drainage volume of 724.7 ± 500.9 ml. The average hospital stay was 8.2 ± 3.4 days. Among these patients, 2 developed pneumothorax and 2 experienced air leaks. Additionally, 4 patients developed pneumonia postoperatively. Over an average follow-up period of 14.3 months, most patients showed symptom improvement, with only two cases of recurrence. Conclusions Segmentectomy has acceptable postoperative morbidity, mortality, and outcomes. Therefore, segmentectomy is a viable option for the treatment of localized bronchiectasis.https://doi.org/10.1186/s13019-024-03249-xBronchiectasisSegmentectomyThree-dimensional imagingOutcomes |
| spellingShingle | Zhiwei Yan Jian Feng Xinyu Zhu Ziqing Shen Jun Zhao Jinfeng Ge Three-dimensional imaging assisted segmentectomy in the treatment of localized bronchiectasis: a retrospective analysis Journal of Cardiothoracic Surgery Bronchiectasis Segmentectomy Three-dimensional imaging Outcomes |
| title | Three-dimensional imaging assisted segmentectomy in the treatment of localized bronchiectasis: a retrospective analysis |
| title_full | Three-dimensional imaging assisted segmentectomy in the treatment of localized bronchiectasis: a retrospective analysis |
| title_fullStr | Three-dimensional imaging assisted segmentectomy in the treatment of localized bronchiectasis: a retrospective analysis |
| title_full_unstemmed | Three-dimensional imaging assisted segmentectomy in the treatment of localized bronchiectasis: a retrospective analysis |
| title_short | Three-dimensional imaging assisted segmentectomy in the treatment of localized bronchiectasis: a retrospective analysis |
| title_sort | three dimensional imaging assisted segmentectomy in the treatment of localized bronchiectasis a retrospective analysis |
| topic | Bronchiectasis Segmentectomy Three-dimensional imaging Outcomes |
| url | https://doi.org/10.1186/s13019-024-03249-x |
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