Anatomical variation analysis of left upper pulmonary blood vessels and bronchi based on three-dimensional reconstruction of chest CT
BackgroundWith its growing popularity and potential outcome, preoperative three-dimensional reconstruction of chest computed tomography (CT) has been widely used in video-assisted thoracic surgery (VATS) segmentectomy for treating non-small cell lung cancer (NSCLC). This study aimed to summarize the...
| Main Authors: | , , , , , , , , , , , , , , , , , |
|---|---|
| Format: | Article |
| Language: | English |
| Published: |
Frontiers Media S.A.
2022-11-01
|
| Series: | Frontiers in Oncology |
| Subjects: | |
| Online Access: | https://www.frontiersin.org/articles/10.3389/fonc.2022.1028467/full |
| _version_ | 1811219462047662080 |
|---|---|
| author | Youjun Deng Songhua Cai Chujian Huang Wenyi Liu Longde Du Chunguang Wang Ran Jia Shengcheng Lin Xin Yu Xiangyang Yu Yikun Yang Chenglin Yang Hongbo Zhao Zhe Wang Lixu Wang Kai Ma Zhentao Yu Xiaotong Guo |
| author_facet | Youjun Deng Songhua Cai Chujian Huang Wenyi Liu Longde Du Chunguang Wang Ran Jia Shengcheng Lin Xin Yu Xiangyang Yu Yikun Yang Chenglin Yang Hongbo Zhao Zhe Wang Lixu Wang Kai Ma Zhentao Yu Xiaotong Guo |
| author_sort | Youjun Deng |
| collection | DOAJ |
| description | BackgroundWith its growing popularity and potential outcome, preoperative three-dimensional reconstruction of chest computed tomography (CT) has been widely used in video-assisted thoracic surgery (VATS) segmentectomy for treating non-small cell lung cancer (NSCLC). This study aimed to summarize the experience of anatomical variation analysis of left upper pulmonary blood vessels and bronchi based on the three-dimensional reconstruction of chest CT.Materials and methodsA total of 103 patients with early-stage NSCLC were chosen to undergo VATS segmentectomy based on preoperative three-dimensional reconstruction of chest CT in our institute from September 2019 to July 2022. Data such as clinical characteristics and variations in blood vessels and bronchi were reviewed in this study.ResultsThe branches of the left lingular pulmonary artery may mutate into the LS1 + 2 + 3. A1 + 2 has four subtypes. The distribution of variation is relatively balanced, and the most common variation is type I (35/103, 33.9%). Most lingular arteries originate from the oblique cleft side of the lingular bronchus (79/103,76.7%). Most V(1 + 2)c* are small developments (70/103, 68.0%). The venous return of the proper segment mainly depends on V(1 + 2)b + c. The variation in the left upper lobe bronchus is complex. The most common variant is the bifurcation type (type A to G, 92/103, 89.3%) and bifurcation type A (62/103, 60.2%). The posterior apical segment artery of the left upper lobe is not accompanied by its bronchus.ConclusionsThe variation types of blood vessels and bronchus in the upper lobe of the left lung are complex. Preoperative CT-based three-dimensional reconstruction of pulmonary arteries, veins, and bronchi is of great significance. It can help understand the variations, accurately locate lesions before the surgery, and effectively plan surgeries. |
| first_indexed | 2024-04-12T07:27:15Z |
| format | Article |
| id | doaj.art-aeeaf1379f8e46e58893cdc93d5dec58 |
| institution | Directory Open Access Journal |
| issn | 2234-943X |
| language | English |
| last_indexed | 2024-04-12T07:27:15Z |
| publishDate | 2022-11-01 |
| publisher | Frontiers Media S.A. |
| record_format | Article |
| series | Frontiers in Oncology |
| spelling | doaj.art-aeeaf1379f8e46e58893cdc93d5dec582022-12-22T03:42:10ZengFrontiers Media S.A.Frontiers in Oncology2234-943X2022-11-011210.3389/fonc.2022.10284671028467Anatomical variation analysis of left upper pulmonary blood vessels and bronchi based on three-dimensional reconstruction of chest CTYoujun DengSonghua CaiChujian HuangWenyi LiuLongde DuChunguang WangRan JiaShengcheng LinXin YuXiangyang YuYikun YangChenglin YangHongbo ZhaoZhe WangLixu WangKai MaZhentao YuXiaotong GuoBackgroundWith its growing popularity and potential outcome, preoperative three-dimensional reconstruction of chest computed tomography (CT) has been widely used in video-assisted thoracic surgery (VATS) segmentectomy for treating non-small cell lung cancer (NSCLC). This study aimed to summarize the experience of anatomical variation analysis of left upper pulmonary blood vessels and bronchi based on the three-dimensional reconstruction of chest CT.Materials and methodsA total of 103 patients with early-stage NSCLC were chosen to undergo VATS segmentectomy based on preoperative three-dimensional reconstruction of chest CT in our institute from September 2019 to July 2022. Data such as clinical characteristics and variations in blood vessels and bronchi were reviewed in this study.ResultsThe branches of the left lingular pulmonary artery may mutate into the LS1 + 2 + 3. A1 + 2 has four subtypes. The distribution of variation is relatively balanced, and the most common variation is type I (35/103, 33.9%). Most lingular arteries originate from the oblique cleft side of the lingular bronchus (79/103,76.7%). Most V(1 + 2)c* are small developments (70/103, 68.0%). The venous return of the proper segment mainly depends on V(1 + 2)b + c. The variation in the left upper lobe bronchus is complex. The most common variant is the bifurcation type (type A to G, 92/103, 89.3%) and bifurcation type A (62/103, 60.2%). The posterior apical segment artery of the left upper lobe is not accompanied by its bronchus.ConclusionsThe variation types of blood vessels and bronchus in the upper lobe of the left lung are complex. Preoperative CT-based three-dimensional reconstruction of pulmonary arteries, veins, and bronchi is of great significance. It can help understand the variations, accurately locate lesions before the surgery, and effectively plan surgeries.https://www.frontiersin.org/articles/10.3389/fonc.2022.1028467/fullanatomical variationCTNSCLCpulmonarysegmentectomythree-dimensional |
| spellingShingle | Youjun Deng Songhua Cai Chujian Huang Wenyi Liu Longde Du Chunguang Wang Ran Jia Shengcheng Lin Xin Yu Xiangyang Yu Yikun Yang Chenglin Yang Hongbo Zhao Zhe Wang Lixu Wang Kai Ma Zhentao Yu Xiaotong Guo Anatomical variation analysis of left upper pulmonary blood vessels and bronchi based on three-dimensional reconstruction of chest CT Frontiers in Oncology anatomical variation CT NSCLC pulmonary segmentectomy three-dimensional |
| title | Anatomical variation analysis of left upper pulmonary blood vessels and bronchi based on three-dimensional reconstruction of chest CT |
| title_full | Anatomical variation analysis of left upper pulmonary blood vessels and bronchi based on three-dimensional reconstruction of chest CT |
| title_fullStr | Anatomical variation analysis of left upper pulmonary blood vessels and bronchi based on three-dimensional reconstruction of chest CT |
| title_full_unstemmed | Anatomical variation analysis of left upper pulmonary blood vessels and bronchi based on three-dimensional reconstruction of chest CT |
| title_short | Anatomical variation analysis of left upper pulmonary blood vessels and bronchi based on three-dimensional reconstruction of chest CT |
| title_sort | anatomical variation analysis of left upper pulmonary blood vessels and bronchi based on three dimensional reconstruction of chest ct |
| topic | anatomical variation CT NSCLC pulmonary segmentectomy three-dimensional |
| url | https://www.frontiersin.org/articles/10.3389/fonc.2022.1028467/full |
| work_keys_str_mv | AT youjundeng anatomicalvariationanalysisofleftupperpulmonarybloodvesselsandbronchibasedonthreedimensionalreconstructionofchestct AT songhuacai anatomicalvariationanalysisofleftupperpulmonarybloodvesselsandbronchibasedonthreedimensionalreconstructionofchestct AT chujianhuang anatomicalvariationanalysisofleftupperpulmonarybloodvesselsandbronchibasedonthreedimensionalreconstructionofchestct AT wenyiliu anatomicalvariationanalysisofleftupperpulmonarybloodvesselsandbronchibasedonthreedimensionalreconstructionofchestct AT longdedu anatomicalvariationanalysisofleftupperpulmonarybloodvesselsandbronchibasedonthreedimensionalreconstructionofchestct AT chunguangwang anatomicalvariationanalysisofleftupperpulmonarybloodvesselsandbronchibasedonthreedimensionalreconstructionofchestct AT ranjia anatomicalvariationanalysisofleftupperpulmonarybloodvesselsandbronchibasedonthreedimensionalreconstructionofchestct AT shengchenglin anatomicalvariationanalysisofleftupperpulmonarybloodvesselsandbronchibasedonthreedimensionalreconstructionofchestct AT xinyu anatomicalvariationanalysisofleftupperpulmonarybloodvesselsandbronchibasedonthreedimensionalreconstructionofchestct AT xiangyangyu anatomicalvariationanalysisofleftupperpulmonarybloodvesselsandbronchibasedonthreedimensionalreconstructionofchestct AT yikunyang anatomicalvariationanalysisofleftupperpulmonarybloodvesselsandbronchibasedonthreedimensionalreconstructionofchestct AT chenglinyang anatomicalvariationanalysisofleftupperpulmonarybloodvesselsandbronchibasedonthreedimensionalreconstructionofchestct AT hongbozhao anatomicalvariationanalysisofleftupperpulmonarybloodvesselsandbronchibasedonthreedimensionalreconstructionofchestct AT zhewang anatomicalvariationanalysisofleftupperpulmonarybloodvesselsandbronchibasedonthreedimensionalreconstructionofchestct AT lixuwang anatomicalvariationanalysisofleftupperpulmonarybloodvesselsandbronchibasedonthreedimensionalreconstructionofchestct AT kaima anatomicalvariationanalysisofleftupperpulmonarybloodvesselsandbronchibasedonthreedimensionalreconstructionofchestct AT zhentaoyu anatomicalvariationanalysisofleftupperpulmonarybloodvesselsandbronchibasedonthreedimensionalreconstructionofchestct AT xiaotongguo anatomicalvariationanalysisofleftupperpulmonarybloodvesselsandbronchibasedonthreedimensionalreconstructionofchestct |