Pulmonary vein analysis using three-dimensional computed tomography angiography for thoracic surgery

Akiba, Tadashi; Marushima, Hideki; Odaka, Makoto; Harada, Junta; Kobayashi, Susumu; Morikawa, Toshiaki

doi:10.1007/s11748-010-0592-0

Cited by 58 publications

(41 citation statements)

References 12 publications

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“…Statistically, the shortest segment is to be expected in the case of the right inferior pulmonary vein (mean: 6.97 mm) [8,10].…”

Section: Venous Systemmentioning

confidence: 94%

“…In the literature there are also described single cases of varied course of the segmental vein of the superior lobe, posterior to the superior lobe bronchus and posterior to the intermediate bronchus, running to the vicinity of subcarinal lymph nodes and constituting a source of unexpected vascular collisions during vessel preparation [9]. The location of the right "posterior" pulmonary vein (one of the branches co-forming the right superior pulmonary vein) posterior to the intermediate bronchus, described in 3.9-5.7% of cases [10], appears to be even more significant. Drainage from the middle lobe to the inferior pulmonary vein was described in 3.3-5.5% of cases [3,7].…”

Section: Venous Systemmentioning

confidence: 99%

“…The more acute angles of vein anastomoses on the right side (by 6 degrees on average) make the preparation of the more variable right-sided circuit even more difficult [10].…”

Section: Venous Systemmentioning

confidence: 99%

See 2 more Smart Citations

Thoracic surgery Anatomic variations of pulmonary vessels relevant with regard to lung tissue resections – literature review and personal experiences

Polaczek¹,

Religioni²,

Orłowski³

2013

kitp

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StreszczenieMałoinwazyjne metody anatomicznych resekcji miąższu płuc-nego stają się klinicznym standardem. Wymagają one od chirurga świetnej znajomości anatomii operowanego obszaru. Stworzono kompleksowy opis anatomii prawidłowej oraz znanych z piśmiennictwa zmienności naczyń płucnych na uży-tek torakochirurgii. Przeanalizowano również 642 przypadki zabiegów resekcji miąższu płucnego u pacjentów z rakiem niedrobnokomórkowym płuca operowanych w Klinice Chirurgii Instytutu Gruźlicy i Chorób Płuc w Warszawie, poszukując wzmianek o zmiennościach anatomicznych dostrzeżonych w trakcie zabiegu. Wyniki tej analizy zostały porównane z danymi z piśmiennictwa. Zmienność w obrębie układu tętniczego opisano w 8,72% przypadków, a układu żylnego w 3,12% przypadków. Częstość ta jest niższa, niż zakładana na postawie danych dostępnych w piśmiennictwie. Opisano natomiast kilka bardzo rzadkich, ale potencjalnie niebezpiecznych odmian. Słowa kluczowe: tętnice płucne, żyły płucne, zmienność.Kardiochirurgia i Torakochirurgia Polska 2013; 10 (3) 232 THORACIC SURGERY AbstractThe less invasive methods of lung tissue resection are becoming a clinical standard. This obligates surgeons to be well trained in the field of anatomy. Thus, we decided to create a comprehensive description of normal anatomy as well as anatomical variations of pulmonary vessels for the purpose of thoracic surgery procedures. We also retrospectively analyzed a database of 642 patients with lung cancer who underwent lung tissue resection at the Department of Surgery of the National Tuberculosis and Lung Diseases Research Institute in Warsaw (Poland), searching for descriptions of the anatomic variations observed during the surgical procedures. The results were subsequently compared to existing literature data. Variations of the arterial system were found in 8.72% of cases. Variations of the venous system were described in 3.12%. The frequency of variations in our database is lower than previously suspected based on the literature data. Nevertheless, several rare and potentially dangerous variations were described.

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“…Statistically, the shortest segment is to be expected in the case of the right inferior pulmonary vein (mean: 6.97 mm) [8,10].…”

Section: Venous Systemmentioning

confidence: 94%

Section: Venous Systemmentioning

confidence: 99%

See 1 more Smart Citation

Thoracic surgery Anatomic variations of pulmonary vessels relevant with regard to lung tissue resections – literature review and personal experiences

Polaczek¹,

Religioni²,

Orłowski³

2013

kitp

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“…The missing 2 branches were considered to be compressed due to swollen metastatic lymph nodes. 9) Representative reports of preoperative 3D CT of lung cancer are shown in Table 1.…”

Section: Usefulness Of 3d Ct For Lung Cancer Surgerymentioning

confidence: 99%

Three Dimensional Computed Tomography Lung Modeling is Useful in Simulation and Navigation of Lung Cancer Surgery

Ikeda

Yoshimura

Hagiwara

et al. 2013

Ann Thorac Cardiovasc Surg

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The number of minimally invasive operations, such as video-assisted thoracoscopic surgery (VATS) lobectomy or segmentectomy, has enormously increased in recent years. These operations require extreme knowledge of the anatomy of pulmonary vessels and bronchi in each patient, and surgeons must carefully dissect the branches of pulmonary vessels during operation. Thus, foreknowledge of the anatomy of each patient would greatly contribute to the safety and accuracy of the operation. The development of multi-detector computed tomography (MDCT) has promoted three dimensional (3D) images of lung structures. It is possible to see the vascular and bronchial structures from the view of the operator; therefore, it is employed for preoperative simulation as well as navigation during operation. Due to advances in software, even small vessels can be accurately imaged, which is useful in performing segmentectomy. Surgical simulation and navigation systems based on high quality 3D lung modeling, including vascular and bronchial structures, can be used routinely to enhance the safety operation, education of junior staff, as well as providing a greater sense of security to the operators.

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“…If these abnormalities are not considered, life-threatening complications such as uncontrolled bleeding, severe lung edema, or a greater extent of lung resection than expected may occur [3,4]. The efficacy of preoperative assessment of pulmonary vessels has been reported using three-dimensional CT for better understanding of the anatomical structure [5].…”

Section: Discussionmentioning

confidence: 99%

The Right Middle and the Inferior Pulmonary Vein Forming a Common Trunk

Terada¹,

Furuhata²

2017

Med Case Rep

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Pulmonary vein analysis using three-dimensional computed tomography angiography for thoracic surgery

Abstract: We observed common ostia more frequently on the left side than on the right. The middle lobe variations were frequent, and the right inferior pulmonary vein often divided at the root. Preoperative 3D-MDCT presented correct pulmonary vein anatomy of the patients.

Cited by 58 publications

References 12 publications

Thoracic surgery Anatomic variations of pulmonary vessels relevant with regard to lung tissue resections – literature review and personal experiences

Thoracic surgery Anatomic variations of pulmonary vessels relevant with regard to lung tissue resections – literature review and personal experiences

Three Dimensional Computed Tomography Lung Modeling is Useful in Simulation and Navigation of Lung Cancer Surgery

The Right Middle and the Inferior Pulmonary Vein Forming a Common Trunk

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