Image-guided video-assisted thoracoscopic surgery with Artis Pheno for pulmonary nodule resection

Cheng, Ya‐Fu; Chen, Heng-Chung; Ke, Pei-Cing; Hung, Wei-Heng; Cheng, Ching-Yuan; Lin, Ching-Hsiung; Wang, Bing‐Yen

doi:10.21037/jtd.2020.02.12

Cited by 16 publications

(15 citation statements)

References 17 publications

Supporting

Mentioning

Contrasting

Order By: Relevance

“…Results published by Cheng et al's recent article "Imageguided video-assisted thoracoscopic surgery with ARTIS Pheno ® for pulmonary nodule resection" (18) are in line with the above mentioned studies. It is a retrospective analysis conducted in 2018 where 126 patients were divided equally and non-randomly into two groups.…”

Section: Editorialsupporting

confidence: 71%

“…Compared with its predecessor, ARTIS Pheno ® has a wider C-arm with 130 cm focalspot-to-detector distance that gives a usable clearance up to 95.5 cm. All patients in the study were set at true lateral decubitus position during both localization and surgery, without ensuing collision due to the longer radius of gyration provided by ARTIS Pheno ® (18). After localization, surgery can immediately start without the need for repositioning the patient.…”

Section: Editorialmentioning

confidence: 99%

See 1 more Smart Citation

ARTIS Pheno®—the future of thoracic hybrid theatre for lung nodule resection?

Chan¹,

Yu²,

Lau³

et al. 2020

J Thorac Dis

View full text Add to dashboard Cite

Section: Editorialsupporting

confidence: 71%

Section: Editorialmentioning

confidence: 99%

ARTIS Pheno®—the future of thoracic hybrid theatre for lung nodule resection?

Chan¹,

Yu²,

Lau³

et al. 2020

J Thorac Dis

View full text Add to dashboard Cite

“…The latter further, helps avoid collision of equipment and patients and enables the easier setting of the surgery. [ 1 ]…”

Section: Discussionmentioning

confidence: 99%

Clinical outcomes of procedures combining endovascular embolization with a direct surgical approach in a hybrid operating room for the treatment of refractory dural arteriovenous fistulas

Kato

Ishibashi

Maruyama

et al. 2021

Surgical Neurology International

View full text Add to dashboard Cite

Background: We reviewed the clinical outcomes of a procedure that combines endovascular embolization and a direct surgical approach in a hybrid operating room (OR) for the treatment of refractory dural arteriovenous fistulas (dAVFs). Methods: All patients with intracranial dAVFs who underwent a procedure combining endovascular embolization and direct surgical approach with biplane angiography or a robotic C-arm system in a hybrid OR between February 2004 and June 2020 were considered. Borden grading, occlusion rate, pre-and post-operative modified Rankin Scale (mRS) scores, and complications were retrospectively investigated. The pre-and postoperative mRS scores were compared using the Wilcoxon signed-ranks test. Results: We evaluated 14 arteriovenous fistulas (AVFs) in consecutive 13 patients. Of these, ten AVFs were previously treated with endovascular embolization, ten were located in the transverse-sigmoid sinus, and four in the cortical vein. The Borden grade was II in two AVFs and III in 12 AVFs. Immediate occlusion of the AVF was achieved in 13 AVFs, and gradual occlusion was observed in one case. The median preoperative mRS was 1 (0–3), whereas the median postoperative mRS was 0 (0–1) which indicated marked improvement (P = 0.006). Complications including postoperative transient visual disturbance and intraprocedural extravasation were observed in only two cases. Conclusion: The combination of endovascular embolization and direct surgical approach in a hybrid OR could achieve sufficient occlusion of refractory AVFs with acceptable complication rates and improved symptoms.

show abstract

“…Our previous study showed that the mean time from localization to skin incision was 23.57 minutes with iVATS. [10] The complication rate of iVATS is pretty low. We suggested that iVATS extended segmentectomy can create more resection margin and make a precise resection.…”

Section: Discussionmentioning

confidence: 99%

“…We describe a novel technique using image-guided video-assisted thoracoscopic surgery (iVATS) to accomplish extended segmentectomy. There were several studies that discussed the details of iVATS with cone-beam CT. [8][9][10] In this study, we aimed to compare the effects of iVATS extended segmentectomy and the effects of traditional segmentectomy for stage I NSCLC.We designed a retrospective study to nd out if iVATS extended segmentectomy can create more resection margin than traditional segmentectomy.…”

mentioning

confidence: 99%

Comparison of Extended Segmentectomy with Traditional Segmentectomy for Stage I Lung Cancer

Cheng

Hsieh

Chang

et al. 2021

Preprint

Self Cite

View full text Add to dashboard Cite

Background For stage I non-small cell lung cancer (NSCLC), lobectomy and segmentectomy are still controversial operations. Extended segmentectomy was proposed to make larger safe margins than segmentectomy. Image-guided video-assisted thoracoscopic surgery (iVATS) is useful to accomplish extended segmentectomy. We aimed to compare the effects of iVATS extended segmentectomy to the effects of traditional segmentectomy for stage I NSCLC. Methods This study is a retrospective analysis in a single institute. Patients with stage I NSCLC who received segmentectomy between January 2017 and September 2020 were included. Patients were distributed to iVATS extended segmentectomy (group A), and traditional segmentectomy (group B). The impacts of the different surgical methods on resection margin were assessed. Results There were 116 patients enrolled in this study. Sixty-two patients distributed in group A, and the other 54 patients in group B. The resection margin to a staple line was 17.94 mm in group A versus 14.15 mm in group B, p = 0.037. The margin/tumor diameter ratio was 2.08 in group A versus 1.39 in group B, p = 0.003. The enough margin rate was 75.81% and 57.41%, respectively, for group A and group B. The subgroup analysis of iVATS extended segmentectomy showed that T1a lesions had larger margin distances than did T1b lesions (19.85 mm vs. 14.83 mm, p = 0.026). Conclusions The iVATS extended segmentectomy can provide more resection margin than traditional segmentectomy. Segmentectomy is more suitable to perform when the nodule’s diameter is less than 10 mm.

show abstract

Image-guided video-assisted thoracoscopic surgery with Artis Pheno for pulmonary nodule resection

Abstract: Contributions: (I) Conception and design: YF Cheng; (II) Administrative support: BY Wang; (III) Provision of study materials or patients: HC Chen;

Cited by 16 publications

References 17 publications

ARTIS Pheno®—the future of thoracic hybrid theatre for lung nodule resection?

ARTIS Pheno®—the future of thoracic hybrid theatre for lung nodule resection?

Clinical outcomes of procedures combining endovascular embolization with a direct surgical approach in a hybrid operating room for the treatment of refractory dural arteriovenous fistulas

Comparison of Extended Segmentectomy with Traditional Segmentectomy for Stage I Lung Cancer

Contact Info

Product

Resources

About