Abstract:
Objective To explore the clinical value of chest multi-slice computed tomography angiography (MSCTA) as a preoperative examination for lung cancer patients undergoing pulmonary lobectomy.
Methods Sixty lung cancer patients formed the study population and were randomly divided into 2 groups of 30 cases each. In the experimental group, CTA images of the tumors and pulmonary artery, bronchial artery, pulmonary vein were acquired, analyzed, and post-processed using VR to determine the anatomical relationship between vessels and tumors. Pulmonary lobectomy followed. Cases in the control group underwent pulmonary lobectomy without guidance by chest MSCTA. Operation times and amounts of operative blood loss were compared between the two groups.
Results Significant differences between groups in terms of operation time (study group vs. control group, 199±55.7 vs. 231.5±51.2(min); P= 0.02) and amount of operative blood loss (study group vs. control group, 318.33±99.6 vs. 431.7±89.5(mL), P < 0.01) were observed. Values of operation time and amount of contrast agents in the study group were consistently lower than those in the control group.
Conclusion Chest MSCTA can shorten the operation time and reduce the amount of operative blood loss during pulmonary lobectomy. Thus, the technique has significant clinical value.