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Analysis of the variation pattern in left upper division veins and establishment of simplified vein models for anatomical segmentectomy

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机构: [1]Department of Cardiothoracic Surgery, the First Affiliated Hospital of Chongqing Medical University, Chongqing, China [2]Department of Cardiothoracic Surgery, Yongchuan Hospital of Chongqing Medical University, Chongqing, China [3]Department of Thoracic Surgery, Affiliated Hospital of Hebei University, Hebei, China [4]Basic Research Key Laboratory of General Surgery for Digital Medicine, Shijiazhuang, China [5]Institute of Life Science and Green Development, Hebei University, Shijiazhuang, China [6]Department of Thoracic Surgery, Xuzhou Central Hospital Affiliated to Southeast University, Xuzhou, China [7]Department of Cardiothoracic Surgery, The First College of Clinical Medical Science, China Three Gorges University, Yichang, China [8]Department of Thoracic Surgery, Xiamen Branch, Zhongshan Hospital, Fudan University, Xiamen, China [9]Department of Thoracic Surgery, the 3rd Hospital of Hebei Medical University, Shijiazhuang, China [10]Department of Cardiothoracic Surgery, Taizhou Hospital of Zhejiang Province affiliated to Wenzhou Medical University, Linhai, China [11]Department of Thoracic Surgery, First People’s Hospital of Yunnan Province, Kunming University of Science and Technology, Kunming, China
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关键词: Vein left upper division (LUD) ascending A(3)a (ASC A(3)a) early-bifurcation B(3)a three-dimensional computed tomography bronchography and angiography (3D-CTBA)

摘要:
Background: Three-dimensional computed tomography bronchography and angiography (3D-CTBA) is a powerful tool to analyze pulmonary anatomy. We used 3D-CTBA to analyze variations of the pulmonary veins of the left upper division (LUD) and created a simplified LUD vein model. Methods: Between January 2019 and October 2019, 124 patients with left-sided pulmonary lesions were admitted and underwent 3D-CTBA prior to surgery. We reviewed the anatomical variations of the LUD veins in these patients using 3D-CTBA images and classified them according to their position in relation to the bronchus. To facilitate this process, the same nomenclature as that used to describe the veins of the right upper lobe (RUL) is used for the LUD. Results: The pattern of LUD veins could be classified into three forms: an anterior + central form, an anterior form and a central form. For the central form, V1+2 a, V1+2 b, V1+2 c and V1+2 d drained into V. cent. For the anterior form, V1+2 d drained into V. ant. The anterior + central form could be further classified into three subtypes (V abc, V ab and V a). Conclusions: This is the first report to categorize the pattern of veins in the LUD. This may facilitate the creation of simplified models for use in pre-operative planning for segmentectomy.

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基金编号: 19277731d

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出版当年[2020]版
大类 | 3 区 医学
小类 | 3 区 医学:研究与实验 3 区 肿瘤学
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Q2 ONCOLOGY Q2 MEDICINE, RESEARCH & EXPERIMENTAL
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影响因子: 最新[2023版] 最新五年平均 出版当年[2019版] 出版当年五年平均 出版前一年[2018版] 出版后一年[2020版]

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第一作者机构: [1]Department of Cardiothoracic Surgery, the First Affiliated Hospital of Chongqing Medical University, Chongqing, China
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通讯机构: [1]Department of Cardiothoracic Surgery, the First Affiliated Hospital of Chongqing Medical University, Chongqing, China [*1]Department of Cardiothoracic Surgery, the First Affiliated Hospital of Chongqing Medical University, Chongqing 400016, China.
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