{"created":"2023-07-25T08:15:21.738416+00:00","id":16664,"links":{},"metadata":{"_buckets":{"deposit":"109d789d-8e2c-4d82-8011-a44876f2d40e"},"_deposit":{"created_by":18,"id":"16664","owners":[18],"pid":{"revision_id":0,"type":"depid","value":"16664"},"status":"published"},"_oai":{"id":"oai:ir.kagoshima-u.ac.jp:00016664","sets":["57:78"]},"author_link":["142849","142850","142851","142852","142853","142854","142855"],"item_6_biblio_info_5":{"attribute_name":"収録雑誌名","attribute_value_mlt":[{"bibliographicIssueDates":{"bibliographicIssueDate":"2022-06","bibliographicIssueDateType":"Issued"},"bibliographicPageEnd":"228","bibliographicPageStart":"219","bibliographicVolumeNumber":"13","bibliographic_titles":[{"bibliographic_title":"JTCVS Techniques","bibliographic_titleLang":"en"}]}]},"item_6_date_6":{"attribute_name":"作成日","attribute_value_mlt":[{"subitem_date_issued_datetime":"2022-06","subitem_date_issued_type":"Issued"}]},"item_6_description_4":{"attribute_name":"要約(Abstract)","attribute_value_mlt":[{"subitem_description":"Objective: The objective of this study was to use cone-beam computed tomography (CBCT) for intraoperative imaging of a pulmonary wedge resection line that contributes to securing the required surgical margin in patients undergoing thoracoscopic surgery for indistinct intrapulmonary lesions.\nMethods: Data of 16 consecutive patients with potentially impalpable intrapulmonary lesions were retrospectively reviewed. Preoperatively, we simulated a rhomboidal cut line on the surface of a 3-dimensional lung model with reference to multiplanar reconstruction computed tomography images. Intraoperatively, we imaged the rhomboid on the real lung surface using trial and error adjustment with CBCT. Wedge resection was performed thoracoscopically by stapling along the outline of the rhomboid.\nResults: The mean consolidation diameter and mean distance between the tumor and the visceral pleura were 2 mm and 11 mm, respectively. In all cases, we only performed single CBCT scanning to localize the rhomboid on the real lung surface. The mean radiological distance between the approximate location and the correct location was 8 mm (range, 0-34 mm). Wedge resection was successful with a mean surgical margin of 11 mm (range, 7-16 mm), without conversion to anatomical resection or open conversion. This simulation was also helpful for planning port placement for the use of an autostapler.\nConclusions: We established a novel procedure for imaging the cut line on the lung surface with intraoperative CBCT, which facilitated the performance of wedge resection with the required surgical margin in patients with potentially impalpable intrapulmonary small lesions. Our method might be beneficial for patients and surgeons because it can be applied without preoperative intervention.\n\nKazuhiro Ueda, Masaya Aoki, Go Kamimura, Nobuhiro Imamura, Takuya Tokunaga, Soichi Suzuki, Masami Sato\nIntraoperative cone-beam computed tomography to secure the surgical margin in pulmonary wedge resection for indistinct intrapulmonary lesions\nJTCVS Techniques 2022;13:219-28\nhttps://doi.org/10.1016/j.xjtc.2022.01.028","subitem_description_language":"en","subitem_description_type":"Other"}]},"item_6_publisher_23":{"attribute_name":"公開者・出版者","attribute_value_mlt":[{"subitem_publisher":"Elsevier Inc.","subitem_publisher_language":"en"}]},"item_6_source_id_7":{"attribute_name":"ISSN","attribute_value_mlt":[{"subitem_source_identifier":"26662507","subitem_source_identifier_type":"EISSN"}]},"item_6_subject_15":{"attribute_name":"NDC","attribute_value_mlt":[{"subitem_subject":"490","subitem_subject_scheme":"NDC"}]},"item_6_version_type_14":{"attribute_name":"著者版フラグ","attribute_value_mlt":[{"subitem_version_resource":"http://purl.org/coar/version/c_970fb48d4fbd8a85","subitem_version_type":"VoR"}]},"item_creator":{"attribute_name":"著者","attribute_type":"creator","attribute_value_mlt":[{"creatorNames":[{"creatorName":"Ueda, Kazuhiro","creatorNameLang":"en"}],"nameIdentifiers":[{"nameIdentifier":"142849","nameIdentifierScheme":"WEKO"}]},{"creatorNames":[{"creatorName":"Aoki, Masaya","creatorNameLang":"en"}],"nameIdentifiers":[{"nameIdentifier":"142850","nameIdentifierScheme":"WEKO"}]},{"creatorNames":[{"creatorName":"Kamimura, Go","creatorNameLang":"en"}],"nameIdentifiers":[{"nameIdentifier":"142851","nameIdentifierScheme":"WEKO"}]},{"creatorNames":[{"creatorName":"Imamura, Nobuhiro","creatorNameLang":"en"}],"nameIdentifiers":[{"nameIdentifier":"142852","nameIdentifierScheme":"WEKO"}]},{"creatorNames":[{"creatorName":"Tokunaga, Takuya","creatorNameLang":"en"}],"nameIdentifiers":[{"nameIdentifier":"142853","nameIdentifierScheme":"WEKO"}]},{"creatorNames":[{"creatorName":"Suzuki, Soichi","creatorNameLang":"en"}],"nameIdentifiers":[{"nameIdentifier":"142854","nameIdentifierScheme":"WEKO"}]},{"creatorNames":[{"creatorName":"Sato, Masami","creatorNameLang":"en"}],"nameIdentifiers":[{"nameIdentifier":"142855","nameIdentifierScheme":"WEKO"}]}]},"item_files":{"attribute_name":"ファイル情報","attribute_type":"file","attribute_value_mlt":[{"accessrole":"open_date","date":[{"dateType":"Available","dateValue":"2023-05-16"}],"displaytype":"detail","filename":"26662507_v13_p219-228.pdf","filesize":[{"value":"2.1 MB"}],"format":"application/pdf","licensefree":"Copyright©2022 The Author(s). Published by Elsevier Inc. on behalf of The American Association for Thoracic Surgery. This is an open access article under the CC BY license(http://creativecommons.org/licenses/by/4.0/).","licensetype":"license_note","mimetype":"application/pdf","url":{"label":"26662507_v13_p219-228","objectType":"fulltext","url":"https://ir.kagoshima-u.ac.jp/record/16664/files/26662507_v13_p219-228.pdf"},"version_id":"16129805-645a-4be1-a2ce-7f85307598b8"}]},"item_keyword":{"attribute_name":"キーワード","attribute_value_mlt":[{"subitem_subject":"lung cancer","subitem_subject_language":"en","subitem_subject_scheme":"Other"},{"subitem_subject":"subsolid tumor","subitem_subject_language":"en","subitem_subject_scheme":"Other"},{"subitem_subject":"sublobar resection","subitem_subject_language":"en","subitem_subject_scheme":"Other"},{"subitem_subject":"cone-beam computed tomography","subitem_subject_language":"en","subitem_subject_scheme":"Other"},{"subitem_subject":"hybrid operating room","subitem_subject_language":"en","subitem_subject_scheme":"Other"}]},"item_language":{"attribute_name":"言語","attribute_value_mlt":[{"subitem_language":"eng"}]},"item_resource_type":{"attribute_name":"資源タイプ","attribute_value_mlt":[{"resourcetype":"journal article","resourceuri":"http://purl.org/coar/resource_type/c_6501"}]},"item_title":"Intraoperative cone-beam computed tomography to secure the surgical margin in pulmonary wedge resection for indistinct intrapulmonary lesions","item_titles":{"attribute_name":"タイトル","attribute_value_mlt":[{"subitem_title":"Intraoperative cone-beam computed tomography to secure the surgical margin in pulmonary wedge resection for indistinct intrapulmonary lesions","subitem_title_language":"en"}]},"item_type_id":"6","owner":"18","path":["78"],"pubdate":{"attribute_name":"PubDate","attribute_value":"2023-05-16"},"publish_date":"2023-05-16","publish_status":"0","recid":"16664","relation_version_is_last":true,"title":["Intraoperative cone-beam computed tomography to secure the surgical margin in pulmonary wedge resection for indistinct intrapulmonary lesions"],"weko_creator_id":"18","weko_shared_id":-1},"updated":"2024-02-07T06:21:39.307612+00:00"}