Comparison of segmentectomy guided by thin-slice CT or 3D CT simulation: A retrospective study

We first introduce how to read and understand thin-slice computed tomography (CT) images to guide segmentectomy and compare it with guidance by three-dimensional (3D) CT simulation. We retrospectively reviewed 111 patients who underwent video-assisted thoracic surgery segmentectomy from September 2019 to September 2021. They were divided into the CT group (55 cases) and 3D simulation group (56 cases). The scientific, comprehensive reading method of thin-slice CT images was introduced in detail and clinical parameters were compared between the 2 groups. CT group had shorter preoperative hospitalized preparation time (median: 3.0 vs 3.0 days, interquartile range: 2.0-3.0 vs 3.0-4.0, P = .002). CT group had shorter preoperative decision time (median: 1.0 vs 2.0 days, interquartile range: 1.0-2.0 vs 2.0-3.0, P < .001). There was no significant difference in the number of times the CT images or 3D simulation needed to be referenced during surgery (P = .233) between the 2 groups. The scientific reading and understanding of thin-slice CT images may provide good guidance in most cases of video-assisted thoracic surgery segmentectomy, constituting high-efficiency thoracic surgery to treat lung glass ground nodule with enhanced recovery after surgery.