Abstract：Objective To explore the application value of three-dimensional reconstruction virtual reality navigation technology in thoracoscopic pulmonary segmentectomy. Methods A retrospective analysis of the clinical data of 79 patients who underwent pulmonary segmentectomy in the Department of Thoracic Surgery of the Second Affiliated Hospital of Zhengzhou University from September 2018 to December 2020, according to whether three-dimensional reconstruction virtual reality navigation technology was applied or not, they were divided into experimental group and control group. Among them, a total of 35 cases in the experimental group were guided by three-dimensional reconstruction virtual reality navigation technology; a total of 44 cases in the control group were guided by conventional two-dimensional CT images. The diameter of nodules, nature of nodules, operation time, intraoperative blood loss, postoperative extubation time, postoperative drainage, postoperative hospital stay, and postoperative complications were compared between the two groups. Results The operation time, postoperative extubation time, and postoperative hospital stay in the experimental group were shorter than those in the control group, while the amount of blood loss and total postoperative drainage were less than those in the control group, and the differences were statistically significant (P ＜ 0.05); there was no significant difference in postoperative complications between the two groups (P ＞ 0.05). Conclusion The application of three-dimensional reconstruction virtual reality navigation technology in thoracoscopic segmentectomy has certain clinical value. Through preoperative evaluation and intraoperative navigation, the risk and difficulty of the operation are reduced, and the accuracy and safety of the operation are improved.
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