Three-Dimensional Reconstruction Computed Tomography in Thoracoscopic Segmentectomy: A Randomized Controlled Trial

The authors report the results of their randomized controlled trial (RCT) exploring the use of preoperative CT three-dimensional (3D) reconstruction and its impact on operative time and outcomes in thoracoscopic segmentectomy. The authors conducted a multicenter (three hospitals) RCT between 2019 and 2023, randomizing patients 1:1 to either 3D reconstruction CT or standard chest CT. The primary endpoint was operative time. Overall, 191 patients with small peripheral tumors were randomized. There was no statistically significant difference in operative time or clinical outcomes between the groups.