Akamatsu H, Sunamori M, Katsuo K
Department of Cardiothoracic Surgery, National Tokyo Medical and Dental University Hospital, Japan.
Thorac Cardiovasc Surg. 2000 Feb;48(1):34-5. doi: 10.1055/s-2000-8893.
Because the localization of small lung nodules at thoracoscopic resection is sometimes difficult, we have employed intraoperative real-time computed tomography (CT). Two patients with lung nodules less than 1 cm in diameter were treated using this technique. Detection of the lesion using CT and thoracoscopic resection is performed simultaneously in the interventional radiological CT examination room. After induction of general anesthesia with one-lung ventilation, the patient is placed in the lateral position. The lung nodule is detected using real-time CT and grasped with forceps. Thoracoscopic resection of the nodule is performed in the usual fashion. Frozen section examination is immediately performed to decide on further therapy.
由于在胸腔镜切除术中有时难以定位小的肺结节，我们采用了术中实时计算机断层扫描（CT）。两名直径小于1厘米的肺结节患者使用了该技术进行治疗。在介入放射CT检查室中，利用CT检测病变并同时进行胸腔镜切除。在单肺通气全身麻醉诱导后，患者取侧卧位。使用实时CT检测肺结节并用钳子抓取。以常规方式进行结节的胸腔镜切除。立即进行冰冻切片检查以决定进一步的治疗方案。
