Fernández M T, Bustos A, Ferreirós J, Gómez A, Hernando F, Torres A
Servicio de Radiodiagnóstico, Hospital Clínico San Carlos, Madrid.
Med Clin (Barc). 2000 Mar 11;114(9):333-5. doi: 10.1016/s0025-7753(00)71285-1.
To localize peripheral lung nodules under CT guidance using hookwires, prior to video-assisted thoracic surgery (VATS).
Twenty-two pulmonary nodules were localized with a hookwire under CT guidance. The visceral pleura was stained with methylene blue. VATS was performed thereafter.
All nodules were successfully localized and resected without significant complications.
In select cases, localization of pulmonary nodules with hook wire and methylene blue allows the thoracoscopic resection of unaccessible lesions.
在电视辅助胸腔镜手术(VATS)前,使用钩丝在CT引导下对周围型肺结节进行定位。
在CT引导下用钩丝对22个肺结节进行定位。用亚甲蓝对脏层胸膜进行染色。随后进行VATS手术。
所有结节均成功定位并切除,无明显并发症。
在特定病例中,使用钩丝和亚甲蓝对肺结节进行定位可实现胸腔镜下切除难以触及的病变。