Okumura T, Kondo H, Suzuki K, Asamura H, Kobayashi T, Kaneko M, Tsuchiya R
Thoracic Surgery Division, National Cancer Center Hospital, Tokyo, Japan.
Ann Thorac Surg. 2001 Feb;71(2):439-42. doi: 10.1016/s0003-4975(00)02378-x.
Small lesions of the peripheral lung have been detected more frequently with the recent prevalence of computed tomography (CT). Identification of these lesions is indispensable for wedge resection performed by video-assisted thoracic surgery. Previous reports of marking techniques showed some failure and complications. We have developed a new marking technique and herein describe the efficacy of this technique: fluoroscopy-assisted thoracoscopic surgery after computed tomography-guided bronchoscopic barium marking.
Twenty patients underwent this procedure for 21 small peripheral pulmonary lesions approximately 10 mm in size.
All the lesions were successfully marked and identified during fluoroscopy-assisted thoracoscopy. They were resected with sufficient margins. There were no complications related to this procedure. The pathologic examination of these 21 lesions revealed primary lung cancer in 14, atypical adenomatous hyperplasia in four, a metastatic tumor in one, and a benign tumor in two.
This procedure is both a reliable and minimally invasive technique in thoracoscopic wedge resection for small peripheral pulmonary lesions.
随着计算机断层扫描（CT）的普及，外周肺小病灶的检出率越来越高。识别这些病灶对于电视辅助胸腔镜手术进行楔形切除至关重要。先前关于标记技术的报道显示存在一些失败情况和并发症。我们开发了一种新的标记技术，在此描述该技术的有效性：计算机断层扫描引导下支气管镜钡剂标记后荧光透视辅助胸腔镜手术。
20例患者因21个大小约10mm的外周肺小病灶接受了该手术。
所有病灶在荧光透视辅助胸腔镜检查期间均成功标记并识别。它们被切除且切缘足够。该手术无相关并发症。这21个病灶的病理检查显示，14个为原发性肺癌，4个为非典型腺瘤样增生，1个为转移瘤，2个为良性肿瘤。
该手术在胸腔镜楔形切除外周肺小病灶中是一种可靠且微创的技术。
