电视胸腔镜切除术前肺内不确定结节的定位
Preoperative localization of indeterminate pulmonary nodules before videothoracoscopic resection.
作者信息
Paci M, Annessi V, Giovanardi F, Ferrari G, De Franco S, Casali C, Sgarbi G
机构信息
First Department of Surgery, Division of Thoracic Surgery, Santa Maria Nuova Hospital, viale Risorgimento 80, 42100 Reggio Emilia, Italy.
出版信息
Surg Endosc. 2002 Mar;16(3):509-11. doi: 10.1007/s00464-001-9014-9. Epub 2001 Nov 16.
BACKGROUND
The management of a solitary pulmonary nodule is the subject of debate and minimally invasive diagnostic approaches have low sensitivity for small peripheral nodules. We discuss the role of video-assisted thoracoscopic surgery (VATS) in the management of solitary pulmonary nodules (SPNs) < or = 1 cm performed with a preoperative computed tomography-guided wire localization.
METHODS
Thirty-five selected patients underwent VATS resection for SPN, with localization by guide wire before surgery.
RESULTS
Seven patients, after VATS exploration, underwent thoracotomy because of pleuropulmonary adhesions, depth or dimensions. Histological diagnosis was obtained in all procedures; there was no postoperative morbidity or morbidity.
CONCLUSION
Preoperative computed tomography hook-wire localization is a suitable strategy for peripheral nodules < or = 1 cm in diameter.
背景
孤立性肺结节的处理存在争议，微创诊断方法对小的外周结节敏感性较低。我们讨论术前计算机断层扫描引导下金属丝定位的电视辅助胸腔镜手术（VATS）在直径小于或等于1cm的孤立性肺结节（SPN）处理中的作用。
方法
35例经选择的患者因SPN接受VATS切除，术前通过导丝进行定位。
结果
7例患者在VATS探查后因胸膜肺粘连、深度或尺寸问题而接受开胸手术。所有手术均获得组织学诊断；无术后并发症。
结论
术前计算机断层扫描钩丝定位是处理直径小于或等于1cm外周结节的合适策略。
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