Department of Thoracic Surgery and Oncology, Division of Thoracic Surgery, National Cancer Institute, Pascale Foundation, Naples, Italy.
Ann Thorac Surg. 2011 Sep;92(3):1099-101. doi: 10.1016/j.athoracsur.2011.03.030.
An intrinsic limitation of video-assisted thoracic surgery (VATS) resides in the impossibility to palpate the lung to identify embedded nodules. We wanted to investigate the use of intraoperative ultrasonography to detect pulmonary nodules during uniportal VATS.
We describe our initial experience with the identification of peripheral pulmonary nodules with an articulating ultrasound probe introduced through a single VATS incision. The instrument was used in 2 patients with solitary pulmonary nodules and previous history of extrathoracic cancer.
The lung nodules were identified by the articulating probe and resected on wide tumor-free margins through uniportal VATS. Subsequent lung palpation through minithoracotomy confirmed the absence of additional lesions.
Intraoperative ultrasound scanning of the lung with an articulating probe can be successfully used through uniportal VATS to identify peripheral nodules.
视频辅助胸腔镜手术（VATS）的一个固有局限性在于无法触诊肺部以识别嵌入的结节。我们希望研究在单端口 VATS 中使用术中超声来检测肺部结节。
我们描述了使用可弯曲超声探头通过单个 VATS 切口识别周围性肺结节的初步经验。该仪器用于 2 例有孤立性肺结节和胸外癌症既往史的患者。
通过可弯曲探头识别肺结节，并通过单端口 VATS 在广泛无肿瘤切缘下切除。随后通过小开胸术进行的肺部触诊证实无其他病变。
通过单端口 VATS 使用可弯曲探头对肺部进行术中超声扫描可成功用于识别周围性结节。
