Kim Kyung Soo, Beck Kyongmin Sarah, Lee Kyo Young, Moon Seok Whan
Department of Thoracic and Cardiovascular Surgery, Seoul St. Mary's Hospital, College of Medicine, The Catholic University of Korea, Seoul, Republic of Korea.
Department of Radiology, Seoul St. Mary's Hospital, College of Medicine, The Catholic University of Korea, Seoul, Republic of Korea.
J Thorac Dis. 2017 Apr;9(4):E349-E353. doi: 10.21037/jtd.2017.03.58.
Small and deeply seated pure ground-glass opacity (GGO) pulmonary nodules (PNs) are not discernible during video-assisted thoracoscopic surgery (VATS). Moreover, pathologists have difficulty in detecting these nodules due to insufficient localization. We percutaneously injected a mixture of lipiodol and India ink during preoperative CT-guided localization in a 52-year-old female patient presenting with a pure GGO PN. A black-pigmented tattoo lesion was clearly identified, and thoracoscopic wedge resection was performed without difficulty. Pathologic results were also discernible, thus allowing the target lesion to be identified without interruption for microscopic analysis. We introduce a novel method using a mixture of lipiodol and India ink with satisfactory results for preoperative localization of GGO PNs prior to VATS.
小而深的纯磨玻璃密度（GGO）肺结节（PNs）在电视辅助胸腔镜手术（VATS）中难以辨认。此外，由于定位不足，病理学家难以检测到这些结节。在一名患有纯GGO PN的52岁女性患者的术前CT引导定位过程中，我们经皮注射了碘油和印度墨水的混合物。清晰地识别出了一个黑色色素沉着的纹身样病变，并且顺利进行了胸腔镜楔形切除术。病理结果也清晰可辨，从而能够在不中断显微镜分析的情况下识别目标病变。我们介绍了一种使用碘油和印度墨水混合物的新方法，在VATS之前对GGO PNs进行术前定位，结果令人满意。
