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杂交手术室与单孔电视辅助胸腔镜手术:肺结节定位的完美组合

Hybrid Theater and Uniportal Video-Assisted Thoracic Surgery: The Perfect Match for Lung Nodule Localization.

作者信息

Zhao Ze-Rui, Lau Rainbow W H, Ng Calvin S H

机构信息

Division of Cardiothoracic Surgery, Department of Surgery, The Chinese University of Hong Kong, Prince of Wales Hospital, Shatin, N.T., Hong Kong SAR, China.

Division of Cardiothoracic Surgery, Department of Surgery, The Chinese University of Hong Kong, Prince of Wales Hospital, Shatin, N.T., Hong Kong SAR, China.

出版信息

Thorac Surg Clin. 2017 Nov;27(4):347-355. doi: 10.1016/j.thorsurg.2017.06.003.

DOI:10.1016/j.thorsurg.2017.06.003
PMID:28962707
Abstract

Cone-beam computed tomography provides unparalleled real-time imaging of the patient within the hybrid theater, which can be used for simultaneously diagnosing and localizing small pulmonary lesions for resection. Hybrid theater can guide more precise placement of electromagnetic navigation bronchoscopy tools, thereby increasing the diagnostic yield in biopsy procedures while reducing diffusion artifact in dye marking for nodule localization. Furthermore, hook-wires implantation that is widely used to assist in lesion localization for uniportal thoracoscopic surgery can take place in the hybrid suite, eliminating the common complications and discomfort associated with the conventional workflow carried out in the radiology suite.

摘要

锥形束计算机断层扫描可在杂交手术室为患者提供无与伦比的实时成像,可用于同时诊断和定位小型肺部病变以便进行切除。杂交手术室可指导更精确地放置电磁导航支气管镜工具,从而提高活检程序的诊断率,同时减少用于结节定位的染料标记中的扩散伪影。此外,广泛用于协助单孔胸腔镜手术进行病变定位的钩丝植入可在杂交手术室进行,消除了与在放射科进行的传统工作流程相关的常见并发症和不适。

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