Shen Cheng, Li Pengfei, Li Jue, Che Guowei
Department of Thoracic Surgery, West China Hospital, Sichuan University, Chengdu 610041, China.
Zhongguo Fei Ai Za Zhi. 2018 Aug 20;21(8):628-634. doi: 10.3779/j.issn.1009-3419.2018.08.09.
Recently, with the proliferation of high-resolution computed tomography (CT), the frequency of small pulmonary nodules appears higher and more precise than previously estimated, especially in CT screening in patients with high risk factors for lung cancer. Video-assisted thoracoscopic surgery (VATS) provides a new minimally invasive treatment for the diagnosis and treatment of small pulmonary nodules. The VATS results in less pain, shorter hospital stay, and reduced surgical complications, making it more widely available. How to accurately locate and mark lesions is important for video-assisted thoracoscopic surgery. This article reviews the various techniques used to locate pulmonary nodules in surgery in recent years and summarizes the advantages and disadvantages of them. .
近年来,随着高分辨率计算机断层扫描(CT)的普及,肺部小结节的检出率比以往估计的更高且更精确,尤其是在对肺癌高危患者进行CT筛查时。电视辅助胸腔镜手术(VATS)为肺部小结节的诊断和治疗提供了一种新的微创治疗方法。VATS具有疼痛轻、住院时间短和手术并发症少等优点,因而应用更为广泛。如何准确地定位和标记病变对于电视辅助胸腔镜手术至关重要。本文综述了近年来手术中用于定位肺结节的各种技术,并总结了它们的优缺点。