Department of Surgery II, Kochi Medical School, Kochi University, Nankoku, Japan.
Center for Photodynamic Medicine, Kochi Medical School, Kochi University, Nankoku, Japan.
Thorac Cancer. 2019 Mar;10(3):579-582. doi: 10.1111/1759-7714.12983. Epub 2019 Jan 17.
The increasing need for pulmonary resection by video-assisted thoracoscopic surgery (VATS) has presented a greater opportunity to detect small-sized pulmonary nodules by computed tomography (CT). In cases where it is difficult to identify tumor localization intraoperatively, it is necessary to place the VATS marker near the pulmonary nodules before surgery. Conventional percutaneous or bronchoscopic VATS marker placement under local anesthesia is accompanied by patient pain. We clinically applied a new technique to place VATS markers using a bronchoscope under general anesthesia in a hybrid operating room. Multiple pulmonary nodules were successfully marked and securely excised simultaneously by VATS. This technique enables secure, minimally invasive resection of multiple small-sized pulmonary nodules without causing distress to the patient.
随着电视辅助胸腔镜手术（VATS）对肺切除术需求的增加，通过计算机断层扫描（CT）发现小结节的机会也越来越多。在术中难以确定肿瘤位置的情况下，有必要在术前将 VATS 标记物放置在肺结节附近。传统的经皮或支气管镜下 VATS 标记物放置在局部麻醉下进行，会给患者带来疼痛。我们在杂交手术室全身麻醉下使用支气管镜进行 VATS 标记物放置的新技术，成功地对多个肺结节进行了标记，并通过 VATS 安全、微创地切除。该技术可安全、微创地切除多个小结节，且不会给患者带来不适。
