Cornella Katie N, Palafox Brian A, Razavi Mahmood K, Loh Christopher T, Markle Kelly M, Openshaw Lauren E
1 St. Joseph Hospital of Orange, Orange, CA, USA.
Surg Innov. 2019 Aug;26(4):469-472. doi: 10.1177/1553350619843757. Epub 2019 Apr 26.
. Current techniques for localization and resection of lung nodules carry many intraoperative challenges for surgeons. This article proposes a new localization method for diagnosis and treatment of pulmonary nodules, which provides a navigational system for more accurate lung resection. We report the case of a 77-year-old female with a pulmonary nodule of the right lower lobe. A nonradioactive localization technology, known as SAVI SCOUT (Cianna Medical Inc, Aliso Viejo, CA), was placed by interventional radiology under computed tomography guidance preoperatively. Using the SCOUT Wire-Free Radar Localization System, the pulmonary nodule was robotically localized and resected. SCOUT removal was confirmed using the Trident Specimen Radiology System. The efficacy of this procedure was evaluated in terms of ease of use and procedure time by interventional radiology, surgical resection accuracy, diagnostic accuracy, simplicity, and ease to implement this technology in an existing hospital. . The SCOUT system allowed for the first reported case of successful SCOUT placement in lung tissue, targeted the pulmonary nodule intraoperatively, and facilitated accurate lung resection. . The SCOUT system shows promising advancements in the ability to eliminate many challenges currently seen with lung nodule localization and resection.
目前用于肺结节定位和切除的技术给外科医生带来了许多术中挑战。本文提出了一种用于肺结节诊断和治疗的新定位方法，该方法提供了一种导航系统，可实现更精确的肺切除。我们报告了一例77岁女性右下叶肺结节的病例。术前，介入放射科医生在计算机断层扫描引导下，采用一种名为SAVI SCOUT（Cianna Medical Inc，加利福尼亚州阿利索维耶霍）的非放射性定位技术进行定位。使用SCOUT无线雷达定位系统，通过机器人对肺结节进行定位并切除。使用三叉戟标本放射系统确认SCOUT已移除。介入放射科从使用便利性和手术时间、手术切除准确性、诊断准确性、简单性以及在现有医院实施该技术的难易程度等方面评估了该手术的效果。SCOUT系统实现了首次报道的在肺组织中成功放置SCOUT的病例，在术中对肺结节进行了定位，并有助于精确的肺切除。SCOUT系统在消除目前肺结节定位和切除中所面临的诸多挑战方面显示出了有前景的进展。
