Department of Thoracic Surgery, University Hospital of Catania, Catania, Italy.
Department of Cardiothoracic Surgery, James Cook University Hospital, Middlesbrough, United Kingdom.
Future Oncol. 2020 Jun;16(16s):15-19. doi: 10.2217/fon-2019-0069. Epub 2020 May 21.
The advent of helical high-resolution CT scanners, the application of screening programs and the follow-up of patient with oncological history, led to an increasing number of diagnosis of small pulmonary nodule (less than 10 mm in maximum diameter), partially solid nodule or completely ground glass ones. Their management is controversial. Excisional biopsy by mean of video-assisted thoracic surgery is often a viable choice but to locate these lesions intraoperatively can be impossible without the aid of preoperative or intraoperative localization techniques. In this brief review we will analyze the benefit of adopting localization techniques prior to pulmonary resection for small pulmonary lesions and face the advantages and problems with the main techniques described in the literatures.
螺旋高分辨率 CT 扫描仪的出现、筛查计划的应用以及肿瘤病史患者的随访，导致越来越多的诊断为小肺结节（最大直径小于 10 毫米）、部分实性结节或完全磨玻璃结节。它们的处理存在争议。通过电视辅助胸腔镜手术进行切除活检通常是一种可行的选择，但如果没有术前或术中定位技术的帮助，在手术中定位这些病变可能是不可能的。在这篇简短的综述中，我们将分析在肺切除术前采用定位技术对小肺病变的益处，并探讨文献中描述的主要技术的优点和问题。
