Melloni Giulio, Venturino Massimiliano, Mazza Federico, Turello Davide
Department of Thoracic Surgery, Cuneo General Hospital, Via Michele Coppino, 26, 12100 Cuneo, Italy.
Indian J Thorac Cardiovasc Surg. 2021 Jan;37(1):70-77. doi: 10.1007/s12055-020-00997-y. Epub 2020 Jul 21.
With the widespread availability of lung cancer screening programs, the number of small lung nodules requiring histological characterization has dramatically increased. Because computed tomography-guided fine-needle aspiration may frequently yield false-negative results, excisional biopsy using thoracoscopy is frequently required. Although thoracoscopic procedure has been known to be ideal for nodule resection, the identification of very small, subsolid and deep pulmonary nodules may still be challenging. Precise lesion localization is a key prerequisite to avoid conversion to an unplanned thoracotomy. In the traditional workflow, the localization procedure is performed in the radiology suite, after which the patient is moved to an operating room. With the availability of hybrid operating rooms, a new approach encompassing simultaneous localization and removal of non-palpable lung nodules has become feasible. In this article, we review the procedural workflow of this new technique and discuss its indications and results.
随着肺癌筛查项目的广泛开展，需要进行组织学特征分析的小肺结节数量急剧增加。由于计算机断层扫描引导下的细针穿刺活检常常会得出假阴性结果，因此经常需要采用胸腔镜切除活检。尽管胸腔镜手术一直被认为是结节切除的理想方法，但识别非常小的、亚实性的和深部肺结节仍可能具有挑战性。精确的病变定位是避免转为意外开胸手术的关键前提。在传统的工作流程中，定位程序在放射科进行，之后患者被转移到手术室。随着杂交手术室的出现，一种同时进行不可触及肺结节定位和切除的新方法已变得可行。在本文中，我们回顾了这项新技术的操作流程，并讨论了其适应症和结果。
