Sortini A, Benea G, Santini M, Benetti S, Navarra G, Occhionorelli S, Sartori A
Istituto di Clinica Chirurgica Generale e Terapia Chirurgica, Università degli Studi di Ferrara.
Chir Ital. 1995;47(3):27-9.
One of the reasons for the rapidly expanding use of thoracoscopic surgery as an alternative to thoracotomy, is the excision of peripheral lung nodules. Nodules judged too small or too far from the pleural surface to be seen during thoracoscopy, must be localized beforehand. The aim of this study was to evaluate the feasibility and effectiveness of percutaneous placement of needle hook-wires to locate such nodules before surgery. Under Ct guidance 5 nodules were pre-operatively identified in 4 patients. The thoracoscopic resection of the lesions was done without complication, in 1 patient the operation had to be converted into an open one to dislodge of the wire. CT-guided hook-wire localization is easily and safely performed and permits thoracoscopic resection of lung nodules, which otherwise might be impossible.
胸腔镜手术作为开胸手术替代方法的使用迅速增加，原因之一是外周肺结节的切除。在胸腔镜检查中判断为太小或距胸膜表面太远而无法看到的结节，必须预先定位。本研究的目的是评估术前经皮放置针状钩丝定位此类结节的可行性和有效性。在CT引导下，4例患者术前共识别出5个结节。病变的胸腔镜切除未发生并发症，1例患者手术不得不转为开胸手术以取出钢丝。CT引导下钩丝定位操作简便、安全，可实现肺结节的胸腔镜切除，否则可能无法进行。
