电视辅助胸腔镜手术在肾细胞癌肺转移诊断中的应用

The utility of video-assisted thoracic surgery in the diagnosis of pulmonary metastases from renal cell carcinoma.

作者信息

Amos A M, Kim F H, McRoberts J W

机构信息

Department of Surgery, University of Kentucky, Chandler Medical Center, Lexington 40536-0084, USA.

出版信息

Urology. 1997 Jan;49(1):123-7. doi: 10.1016/S0090-4295(96)00369-X.

DOI:10.1016/S0090-4295(96)00369-X

PMID:9000201

Abstract

The definitive diagnosis of pulmonary metastases requires histologic confirmation. Traditional methods of obtaining tissue for histologic review include transbronchial approaches, percutaneous transthoracic needle biopsy, and open lung biopsy. The purpose of this study is to identify the most effective methods of obtaining histologic confirmation of pulmonary metastases. The utility of video-assisted thoracic surgery in diagnosing pulmonary metastases is demonstrated in 2 patients with metastatic renal cell carcinoma. The diagnostic yields and complication rates of transbronchial approaches, percutaneous needle biopsy, open lung biopsy, and video-assisted thoracic surgery are compared. Finally, an algorithm for the evaluation of pulmonary lesions is presented.

摘要

肺转移瘤的明确诊断需要组织学证实。获取组织进行组织学检查的传统方法包括经支气管途径、经皮经胸针吸活检和开胸肺活检。本研究的目的是确定获得肺转移瘤组织学证实的最有效方法。2例肾细胞癌转移患者展示了电视辅助胸腔镜手术在诊断肺转移瘤中的应用。比较了经支气管途径、经皮针吸活检、开胸肺活检和电视辅助胸腔镜手术的诊断率和并发症发生率。最后，提出了一种评估肺部病变的算法。