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Fluoroscopy-assisted thoracoscopic surgery after computed tomography-guided bronchoscopic barium marking
1Thoracic Surgery Division, National Cancer Center Hospital, Tokyo, Japan.
The Annals of Thoracic Surgery
|March 10, 2001
Summary
A new computed tomography-guided bronchoscopic barium marking technique reliably aids in locating small peripheral lung lesions for minimally invasive surgery. This effective method ensures successful resection with no complications.
Area of Science:
- Thoracic Surgery
- Pulmonary Medicine
- Medical Imaging
Background:
- Computed tomography (CT) increasingly detects small peripheral lung lesions.
- Accurate identification is crucial for video-assisted thoracic surgery (VATS) wedge resection.
- Existing marking techniques have reported failures and complications.
Purpose of the Study:
- To describe a novel fluoroscopy-assisted thoracoscopic surgery technique.
- To evaluate the efficacy of CT-guided bronchoscopic barium marking for small peripheral pulmonary lesions.
Main Methods:
- A cohort of 20 patients with 21 small peripheral pulmonary lesions (approx. 10 mm) underwent the procedure.
- CT-guided bronchoscopic barium marking was performed prior to surgery.
- Fluoroscopy-assisted thoracoscopic surgery was used for lesion identification and resection.
Main Results:
- All 21 lesions were successfully marked and identified during fluoroscopy-assisted thoracoscopy.
- Resection with adequate margins was achieved for all lesions.
- No procedure-related complications were observed.
- Pathologic findings included primary lung cancer (14), atypical adenomatous hyperplasia (4), metastatic tumor (1), and benign tumor (2).
Conclusions:
- The described CT-guided bronchoscopic barium marking technique is reliable.
- This method is minimally invasive for thoracoscopic wedge resection of small peripheral pulmonary lesions.