一种新的,简单的近红外胸腔镜技术通过特定的路线定位肺结节
Zhengjun Li1, Mozhu Xia2, Chang Liu1
1Department of Thoracic Surgery, Shenyang Chest Hospital, Shenyang, China.
Frontiers in oncology
|October 27, 2023
概括
一种使用绿色氨酸 (ICG) 注射和近红外胸腔镜的新方法有效地定位肺结节,用于最少的侵入性手术. 这种技术为胸部外科医生提供了一种简单,安全和准确的方法.
科学领域:
- 胸部外科手术 胸部外科手术
- 手术瘤学手术瘤学
- 医疗成像医学成像
背景情况:
- 胸腔镜手术的肺结节局部化具有挑战性,特别是对于不可见或不可触摸的结节.
- 目前用于结节局部化的方法可能是复杂的和侵入性的.
- 需要简单,有效和最少入侵的本地化技术.
研究的目的:
- 评估一种新型的微创方法,利用绿色氨酸 (ICG) 光定位肺结节.
- 评估ICG引导的胸腔镜手术对外围非固体结节的疗效和安全性.
主要方法:
- 采用了一种涉及CT指导单次刺穿和ICG外围静脉注射的技术.
- 近红外胸腔镜被用于可视化ICG光,以定位结节.
- 视频辅助胸腔镜手术 (VATS) 进行了结节切除.
主要成果:
- 该ICG局部化方法应用于18名患有外围非固体结节的患者.
- 在18名患者中有17名 (94.4%) 成功识别了ICG光.
- 所有患者的手术利均为负,最终诊断包括原发性肺癌和一种良性瘤.
结论:
- 用CT指导的单次刺穿和ICG注射是一种简单,有效和安全的方法来定位肺结节.
- 这种技术提供了直接的ICG光成像,简化了外科医生的局部化.
- 以ICG指导的胸腔镜手术是其他肺结节局部化方法的可行替代方案.
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