图像引导视频辅助胸腔镜手术 (iVATS):一个单一中心的经验和审查
Fatemehsadat Pezeshkian1, Miles McAllister1, Anupama Singh1
1Division of Thoracic Surgery, Brigham and Women's Hospital, Boston, MA, USA.
Journal of thoracic disease
|January 22, 2024
概括
图像引导视频辅助胸腔镜手术 (iVATS) 改善了通过低剂量计算机断层扫描 (LDCT) 查检测到的小肺结节的诊断. 这种混合手术室技术比传统的活检和切除方法具有优势.
科学领域:
- 胸部外科手术 胸部外科手术
- 肺部病理学 肺部病理学
- 医疗成像医学成像
背景情况:
- 低剂量计算机断层扫描 (LDCT) 查增加了小肺结节和磨砂玻璃不透明性的检测.
- 通过皮肤活检或手术内定位来诊断这些小病变存在挑战.
- 对于小结节的传统监测可能会推迟最终的诊断和治疗.
研究的目的:
- 描述图像引导视频辅助胸腔镜手术 (iVATS) 的实施和经验,用于诊断和切除小肺结节.
- 突出涉及 iVATS 程序的人员的培训方法.
- 将IVATS与传统的诊断方法进行比较,并讨论患者选择和技术细节.
主要方法:
- 在混合操作室环境中实施 iVATS.
- 培训放射科医生,外科医生和麻醉科医生进行IVATS手术.
- 对患者选择标准,技术方面和不良事件的审查.
主要成果:
- iVATS 促进了可行的活检和切除小肺结节和磨砂玻璃不透明性的切除.
- 益处包括减少信托脱离和更小的肺外切除.
- 与 iVATS 相关的不良事件与标准的视频辅助胸腔镜手术 (VATS) 相当.
结论:
- 图像引导视频辅助胸腔镜手术 (iVATS) 是诊断和切除LDCT查期间发现的小肺结节的有效技术.
- 成功实施需要多学科培训和仔细的患者选择.
- 与传统方法相比,iVATS提供了优势,其安全概况与标准VATS相比.
相关概念视频
Endoscopic Studies II: Thoracocentesis
264
Thoracentesis(Thoracocentesis), commonly known as pleural tap, is a medical procedure where a 22 gauge needle is inserted into the pleural space, the area between the lung and chest wall. This procedure is commonly performed to diagnose or treat various respiratory disorders.
Description
Excess pleural fluid or air may accumulate in some respiratory disorders in the thoracic cavity. To treat pleural effusion, a physician conducts thoracentesis by carefully piercing the chest wall and entering...
Description
Excess pleural fluid or air may accumulate in some respiratory disorders in the thoracic cavity. To treat pleural effusion, a physician conducts thoracentesis by carefully piercing the chest wall and entering...
264
Endoscopic Procedures III: Video Capsule Endoscopy
158
Capsule endoscopy, or wireless or video capsule endoscopy, is a diagnostic procedure for examining the entire gastrointestinal tract. Patients swallow a capsule about the size of a vitamin tablet. The capsule is equipped with a transmitter, a battery, an LED light source, and a color video camera to capture images throughout the gastrointestinal tract. This procedure is particularly useful for diagnosing conditions such as Crohn's disease, ulcerative colitis, tumors, polyps, ulcers,...
158
Endoscopic Studies I: Bronchoscopy and Thoracoscopy
201
Endoscopy is a non-surgical medical technique used to examine a person's internal organs and vessels. This lesson will focus on two types of endoscopic studies: bronchoscopy and thoracoscopy.
Bronchoscopy
Description
Bronchoscopy is a procedure that involves direct visualization of the larynx, trachea, and bronchi for diagnostic and therapeutic purposes. A flexible fiber optic or rigid bronchoscope is used to carry out the procedure. The fiber-optic bronchoscope is more frequently used due...
Bronchoscopy
Description
Bronchoscopy is a procedure that involves direct visualization of the larynx, trachea, and bronchi for diagnostic and therapeutic purposes. A flexible fiber optic or rigid bronchoscope is used to carry out the procedure. The fiber-optic bronchoscope is more frequently used due...
201
Endoscopic Procedures I: Esophagogastroduodenoscopy
119
An Esophagogastroduodenoscopy (EGD) is a diagnostic procedure in which an endoscopist uses a flexible, lighted endoscope to visualize the upper gastrointestinal (GI) tract. The procedure includes visualizing the oropharynx, esophagus, stomach, and the first part of the small intestine, the duodenum.
During an EGD, the endoscope can be used to:
During an EGD, the endoscope can be used to:
119
Mechanical Ventilation II: Invasive Ventilation
144
Ventilators are essential medical equipment used to aid patients with respiratory difficulties. Their primary function is to assist or replace spontaneous breathing by providing mechanical ventilation. There are two general classes of mechanical ventilators: negative-pressure and positive-pressure ventilators.
Negative-Pressure Ventilators
Negative-pressure ventilators create a vacuum around the chest or body to draw air into the lungs, simulating breathing. This method does not require an...
Negative-Pressure Ventilators
Negative-pressure ventilators create a vacuum around the chest or body to draw air into the lungs, simulating breathing. This method does not require an...
144
Endoscopic Procedures V: ERCP
239
Endoscopic Retrograde Cholangiopancreatography (ERCP) is a diagnostic procedure that combines endoscopy and fluoroscopy to diagnose and treat conditions related to the bile ducts, pancreatic ducts, and gallbladder. This procedure is beneficial for identifying and addressing blockages, gallstones, strictures, and tumors within the biliary or pancreatic systems. ERCP is both diagnostic and therapeutic, offering the ability to visualize and treat identified problems in one session.
Patient...
Patient...
239


