在手术切除之前,用专利蓝色V染料标记肺下肺结节
Vladimír Červeňák1, Zdeněk Chovanec2, Alena Berková2
1Department of Medical Imaging, St. Anne's University Hospital Brno and Faculty of Medicine, Masaryk University, Brno, Czechia.
Frontiers in oncology
|June 5, 2024
概括
使用专利蓝V和对比剂进行术前CT指导的肺下结节标记是一种安全有效的方法. 这项技术改善了外解剖视频辅助胸腔镜手术 (VATS) 切除的可视化效果,成功率达到90.3%,并发症最小.
科学领域:
- 肺部病理学 肺部病理学
- 胸部外科手术 胸部外科手术
- 医疗成像医学成像
背景情况:
- 在手术过程中,肺下多叶结节通常是看不见的,需要侵入性触摸或胸切除术以定位.
- 准确的手术前识别对于微创胸部手术至关重要.
研究的目的:
- 评估手术前CT指导标记子多结的成功率和可行性.
- 评估使用专利蓝V和对比剂混合物在外解剖视频辅助胸腔镜手术 (VATS) 之前进行标记的安全性和有效性.
主要方法:
- 在2017-2023年间,对连续接受VATS外解剖切除亚多结节 (从多脏≤30毫米) 的患者进行了回顾性分析.
- 在手术前使用专利蓝V和对比剂进行手术前的CT导向彩色标记.
- 标记成功,手术并发症,手术时间,组织学和30天死亡率的分析.
主要成果:
- 在56/62名 (90.3%) 患者中成功标记.
- 从标记到手术的中位时间为75分钟.
- 并发症包括肺胸部 (9.7%) 和内血瘤 (1.6%);30天死亡率为零.
结论:
- 用专利蓝V和对比度进行CT指导标记是一种安全有效的方法,用于肺部下病变.
- 这种技术为计划的外解剖VATS切除提供了精确的可视化.
- 该方法显示出最小的并发症和高的成功率.
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