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在混合手术室中,为小型外周肺病变进行手术内跨支气管金属线圈标记

Naoya Kawakita¹, Hiroaki Toba², Naoki Miyamoto¹

¹Department of Thoracic and Endocrine Surgery and Oncology, Institute of Biomedical Sciences, Tokushima University Graduate School, Kuramoto-cho, Tokushima 770-8503, Japan.

|December 17, 2024

概括

圆束CT (CBCT) 有效指导金属线圈标记外围肺病变,使精确的切除. 这种微创的混合手术室技术确保了精确的定位和适当的边缘,用于各种类型的损伤.

科学领域:

肺部病理学肺部病理学
放射学放射学是一门学科.
胸部外科手术胸部外科手术

背景情况:

计算机断层扫描 (CT) 引导的横支气管金属线圈标记有助于定位小外围肺病变.
准确的鉴定和切除有足够的边缘是可以实现的,即使是深处的病变.
该技术可以适应多重病变标记.

研究的目的:

为了评估金属线圈标记使用圆束CT (CBCT) 在混合手术室的全身麻醉下使用金属线圈标记的有效性.
评估这种方法对外围肺病变的可行性.
为了确定程序的准确性和安全性.

主要方法:

超薄支气管镜用于虚拟支气管镜导航,将金属线圈置于CBCT指导下.
损伤切除是通过视频辅助胸腔镜手术 (VATS) 和光指导进行的.
87名患有90个病变的患者接受了治疗 (中位数为11毫米,中位数与多脏距离为8.7毫米).

主要成果:

所有的病变都通过CBCT成功可视化,卷轴被准确地放置 (中位距离3.6毫米).
标记的中位数时间为23.5分钟,所有病变都被切除了足够的边缘.
组织学分析揭示了原发性肺癌 (57),转移性瘤 (26) 和其他疾病 (7). 没有出现任何并发症.

结论:

CBCT是一种可行的替代方案,用于外围肺病变的识别,熟练的可视化小地面玻璃结节 (GGNs).
这种手术是最少的侵入性,在混合式手术室内在全身麻醉下完成.
这种技术提供了与传统方法相提并论的质量,同时提高了患者的舒适性和程序效率.

关键词:

支气管镜检查 (bronchoscopy) 是一种用来检查支气管的方法.圆束计算机断层扫描技术混合操作室是混合操作室.图像指导视频辅助胸部手术金属线圈的金属线圈小的外围肺部病变,小的外围肺部病变

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