Fluoroscopy-guided barium marking for localizing small pulmonary lesions before video-assisted thoracic surgery

被引：24

作者：

Iwasaki, Y ^{[1
]}

Nagata, K ^{[1
]}

Yuba, T ^{[1
]}

Hosogi, S ^{[1
]}

Kohno, K ^{[1
]}

Ohsugi, S ^{[1
]}

Kuwahara, H ^{[1
]}

Takemura, Y ^{[1
]}

Yokomura, I ^{[1
]}

机构：

[1] Kyoto Prefectural Univ Med, Div Pulm Med, Dept Med, Kamigyo Ku, Kyoto 602, Japan

来源：

RESPIRATORY MEDICINE | 2005年 / 99卷 / 03期

关键词：

barium marking; fluoroscopy; video-assisted thoracic surgery; bronchoscope; small pulmonary lesion;

D O I：

10.1016/j.rmed.2004.07.015

中图分类号：

R5 [内科学];

学科分类号：

1002 ; 100201 ;

摘要：

Purpose: To evaluate the effectiveness of fluoroscopy-guided barium marking for localization of small peripheral pulmonary lesions before video-assisted thoracic surgery (VATS) resection. Material & methods: Twenty-one patients with peripheral pulmonary lesions 15 mm or less in diameter who were scheduled to undergo VATS resection were studied. A catheter was inserted bronchoscopically into the target segment and guided to a presumed lesion. The tip of the catheter was confirmed fluoroscopically to be at the exact spot determined beforehand. A 50% (weight/volume) barium sulfate suspension was instilled into the bronchus through the catheter, and the site of barium marking was ascertained by CT scanning. Results: The average instilled volume of barium was 0.42+/-0.07 ml. On CT scans, barium spots were superimposed on the target lesions in 19 of the 21 patients and were only 6-7 mm from the lesions in the other 2. Barium was well preserved in all patients at the time of VATS resection. A mild cough persisted for about 1 week in one patient, but the other patients had no specific complications. Conclusion: Fluoscopy-guided barium marking is a safe, convenient, and reliable method for localization of small pulmonary lesions before VATS resection. (C) 2004 Elsevier Ltd. All rights reserved.

引用

页码：285 / 289

页数：5

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