Thoracoscopic localization techniques for patients with a single pulmonary nodule and positive oncological anamnesis: A prospective study

被引:5
作者
Sortini, D [1 ]
Feo, CV [1 ]
Carrella, G [1 ]
Bergossi, L [1 ]
Soliani, G [1 ]
Carcoforo, P [1 ]
Pozza, E [1 ]
Sortini, A [1 ]
机构
[1] Univ Ferrara, Dipartimento Sci Chirurg Anestesiol & Radiol, Sez Chirurg Gen, I-44100 Ferrara, Italy
来源
JOURNAL OF LAPAROENDOSCOPIC & ADVANCED SURGICAL TECHNIQUES-PART A | 2003年 / 13卷 / 06期
关键词
D O I
10.1089/109264203322656432
中图分类号
R61 [外科手术学];
学科分类号
摘要
Introduction: Our aim was to evaluate the best intrathoracoscopic localization technique in patients with a single pulmonary nodule and a history of malignancy. Method: We divided 30 patients into two groups, well matched for diameter and depth of the pulmonary lesion. In 15 patients (group A) we performed intrathoracoscopic ultrasound (US) to locate the pulmonary nodule, while in the other 15 patients (group B) intrathoracoscopic radioguided occult lesion localization (ROLL) was used. In both groups, the localization technique was compared to ringer palpation. In group A, 6 nodules were in the left lung and 9 in the right; in group B, 7 lesions were in the left and 8 in the right lung. In each group, the distance of the nodule from the pleural surface was 2-2.5 cm in 8 patients, and > 2.5 cm in the remaining 7. In both groups, the diameter of the nodule was :5 1 cm in 6 patients, and 1-1.5 cm in 9 patients. All patients underwent thoracoscopic wedge resection, and 6 patients with a primary pulmonary lesion underwent posterior-lateral thoracotomy for lobectomy and mediastinal lymphadenectomy. Results: In group A, US localized the nodule in 15 of 15 patients (100%) while ringer palpation located the nodule in 11 of 15 (73%) (P = NS). In group B, both ROLL and finger palpation localized the nodule in 12 of 15 patients (80%) (P = NS). Conclusion: Intrathoracoscopic US seems superior to radioguided and finger palpation localization techniques for single pulmonary nodules. Thus, we are now routinely using intraoperative US to identify single pulmonary nodules.
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页码:371 / 375
页数:5
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