[CT-guided marking of lung lesions before minimally invasive operation].
Video-assisted thoracoscopic surgery (VATS) is an established method for resection of suspicious pulmonary lesions. However, there are problems to detect small subpleural lesions. A procedure for localization of such lesions will be demonstrated. Since may 2000 our experience includes 5 patients (4m, 1f) suffering from solitary pulmonary lesions. In preparation of VATS a CT-guided marking was carried out using both a lasermarker system as well as a special marker system for lung lesions. All 5 procedures were successful. With the laser system the pulmonary nodule was exactly marked and the special wire was placed without any complications. Consequently, the pulmonary nodule was fixed. During video-assisted wedge resection the nodule can be tracted outside. Operating time was reduced in comparison to time consuming search of unmarked lesions. The combined application of CT-guided marking, transthoracic fixation of pulmonary nodule and VATS is recommended preoperatively. It should apply in lesions, which are located subpleural and thoracoscopically not visible.
Klöppel
R
R
Klinik und Poliklinik für Diagnostische Radiologie, Universitätsklinikum, Liebigstrasse 20a, 04103 Leipzig.
Friedrich
T
T
Eichfeld
U
U
Wilke
W
W
Kahn
T
T
D000328:Adult; D000368:Aged; D005260:Female; D006801:Humans; D008175:Lung Neoplasms / Q000000981:diagnostic imaging* / Q000473:pathology / Q000601:surgery; D008297:Male; D008875:Middle Aged; D019060:Minimally Invasive Surgical Procedures / Q000295:instrumentation*; D013525:Surgical Instruments; D020775:Thoracic Surgery, Video-Assisted / Q000295:instrumentation*; D013906:Thoracoscopy; D014057:Tomography, X-Ray Computed / Q000295:instrumentation*