[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.
Klinik und Poliklinik für Diagnostische Radiologie, Universitätsklinikum, Liebigstrasse 20a, 04103 Leipzig.
R
R
Klöppel
T
T
Friedrich
U
U
Eichfeld
W
W
Wilke
T
T
Kahn
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*