[Fluoroscopy-assisted thoracoscopic surgery after computed tomography-guided bronchoscopic barium marking: a minimally invasive treatment for small peripheral early adenocarcinoma of the lung].
We developed a marking technique and subsequent thoracoscopic wedge resection as a diagnostic procedure for small peripheral lung nodule and a treatment for small peripheral early lung cancer. Fluoroscopy-assisted thoracoscopic surgery after computed tomography-guided bronchoscopic barium marking. Through CT-guided bronchoscopy, barium marking is done at just central to the target lesion. Thoracoscopic surgery is performed some days later. The barium marking was grasped in the forceps and resected by endostaplers under both intraoperative fluoroscopic and thoracoscopic guidance. All the lesions could be resected with enough surgical margin. This minimally invasive surgery is indicated for small peripheral in situ adenocarcinoma of the lung.
Kondo
H
H
Thoracic Surgery Division, Endoscopy Division, National Cancer Center Hospital, Tokyo, Japan.
Kobayashi
T
T
D000230:Adenocarcinoma / Q000601:surgery*; D001464:Barium; D001999:Bronchoscopy / Q000379:methods; D005471:Fluoroscopy; D006801:Humans; D008175:Lung Neoplasms / Q000601:surgery*; D019060:Minimally Invasive Surgical Procedures / Q000379:methods*; D013906:Thoracoscopy; D014057:Tomography, X-Ray Computed
D001464:Barium