Usefulness of Intraoperative Computer Tomography-Assisted Thoracoscopic Segmentectomy for Small-Sized Lung Cancer.
We report the case of a patient who had synchronous primary lung cancers in the left upper lobe (S(1+2)a, S(1+2)c), and underwent S(1+2) segmentectomy. The lesion in S(1+2)c was non-palpable, and the location was confirmed using intraoperative computed tomography (CT) scan. After A(1+2) and B(1+2) had been cut, the intersegmental border was marked with clips and intraoperative CT was performed. After confirming the correct anatomical intersegmental border and the resection margin was sufficient, we cut the intersegmental border. The two lesions were both adenocarcinomas. Intraoperative CT was useful for confirming the locations of non-palpable lesions and anatomical intersegmental borders.
Department of General Thoracic Surgery, Kochi Health Sciences Center, Kochi, Kochi, Japan.
Sung Soo
SS
Chang
Takayuki
T
Nakano
Taku
T
Okamoto
D000230:Adenocarcinoma / Q000000981:diagnostic imaging / Q000473:pathology / Q000601:surgery*; D000077192:Adenocarcinoma of Lung; D000368:Aged; D006801:Humans; D008175:Lung Neoplasms / Q000000981:diagnostic imaging / Q000473:pathology / Q000601:surgery*; D008297:Male; D009367:Neoplasm Staging; D009378:Neoplasms, Multiple Primary / Q000000981:diagnostic imaging / Q000473:pathology / Q000601:surgery*; D011013:Pneumonectomy / Q000379:methods*; D011237:Predictive Value of Tests; D011857:Radiographic Image Interpretation, Computer-Assisted; D025321:Surgery, Computer-Assisted / Q000379:methods*; D020775:Thoracic Surgery, Video-Assisted / Q000379:methods*; D014057:Tomography, X-Ray Computed; D016896:Treatment Outcome