Techniques for localization of pulmonary nodules for thoracoscopic resection.
J Thorac Cardiovasc Surg
; 106(3): 550-3, 1993 Sep.
Article
en En
| MEDLINE
| ID: mdl-8361200
ABSTRACT
Significant advances in surgical equipment, video monitoring, and endoscopic surgical techniques have expanded the role of thoracoscopy to include pulmonary resection. One limitation of the thoracoscopic technique is the loss of manual palpation to identify the nodule that is either too small or too deep beneath the pleural surface. We describe the techniques used in 300 thoracoscopic pulmonary resections that have aided in identification of pulmonary nodules. These techniques include careful preoperative assessment of the computed tomogram, preoperative injection of methylene blue, or a needle localizing system to identify the nodule. Intraoperative techniques include instrument palpation, digital palpation, and intraoperative ultrasonography. It should be possible to identify the majority of pulmonary nodules at the time of thoracoscopy with these localizing techniques. All nodules were successfully identified in our last 200 thoracoscopic resections.
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Banco de datos:
MEDLINE
Asunto principal:
Toracoscopía
/
Enfermedades Pulmonares
Tipo de estudio:
Prognostic_studies
Límite:
Humans
Idioma:
En
Año:
1993
Tipo del documento:
Article