TY - JOUR
T1 - Fluoroscopy-assisted thoracoscopic surgery after computed tomography-guided bronchoscopic barium marking
AU - Okumura, Takehiro
AU - Kondo, Haruhiko
AU - Suzuki, Kenji
AU - Asamura, Hisao
AU - Kobayashi, Toshiaki
AU - Kaneko, Masahiro
AU - Tsuchiya, Ryosuke
N1 - Funding Information:
This work was supported in part by a Grant-in-Aid for Cancer Research from the Ministry of Health and Welfare, Japan.
PY - 2001
Y1 - 2001
N2 - Background. Small lesions of the peripheral lung have been detected more frequently with the recent prevalence of computed tomography (CT). Identification of these lesions is indispensable for wedge resection performed by video-assisted thoracic surgery. Previous reports of marking techniques showed some failure and complications. We have developed a new marking technique and herein describe the efficacy of this technique: fluoroscopy-assisted thoracoscopic surgery after computed tomography-guided bronchoscopic barium marking. Methods. Twenty patients underwent this procedure for 21 small peripheral pulmonary lesions approximately 10 mm in size. Results. All the lesions were successfully marked and identified during fluoroscopy-assisted thoracoscopy. They were resected with sufficient margins. There were no complications related to this procedure. The pathologic examination of these 21 lesions revealed primary lung cancer in 14, atypical adenomatous hyperplasia in four, a metastatic tumor in one, and a benign tumor in two. Conclusions. This procedure is both a reliable and minimally invasive technique in thoracoscopic wedge resection for small peripheral pulmonary lesions.
AB - Background. Small lesions of the peripheral lung have been detected more frequently with the recent prevalence of computed tomography (CT). Identification of these lesions is indispensable for wedge resection performed by video-assisted thoracic surgery. Previous reports of marking techniques showed some failure and complications. We have developed a new marking technique and herein describe the efficacy of this technique: fluoroscopy-assisted thoracoscopic surgery after computed tomography-guided bronchoscopic barium marking. Methods. Twenty patients underwent this procedure for 21 small peripheral pulmonary lesions approximately 10 mm in size. Results. All the lesions were successfully marked and identified during fluoroscopy-assisted thoracoscopy. They were resected with sufficient margins. There were no complications related to this procedure. The pathologic examination of these 21 lesions revealed primary lung cancer in 14, atypical adenomatous hyperplasia in four, a metastatic tumor in one, and a benign tumor in two. Conclusions. This procedure is both a reliable and minimally invasive technique in thoracoscopic wedge resection for small peripheral pulmonary lesions.
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U2 - 10.1016/S0003-4975(00)02378-X
DO - 10.1016/S0003-4975(00)02378-X
M3 - Article
C2 - 11235684
AN - SCOPUS:0035110156
SN - 0003-4975
VL - 71
SP - 439
EP - 442
JO - Annals of Thoracic Surgery
JF - Annals of Thoracic Surgery
IS - 2
ER -
