Experience of fluoroscopy-aided thoracoscopic resection of pulmonary nodule localised with Lipiodol in a child

Experience of fluoroscopy-aided thoracoscopic resection of pulmonary nodule localised with Lipiodol in a child
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DOI:
10.1111/j.1754-9485.2011.02270.x
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发表时间:
2011-08-01
影响因子:
1.6
通讯作者:
Nishimura, Tsunehiko
Nishimura, Tsunehiko
中科院分区:
医学4区
文献类型:
--
作者:
Yamagami, Takuji;Miura, Hiroshi;Nishimura, Tsunehiko

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我们报告的情况下,一个12岁的男孩与一个巨大的肝脏肿瘤直径20厘米,多个肺转移。全身化疗开始后6个月,除肝脏肿瘤和直径2.5 mm的微小肺肿瘤外,所有肿瘤均消失。对肺结节进行透视辅助胸腔镜切除术,以评价肺病变中是否仍有存活的肿瘤组织。在将患者转移至手术室之前,在局部麻醉下,在CT荧光镜引导下用碘油标记结节。该手术允许正确观察应切除的区域。
We report the case of a 12-year-old boy with a huge liver tumour 20 cm in diameter with multiple lung metastases. Six months after systemic chemotherapy was initiated, all tumours had disappeared with the exception of the liver tumour and a tiny lung tumour 2.5 mm in diameter. Fluoroscopy-assisted thoracoscopic resection of the pulmonary nodule was performed to evaluate whether viable tumour tissue remained in the lung lesion. Before moving the patient to the operating room, the nodule was marked by Lipiodol under CT fluoroscopic guidance with the patient under local anaesthesia. This procedure allowed correct visualisation of the area that should be resected.