Peroperative Detection of Pulmonary Lesions during Mini-invasive Surgery

Česká verzia

Authors: P. Hromádka; S. Černohorský ¹; J. Škach; M. Baader; R. Gaalová; M. Šercl ²
Authors place of work: Chirurgické oddělení, Krajská nemocnice Liberec a. s., prim. MUDr. M. Baader ; Chirurgické oddělení, Nemocnice na Homolce, prim. MUDr. M. Toběrný ¹; Rentgenologické oddělení, Krajská nemocnice Liberec a. s., prim. MUDr. L. Endrych ²
Published in the journal: Rozhl. Chir., 2010, roč. 89, č. 4, s. 231-233.
Category: Monothematic special - Original

Summary

Currently, peroperative palpatory examination of the lungs represents standard method, however the development of the new mini-invasive surgery techniques devoid of palpable facilities, demands utilization of different procedures.

The authors present their experiences involving detection of pulmonary lesions during thoracoscopic surgery visually, by endoscopic instruments, preoperative dye marking and peroperative ultrasonography via an endoscopic ultrasonic probe (all performed in Liberec District Hospital a.s.).

The article describes operation techniques and tactics of thoracoscopic surgeries performed with pulmonary pathological processes in both subpleural and pulmonary parenchyma locations.

Key words:
lungs – thoracoscopy – ultrasonography – patentblue – marking of lung tumors

Zdroje

l. Černý, J. Špeciálna chirurgia 3 – chirurgia hrudníka. Osveta, Martin, 1993, str. 165.

2. Daniel, T. M. A proposed diagnostic approach to the patient with the subcentimeter pulmonary nodule: techniques that facilitate video-assisted thoracic surgery excision. Semin. Thorac. Cardiovasc. Surg., 2005, Summer; 17(2): 115–122.

3. Hu, J., Zhang, C., Sun, L. Localization of small pulmonary nodules for videothoracoscopic surgery. ANZ J. Surg., 2006, Jul, 76(7), 649–651.

4. Kondo, D., Imaizumi, M., Abe, T., Naruke, T., Suemasu, K. Endoscopic ultrasound examination for mediastinal lymph node metastases of lung cancer. Chest, 1990, Vol. 98, 576–593.

5. Tom I. Powell, MD, Dalbhir Jangra, MD, Joanne C. Clifton, MSc, Humberto Lara-Guerra, MD, John Yee, MD, Harvey Coxson, PhD, John R. Mayo, MD, and Richard J. Finley, MD Fluoroscopically Guided Video-Assisted Thoracoscopic Resection After Computed Tomography-Guided Localization Using Platinum Microcoils From the Departments of Surgery, Radiology and Phatology, Vancouver Hospital and Healt Sciences Centre University of British Columbia, Vancouver, BC, Canada. Annals of Surgery: September 2004 - Volume 240 - Issue 3 - pp 481-489.

6. Dajczman, E., Gordon, A., Kreisman, H., Wolkove, N. Long term post thoracotomy pain. Chest, 1991, 99: 270–274.

7. Landreneau, R. J., Mack, M. J., Hazelrigg, S. R., et al. Prevalence of chronic pain after pulmonary resection by thoracotomy or video-assisted thoracic surgery. J. Thorac. Cardiovasc. Surg., 1995, 107: 1079–1086.