Clinical application of clock dial integrated positioning for small pulmonary nodules in VATS
10.3760/cma.j.issn.1001-4497.2015.04.005
- VernacularTitle:钟表盘综合定位法在胸腔镜手术治疗肺内结节的应用
- Author:
Wentao LI
;
Jichen QU
;
Zhifei XU
- Publication Type:Journal Article
- Keywords:
Coin lesion pulmonary;
Thoracic surgery,video-assisted;
Pulmonary surgical procedures;
Sublobectomy
- From:
Chinese Journal of Thoracic and Cardiovascular Surgery
2015;31(4):209-212
- CountryChina
- Language:Chinese
-
Abstract:
Objective With the popularization of low dose chest CT examination,a large number of patients with pulmonary nodules(10 mm ＜ D≤20 mm) or small nodules(4 mm ＜ D≤10 mm) emerged.How to accurately position pulmonary nodules especially small nodules in video-assisted thoracoscopic surgery(VATS) is the key.This study explores the positioning method for small pulmonary nodules in VATS.Methods From January 2012 to June 2014,we used a method named clock dial integrated positioning in 316 patients with pulmonary nodules who underwent limited resection or lobectomy in VATS,obtained satisfactory results.Results The accuracy of clock dial integrated positioning method in judgments was 99％ (313/316).296 cases underwent thoracoscopic sublobectomy,including thoracoscopic pulmonary segmental resection in 141 cases and thoracoscopic wedge resection in 155 cases.20 cases underwent thoracoscopic lobectomy.Among them 17 cases had multinodules which were in the different pulmonary segments of the same lobe.Underwent thoracoscopic lobectomy.The positions of 3 cases were error during early cases,underwent VATS lobectomy.The postoperative pathology:194 cases were lung cancer.37 cases were metastatic tumor.85 cases were benign lesions.Conclusion Combined with the clinical treatment experience,we believe that the clock dial integrated positioning method is effective for positioning in VATS.Clinical VATS experiences accumulations are also needed.
