Value of endobronchial ultrasound-guided localization with combination of ultrathin bronchoscope and methylene blue for small pulmonary nodules before video-assisted thoracoscopic surgery
10.3760/cma.j.issn.1001-4497.2018.05.003
- VernacularTitle:支气管超声引导超细支气管镜联合亚甲蓝定位下电视胸腔镜手术对肺部小结节的临床价值
- Author:
Chunhua XU
1
;
Chuanzhen CHI
;
Wei WANG
;
Yuchao WANG
;
Qian ZHANG
;
Qi YUAN
;
Ping ZHAN
;
Rusong YANG
Author Information
1. 210029,南京市胸科医院东南大学附属南京市胸科医院内镜中心
- Keywords:
Small pulmonary nodules;
Localization;
Endobronchial ultrasound;
Video-assisted thoracoscop-ic surgery
- From:
Chinese Journal of Thoracic and Cardiovascular Surgery
2018;34(5):278-280
- CountryChina
- Language:Chinese
-
Abstract:
Objective To analyze the value of endobronchial ultrasound-guided ultrathin bronchoscope(EUGUB) and methylene blue positioning video-assisted thoracoscopic surgery(VATS) for small pulmonary nodules.Methods Sixty patients undergoing VATS, using pre-operative EUGUB combination with methylene blue was performed .The positioning accuracy, the complications and pathological classification were analyzed .Results EUGUB combination with methylene blue positioning ac-curacy was 91.7%, meanwhile, 2 patients with hemoptysis with no conservative treatment.The postoperative histological pa-thology results showed that benign lesions and malignant lesions accounted for 28.3% and 71.7%, respectively.Conclusion The method of EUGUB combination with methylene blue in positioning of the small pulmonary nodules increases the achieve-ment ratio of VATS with few complications, and may be widely used in treatment of small pulmonary nodules with VATS.