术中对比增强超声（Io-CEUS）检测机器人辅助胸腔镜手术中遗漏的肺结节
Intraoperative Contrast-Enhanced Ultrasonography (Io-CEUS) to Detect Missed Lung Nodules During Robot-Assisted Thoracoscopic Surgery.
作者
作者单位
- Thoracic Surgery Unit, University of Campania "Luigi Vanvitelli", Naples, Italy.
- IRCCS Synlab SDN, Naples, Italy.
- Oncology Unit, Salerno Hospital, Salerno, Italy.
- ASL SA, Salerno, Italy.
摘要
中文
在此，我们报告了在机器人辅助胸外科手术（RATS）中使用术中对比增强超声（Io-CEUS）识别先前手术中遗漏的恶性肺结节。术前CT扫描及三维重建确定了目标病灶在右肺下叶S8段内的准确位置以及解剖标志，如距叶间裂和膈肌的距离。随后通过Io-CEUS成功检测到该病灶。在洗入（高增强）和洗出（低增强）阶段观察到的不同动脉增强有助于将结节与肺实质区分。病灶通过机械吻合器切除，冰冻切片分析诊断为结肠癌转移。术后过程平稳；患者于术后第3天出院。
English
Herein, we reported the use of Intraoperative-Contrast Enhanced Ultrasonography (Io-CEUS) during Robotic Assisted Thoracic Surgery (RATS) for identification of malignant lung nodule that was missed during previous operation. Pre-operative CT scan with 3D reconstruction defined the prompt position of the target lesion within S8 segment of right lower lobe and the anatomic landmarks as the distance from interlobar fissure and diaphragm. The lesion was then successfully detected by Io-CEUS. The different arterial enhancement observed during wash-in (hyperenhancement) and wash-out (hypo-enhancement) phases helped to differentiate the nodule from lung parenchyma. The lesion was resected by mechanical stapler and frozen section analysis diagnosed metastasis from colon carcinoma. Post-operative course was unremarkable; patient was discharged on post-operative day 3.
分类与指标
- 研究类型
- 临床研究
- 病种
- 肺癌
- JCR 分区
- Q2
- 影响因子
- 2.6
- 新锐分区
- 4区