Hybrid Theater Facilitates Lung-Preserving Multimodal Treatment for Multiple Pulmonary Metastases.

Autor: Yu PSY; Division of Cardiothoracic Surgery, Department of Surgery, Chinese University of Hong Kong, Prince of Wales Hospital, Hong Kong., Chu CM; Department of Imaging and Interventional Radiology, Chinese University of Hong Kong, Prince of Wales Hospital, Hong Kong., Lau RWH; Division of Cardiothoracic Surgery, Department of Surgery, Chinese University of Hong Kong, Prince of Wales Hospital, Hong Kong., Ng CSH; Division of Cardiothoracic Surgery, Department of Surgery, Chinese University of Hong Kong, Prince of Wales Hospital, Hong Kong. Electronic address: calvinng@surgery.cuhk.edu.hk.
Jazyk: angličtina
Zdroj: The Annals of thoracic surgery [Ann Thorac Surg] 2021 Feb; Vol. 111 (2), pp. e89-e92. Date of Electronic Publication: 2020 Jul 17.
DOI: 10.1016/j.athoracsur.2020.05.098
Abstrakt: A patient with a history of hepatocellular carcinoma was found to have multiple pulmonary metastases. Staged treatments were combined into a single operation session in the hybrid theater, encompassing bronchoscopic microwave ablation of central right upper lobe lesions and uniportal surgical wedge resections of peripheral right middle lobe lesions. All lung metastases were successfully treated with adequate margin clearance. Microwave ablation under the guidance of electromagnetic navigation bronchoscopy in the hybrid theater is a novel contribution to the multimodal operative management of multiple pulmonary neoplasms. It is a unique choice for patients with multilobar, subcentimeter metastases, and with concerns about lung function preservation.
(Copyright © 2021 The Society of Thoracic Surgeons. Published by Elsevier Inc. All rights reserved.)
Databáze: MEDLINE