Computed tomography-guided minithoracotomy for the resection of small peripheral pulmonary nodules
| Autor: | L. Jack Faling, James T. Diehl, Benedict D.T. Daly, Mark S. Bankoff, M. Elon Gale |
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| Rok vydání: | 1991 |
| Předmět: |
Adult
Male Pulmonary and Respiratory Medicine medicine.medical_specialty Lung Neoplasms Percutaneous medicine.medical_treatment Computed tomography Malignancy Resection Predictive Value of Tests Biopsy medicine Humans Thoracotomy Aged medicine.diagnostic_test business.industry Biopsy Needle Nodule (medicine) Middle Aged medicine.disease Peripheral Female Surgery Radiology medicine.symptom Tomography X-Ray Computed Cardiology and Cardiovascular Medicine business |
| Zdroj: | The Annals of Thoracic Surgery. 51:465-469 |
| ISSN: | 0003-4975 |
| DOI: | 10.1016/0003-4975(91)90868-q |
| Popis: | Small peripheral pulmonary nodules ranging in size from 1 mm to 20 mm were excised in 58 patients. Computed tomography was used to mark the skin overlying the nodules to minimize the surgical exposure needed for operative identification. The nodules were 1 cm or less in maximum diameter in 76% of the patients. Twenty-six patients had single nodules and 32 patients had multiple nodules. The preoperative diagnosis was inaccurate in 67% of the patients. In 61% of the patients in whom malignancy was suspected, no tumor was demonstrated. Conversely, of the 20 patients in whom a malignant nodule was excised, the preoperative diagnosis was correct in only 50%. Thirty-one patients required no further treatment apart from their biopsy and 27 required additional intervention. Small peripheral pulmonary nodules require biopsy for diagnosis. When percutaneous needle aspiration biopsy is unsuccessful, or technically difficult, a computed tomography-guided thoracotomy is an effective and minimally invasive surgical alternative. |
| Databáze: | OpenAIRE |
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