'Circular clamp' excision: A new technique for lung metastasectomy
| Autor: | Giulia Veronesi, Paolo Scanagatta, Roberto Gasparri, Francesco Leo, Piergiorgio Solli, Lorenzo Spaggiari, Alessandro Borri, Nelson Alves Dos Santos, Domenico Galetta, Francesco Petrella |
|---|---|
| Přispěvatelé: | Petrella, F, Leo, F, Dos Santos, Na, Veronesi, G, Solli, P, Borri, A, Galetta, D, Gasparri, R, Scanagatta, P, Spaggiari, L |
| Jazyk: | angličtina |
| Předmět: |
Pulmonary and Respiratory Medicine
medicine.medical_specialty Lung Neoplasms Lung business.industry Forceps Solitary Pulmonary Nodule Nodule (medicine) Surgical Instruments medicine.disease Primary tumor Surgery Clamp medicine.anatomical_structure Parenchyma Humans Medicine medicine.symptom Metastasectomy Pneumonectomy Cardiology and Cardiovascular Medicine business Wedge resection (lung) |
| Zdroj: | The Journal of Thoracic and Cardiovascular Surgery. (1):244-245 |
| ISSN: | 0022-5223 |
| DOI: | 10.1016/j.jtcvs.2008.06.020 |
| Popis: | Lung metastasectomy is an accepted procedure in selected patients and demonstrates good survival, depending on the primary tumor histology, disease-free interval, and number and location of the metastases. The aim of metastasectomy is radical tumor resection, saving as much healthy lung tissue as possible: Wedge resection, segmentectomy, and nodule excision are the most common surgical techniques for this procedure. Pulmonary nodule excision, the most parenchyma-sparing procedure, is indicated for small and central nodules not suitable for wedge resections because of their central location and theoretically requiring an anatomic segmentectomy or lobectomy. Lung nodule excision is usually performed by exposing the nodule with a pair of lung forceps, trying to further improve nodule exposure by a tampon mounted on another forceps and pushing behind the nodule. This procedure can be difficult because the nodule is slippery and deeply embedded within the parenchyma, and lung tissue incision results in profuse bleeding even at a high coagulation level using an electric scalpel or laser devices. In addition, there is a risk of tumor cell seeding in case of accidental nodule opening or incision. We have devised a new technique of lung nodule excision using custom-built forceps (Figure 1) designed to block and expose the nodule, and to clamp the lung tissue containing the nodule, thereby avoiding bleeding during the incision and allowing accurate suturing after the excision. |
| Databáze: | OpenAIRE |
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