【摘要】 目的:明确胸腔镜切除肺周边小结节术前Hook-wire标记的价值及意义。方法:我院于2000-2010年胸腔镜下或辅助小切口进行肺周边小结节切除共30例,其中在螺旋CT指引定位下穿刺留置Hook-wire16例,其定位的肺小结节直径<10mm,或距壁层胸膜>10mm。结果:16例术前CT引导下Hook-wire定位,成功率100%,并发症12.5%,转化为开胸者6.25%,中位住院时间5天。术后组织学结果:原发性肺腺癌9例,鳞癌2例,小细胞肺癌1例,转移瘤3例,炎性假瘤1例。结论:术前肺周边小结节Hook-wire定位对于VATS术中定位具有指导作用。更多还原

【Abstract】 Objective:To determine indications for preoperative Hook-wire marking in thoracoscopic resection of small peripheral pulmonary nodules(SPPNs).Methods:A total of 30 patients underwent thoracoscopic pulmonary resection in our hospital from 2000 to 2010.Of 16 patients with SPPNs were marked preoperatively by means of percutaneous placement of a Hook-wire under computed tomographic guidance.The SPPNs Hook-wire-marked were smaller than 10mm in diameter or were located more than 10mm distance beneath the pleural surface.Results:16 patients underwent preoperative CT-guided hook-wire localization and VATS approach successfully.The complications following preoperative Hook-wire marking localization occurred in 2 patients.The average hospital stay was 5 days(ranged2-25 days).Histological assessment revealed adenocarcinoma in 9 cases,squamas cell lung cancer in 2 cases,metastasis in 3 cases,small cell lung cancer and inflammatory disease in 1respectively.Conversion of thoracotomy was necessary in 1 case due to the severe pleural adhesion.Conclusion : Preoperative Hook-wire marking of SPPNs is helpful to localize the pulmonary lesion during thoracoscopic resection.更多还原