https://scholars.lib.ntu.edu.tw/handle/123456789/633266
標題: | Computed Tomography-Guided Localization and Extended Segmentectomy for Non-Small Cell Lung Cancer | 作者: | Lee, Wen-Yao PEI-HSING CHEN KE-CHENG CHEN HSAO-HSUN HSU JIN-SHING CHEN |
關鍵字: | CT-guided percutaneous needle localization; Lung cancer; Segmentectomy; VATS; thoracoscopy | 公開日期: | 24-八月-2022 | 卷: | 12 | 期: | 9 | 來源出版物: | Diagnostics (Basel, Switzerland) | 摘要: | Background: Lung cancer is one of the most devastating cancers. Low-dose computed tomography (LDCT) can detect lung cancer at an early stage of the disease when a minimally invasive surgical procedure using video-assisted thoracoscopic surgery is the best strategy. Herein, we discuss the treatment of deep lung tumors between segments or lesions located near the margin of a segment. Patients and Methods: This was a retrospective study conducted from January 2013 to January 2020 using the National Taiwan University Hospital data bank. We included early-stage non-small cell lung cancer (NSCLC) patients who underwent lung surgery and screened out those who received CT-guided localization for extended segmentectomy. Outcome measurements were safety margin, complication rate, and postoperative course. Results: During the study period, 68 patients with early-stage NSCLC received CT-guided localization followed by extended segmentectomy. The mean surgery time was 92.1 ± 30.3 min, and the mean blood loss was 32.8 mL. Mean drainage time was 2.3 ± 1 days, and the total hospital stay was 4.9 ± 1.1 days. Pathological reports showed tumor-free resection margins >2 cm. Sixty-one patients had adenocarcinoma at stage IA and two patients at stage IB. One patient had squamous cell carcinoma at stage IA. Conclusion: CT-guided localization followed by extended segmentectomy allows lung volume preservation with clean safety margins and good clinical outcomes. |
URI: | https://scholars.lib.ntu.edu.tw/handle/123456789/633266 | ISSN: | 2075-4418 | DOI: | 10.3390/diagnostics12092043 |
顯示於: | 醫學系 |
在 IR 系統中的文件,除了特別指名其著作權條款之外,均受到著作權保護,並且保留所有的權利。