Lungenrundherde unklarer Dignität und Stadien: verbesserte Diagnostik und Therapie mittels thorakoskopischer Resektion
Circular Shadows of the Lung of Uncertain Dignity and Improved Staging Diagnosis and Treatment by Thoracoscopic Resection
The indeterminate pulmonary nodule: improved diagnosis and therapy with thoracoscopic resection. Since 1990, thoracoscopic resections (or video-assisted thoracic surgery — VATS) were performed for 255 pulmonary nodules on 193 patients, 33 of which had undergone preoperative CT-guided needle localization for intraoperative guidance. All thoracoscopic resections were well tolerated with minor operative morbidity and improved postoperative pain and shoulder mobility, and all pulmonary nodules were successfully identified by TR with a conversion rate to open thoracotomy of 6%. TR is an accurate and reliable diagnostic means for pulmonary nodules not amenable to less invasive diagnostic techniques, and has therapeutic potential for primary lung cancer in cases of limited pulmonary reserve.
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