Akademik Veri Yönetim Sistemi
INDIAN JOURNAL OF SURGERY, cilt.85, ss.459-464, 2023 (SCI-Expanded)
The aim of this study was to ensure that intraparenchymal pulmonary lesions could be reached by video-assisted thoracoscopic surgery (VATS) and to reveal the diagnosis of the lesion by histopathological evaluation when they had the following characteristics: lack of detectability by palpation, size of less than 2 cm in size, appearance of ground-glass opacity, or hard-to-reach localization. To accomplish this, before the operations, thorax computed tomography (CT) marking with methylene blue, coil placement, and intrathoracic ultrasonography methods were used. Patients in the 20-75 age group who have undiagnosed pulmonary lesions, who have the possibility of malignancy, and who are planned to perform VATS were marked with preoperative interventional methods, and the results of these patients were evaluated. The sample included 52 patients, of whom, 13 were women and 39 were men. In 75% (n = 39) of the patients, methylene blue injection was accompanied by preoperative thorax CT. Furthermore, coil application with preoperative thorax CT was used in 11.54% (n = 6) of patients, and intraoperative intrathoracic ultrasonography marking was employed in 13.46% (n = 7) of patients. Nodules that are suitable to be removed with the marking techniques used can easily be detected, even with VATS. In the preoperative period, thorax CT-guided methylene blue injection and pulmonary nodule marking with coil and intraoperative intrathoracic ultrasonography or pulmonary nodule techniques are reliable, effective, and interventional methods that make surgery easier and safer.