論文

査読有り
2020年3月

Pulmonary resection in a prone position for lung cancer invading the spine.

General thoracic and cardiovascular surgery
  • Shunsaku Miyauchi
  • ,
  • Junichi Soh
  • ,
  • Kazuhiko Shien
  • ,
  • Masato Tanaka
  • ,
  • Hiromasa Yamamoto
  • ,
  • Toshifumi Ozaki
  • ,
  • Shinichi Toyooka

68
3
開始ページ
298
終了ページ
301
記述言語
英語
掲載種別
研究論文(学術雑誌)
DOI
10.1007/s11748-019-01113-7

The prone position is usually not selected for pulmonary resection. The intraoperative body position is an important issue in surgery for non-small cell lung cancer invading the spine because the standard intraoperative body position for a vertebrectomy is a prone position, while that for a pulmonary resection is a lateral decubitus position. Intraoperative changes in body position can cause several complications. Using an O-arm with a navigation system, a partial vertebrectomy was completed with the patient in a prone position thanks to the recognition of accurate surgical margins in the vertebral body; then, without changing the patient's body position, a lobectomy with systemic lymph node dissection was performed via a posterior approach. Especially for procedures requiring a wide resection of the chest wall, a prone position can be selected for a lobectomy with systemic lymph node dissection via a posterior approach without any significant difficulties.

リンク情報
DOI
https://doi.org/10.1007/s11748-019-01113-7
PubMed
https://www.ncbi.nlm.nih.gov/pubmed/30903520
ID情報
  • DOI : 10.1007/s11748-019-01113-7
  • ISSN : 1863-6705
  • PubMed ID : 30903520

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