2020年3月
Pulmonary resection in a prone position for lung cancer invading the spine.
General thoracic and cardiovascular surgery
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- 巻
- 68
- 号
- 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
- ID情報
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- DOI : 10.1007/s11748-019-01113-7
- ISSN : 1863-6705
- PubMed ID : 30903520