有鑑於肺癌是相對惡性的腫瘤,且早期多無症狀,患者確診時多屬晚期,無法開刀根除腫瘤。近年來,低劑量電腦斷層掃描(LDCT)被廣泛運用於肺癌篩檢工具,LDCT對於早期發現肺癌,特別是用於偵測小於一公分的肺部結節,具有高度敏感性。
然因早期肺癌篩檢發現的病灶普遍較小,在內視鏡下不易找到,在電腦斷層輔助下直接於開刀房定位,病人只需進行一次麻醉,不會有疼痛、定位針脫落、等刀等太久造成染劑消失的問題。此一站式服務不僅可縮短手術的時間,更可增加病患的舒適感與安全性。
--------------------------------
Title: One-Stop Surgical Localization for Early stage Lung Cancer.
Features:
Each year in Taiwan, over 10,000 new lung cancer cases are diagnosed. Early detection and surgical removal significantly improve the five-year survival rate to over 90%. Low-dose chest CT scans are now capable of detecting lung nodules smaller than one centimeter. Surgical resection remains the most effective treatment for early-stage lung cancer. However, due to the small size of the tumors, their depth, or their appearance as ground-glass opacities, they are difficult to excise using traditional minimally invasive thoracoscopic surgery. To address this challenge, we now use a one-stop surgical localization approach for early lung nodule resection, performed in a hybrid operating room.
Objective:
Previously, patients undergoing surgery had to remain awake while their lung tumors were localized with a needle or fluorescent dye in the CT room. They would then return to the ward to await surgery. This process often caused discomfort and pain from the needle insertion, along with the risk of complications such as needle dislodgment, pneumothorax, or hemothorax. To alleviate these issues, we have streamlined the procedure by performing both localization and surgery directly in the hybrid operating room.
Method:
Upon entering the hybrid operating room, the patient is anesthetized. A needle or fluorescent dye is then used to localize the tumor under CT guidance. After successful localization, a minimally invasive thoracoscopic surgery is performed to remove the nodule.
Results:
This approach reduces the risks associated with intraoperative procedures, shortens the duration of the surgery, and improves patient comfort by minimizing pain. Additionally, it lowers the chances of needle dislodgment, shortens the post-operative recovery time, and enhances overall surgical quality and patient satisfaction.