A brand new method, developed at Gemelli, permits the minimally invasive elimination of lung tumor nodules within the very early levels of growth, with traits that make them not recognizable to the surgeon’s eye, as they’re very small, nonetheless not very dense and due to this fact indistinguishable from regular lung tissue.
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“It is a method – explains the physician Maria Teresa Farewell professor of Thoracic Surgical procedure on the Catholic College and physician of the Uoc of Thoracic Surgical procedure of the Fondazione Policlinico Universitario Agostino Gemelli Irccs, directed by Professor Stefano Margaritora, full professor of Thoracic Surgical procedure on the Catholic College, in addition to director of the Uoc itself – which we now have positioned level we thoracic surgeons, to Professor Roberto Iezzi, affiliate professor of Radiology on the Catholic College and director of the UOC of Emergency and Interventional Radiology of the Fondazione Policlinico Gemelli Irccs and to Physician Andrea Contegiacomo of Emergency and Interventional Radiology – which consists in previous the precise operation, by the positioning of a metallic spiral (microcoil) below CT steerage, inside these pulmonary nodules extremely suspected of being tumor lesions within the preliminary part; these are ‘fuzzy’ lesions, ‘comfortable to the contact and really small (typically below a centimeter); as a consequence of these traits they aren’t distinguishable from wholesome lung parenchyma upon direct inspection. These nodules differ from ‘mature’ tumor lung nodules that are as a substitute palpable and instantly recognizable to the surgeon’s eye.”
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Surgeons and radiologists collectively at work
For that reason, thoracic surgeons have determined to ask interventional radiologists for assist to ‘mark these suspicious lesions with a metallic landmark, a spiral, as a way to make them ‘seen throughout surgical procedure, which will be carried out with a minimally invasive method endoscopic (thoracoscopic). In a primary part, interventional radiologists place the microcoil within the nodule, from the skin, below CT steerage. The affected person is subsequently operated on by thoracic surgeons. “The elimination of the nodule with the thorascopic method – explains Dr. Congedo – is carried out with the affected person below normal anesthesia; after having made a 3 cm incision on the chest wall, a small video digital camera is inserted, which permits the marker to be visualized , beforehand positioned by radiologists”. On this means the surgeon removes solely the suspicious nodule, preserving the wholesome lung tissue. And the affected person can go house after simply two days as a result of restoration instances are very fast.
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The brand new method
“We began working with this system in 2019 – remembers Dr. Congedo – and continued to excellent it over time. Final October we offered a communication on our case historical past of over 100 operations, through the congress of the Italian Society of Thoracic Surgical procedure, receiving the award for the most effective report within the mini-invasive thoracic surgical procedure part. And on this matter we now have simply offered a communication on the II European Congress of Thoracic Radiology (which was held in Rome from 9 to 11 Might). to function on lesions that will be technically unimaginable to function as they aren’t seen to the attention of the surgeon or the video digital camera and due to this fact ensures a greater end result for the affected person, as it’s an operation carried out at a really early stage”.
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– 2024-05-16 08:40:23
