内容紹介
肺がんなど呼吸器領域の手術は胸腔鏡下手術が増加しており、肺動脈、肺静脈の分岐・走行を事前に把握したいといった需要が高まっている。本稿では、少ない造影剤量で簡便かつ精度良く肺動静脈を分離撮影する方法を報告する。また、ヨード造影剤と生理食塩水の混合注入による希釈Test Injectionの混合割合と造影効果の関係について述べる。
Video-assisted thoracoscopic pulmonary lobectomy for peripheral lung cancer is a well-established and widely used technique. Since the branching patterns of pulmonary arteries and veins vary among patients, preoperative assessment of the branching pattern is essential for patient safety. In this article, I report a method to separate pulmonary artery/vein easily and accurately with a small amount of contrast media. Also, describe the mixing ratio and the contrast effect of diluting test injections of contrast media and saline.
目次
Video-assisted thoracoscopic pulmonary lobectomy for peripheral lung cancer is a well-established and widely used technique. Since the branching patterns of pulmonary arteries and veins vary among patients, preoperative assessment of the branching pattern is essential for patient safety. In this article, I report a method to separate pulmonary artery/vein easily and accurately with a small amount of contrast media. Also, describe the mixing ratio and the contrast effect of diluting test injections of contrast media and saline.