1. Hybrid Theater Facilitates Lung-Preserving Multimodal Treatment for Multiple Pulmonary Metastases
- Author
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Calvin S.H. Ng, CM Chu, Peter S Y Yu, and Rainbow W. H. Lau
- Subjects
Pulmonary and Respiratory Medicine ,medicine.medical_specialty ,Lung ,Right middle lobe ,medicine.diagnostic_test ,business.industry ,Microwave ablation ,030204 cardiovascular system & hematology ,medicine.disease ,03 medical and health sciences ,0302 clinical medicine ,medicine.anatomical_structure ,030228 respiratory system ,Positron emission tomography ,Hepatocellular carcinoma ,medicine ,Multimodal treatment ,Surgery ,Right upper lobe ,Radiology ,Cardiology and Cardiovascular Medicine ,business ,Electromagnetic navigation bronchoscopy - Abstract
A patient with a history of hepatocellular carcinoma was found to have multiple pulmonary metastases. Staged treatments were combined into a single operation session in the hybrid theater, encompassing bronchoscopic microwave ablation of central right upper lobe lesions and uniportal surgical wedge resections of peripheral right middle lobe lesions. All lung metastases were successfully treated with adequate margin clearance. Microwave ablation under the guidance of electromagnetic navigation bronchoscopy in the hybrid theater is a novel contribution to the multimodal operative management of multiple pulmonary neoplasms. It is a unique choice for patients with multilobar, subcentimeter metastases, and with concerns about lung function preservation.
- Published
- 2021
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