A brand new method, developed at Gemelli, permits the minimally invasive removing of lung tumor nodules within the very early levels of improvement, 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’s a method – explains the physician Maria Teresa Farewell professor of Thoracic Surgery on the Catholic University and physician of the Uoc of Thoracic Surgery of the Fondazione Policlinico Universitario Agostino Gemelli Irccs, directed by Professor Stefano Margaritora, full professor of Thoracic Surgery on the Catholic University, in addition to director of the Uoc itself – which we’ve got positioned level we thoracic surgeons, to Professor Roberto Iezzi, affiliate professor of Radiology on the Catholic University and director of the UOC of Emergency and Interventional Radiology of the Fondazione Policlinico Gemelli Irccs and to Doctor Andrea Contegiacomo of Emergency and Interventional Radiology – which consists in previous the precise operation, by the positioning of a metallic spiral (microcoil) beneath 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 beneath a centimeter); because 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 this cause, thoracic surgeons have determined to ask for assist from interventional radiologists to ‘mark these suspicious lesions with a metallic landmark, a spiral, so as to make them ‘seen throughout surgical procedure, which might be carried out with a minimally invasive method endoscopic (thoracoscopic). In a primary part, interventional radiologists place the microcoil within the nodule, from the surface, beneath CT steerage. The affected person is subsequently operated on by thoracic surgeons. “The removing of the nodule with the thorascopic method – explains Dr. Congedo – is carried out with the affected person beneath basic 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”. In this fashion 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 new method
“We began working with this method in 2019 – remembers Dr. Congedo – and continued to good it over time. Last October we offered a communication on our case historical past of over 100 operations, throughout the congress of the Italian Society of Thoracic Surgery, receiving the award for the very best report within the mini-invasive thoracic surgical procedure part. And on this matter we’ve got simply offered a communication on the II European Congress of Thoracic Radiology (which was held in Rome from 9 to 11 May). to function on lesions that may be technically not possible 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 final result for the affected person, as it’s an operation carried out at a really early stage”.
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