臨床外科66巻8号

2011年08月発行

特集 画像診断の進歩をいかに手術に役立てるか

肺癌―最新の画像診断技術を活用した呼吸器外科手術

著者： 茂木晃¹ 八巻英¹ 高坂貴行¹ 田中司玄文¹ 桑野博行¹

所属機関： ¹群馬大学大学院医学系研究科病態総合外科学（第一外科）

ページ範囲：P.1067 - P.1073

文献概要

【ポイント】

◆FDG-PET/CTは肺病変の良悪性の判別や，リンパ節転移および遠隔転移の評価において有用であり，施行可能な施設では術前にできる限り行うことが勧められる．

◆3D-CT angiographyなどを用いて，術前に肺動静脈や気管支の走行などを的確に把握しておくことは，出血などの術中合併症を回避する意味においてきわめて重要である．

◆術前CTガイド下マーキングは，肺癌など悪性が疑われる触知不能小型肺病変に対するVATSにおいて非常に有用である．

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