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Ann Thorac Surg 1992;53:163-164
© 1992 The Society of Thoracic Surgeons

Articles

Methylene blue guidance for simplified resection of a lung lesion

David C. Kerrigan, MDa,b, Paul A. Spence, MD*,a,b, Michael D. Crittenden, MDa,b, Michael D. Tripp, MDa,b

a Division of Thoracic and Cardiovascular Surgery and Department of Radiology, East Carolina University School of Medicine, Greenville, North Carolina, USA
b Division of Cardiothoracic and Vascular Surgery, Howard University, Washington, DC, USA

Accepted for publication August 13, 1991.

* Address reprint requests to Dr Spence, Division of Cardiac Surgery, ECU School of Medicine, PCMH Rm 235, Greenville, NC 27858.

A 60-year-old patient returned 1 year after right pneumonectomy with a new primary squamous cell carcinoma of the left lower lobe. Using fluoroscopic guidance, the lesion and the shortest track to the surface were marked by methylene blue preoperatively. The lesion was easily excised by wedge resection without the need for manipulation or deflation of the lung.




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