Hybrid Theater Facilitates Lung-Preserving Multimodal Treatment for Multiple Pulmonary Metastases

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. (C) 2021 by The Society of Thoracic Surgeons

Automated summary

This case demonstrates the successful treatment of multiple pulmonary metastases using microwave ablation in the hybrid theater. By combining various treatments, the lung metastases were effectively treated with adequate margin clearance, providing a unique choice for patients with concerns about lung function preservation.