scholarly journals Electromagnetic navigation-guided versus computed tomography-guided percutaneous localization of small lung nodules before uniportal video-assisted thoracoscopic surgery: a propensity score-matched analysis

2020 ◽  
Vol 58 (Supplement_1) ◽  
pp. i85-i91 ◽  
Author(s):  
Chia-Tsung Hung ◽  
Chun-Ku Chen ◽  
Ying-Yueh Chang ◽  
Po-Kuei Hsu ◽  
Jung-Jyh Hung ◽  
...  
Keyword(s):  
Computed Tomography ◽  
Propensity Score ◽  
Thoracoscopic Surgery ◽  
Preoperative Localization ◽  
Lung Nodules ◽  
Complication Rates ◽  
Surgical Results ◽  
Ct Guided ◽  
Electromagnetic Navigation ◽  
Video Assisted

Abstract OBJECTIVES An optimal method for preoperative localization of small lung nodules is yet to be established, and there are few comparative studies in the literature. In the present study, we aimed to compare electromagnetic navigation-guided and computed tomography (CT)-guided methods of percutaneous transthoracic localization. METHODS The clinical, radiographic, surgical and pathological data of patients who underwent electromagnetic navigation-guided localization (EMNGL) and CT-guided localization (CTGL) before uniportal video-assisted thoracic surgery (VATS) were reviewed. Propensity score matching analysis was performed to compare the localization and surgical results. RESULTS After matching, 25 EMNGL and 50 CTGL patients were included in the analysis. In the CTGL group, pulmonary haemorrhage and pneumothorax were noted in 56% and 34% of patients, respectively, on postprocedural CT scans. Successful localization was achieved in 96% and 100% of patients in the EMNGL and CTGL groups, respectively (P = 0.333). The median time in the operation room was significantly shorter in the CTGL group {142.5 [interquartile range (IQR) 123.8–175.0] vs 205.0 [IQR 177.5–290.0] min, P < 0.001}. In contrast, EMNGL significantly decreased the total time [205.0 (IQR 177.5–290.0) vs 324.0 (IQR 228.3–374.0) min, P = 0.002]. The median duration of chest drainage was 1 day shorter in the EMNGL group [2.0 (IQR 1.5–2.5) vs 3.0 (IQR 2.0–3.0), P = 0.002]; the surgical complication rates were comparable between the 2 groups. CONCLUSIONS The localization and surgical results were similar between the EMNGL and CTGL groups. EMNGL is comparable to conventional CTGL with respect to preoperative localization of small lung nodules before uniportal VATS.

Computed tomography-guided preoperative localization of small lung nodules with indocyanine green

2017 ◽  
Vol 59 (7) ◽  
pp. 830-835 ◽  
Author(s):  
Keisuke Nagai ◽  
Keiko Kuriyama ◽  
Atsuo Inoue ◽  
Yuriko Yoshida ◽  
Koji Takami
Keyword(s):  
Computed Tomography ◽  
Indocyanine Green ◽  
Pulmonary Nodules ◽  
Preoperative Localization ◽  
Lung Nodules ◽  
Complication Rates ◽  
Ct Guided ◽  
Institutional Review ◽  
Small Pulmonary Nodules ◽  
Age Range

Background Small, deep-seated lung nodules and sub-solid nodules are often difficult to locate without marking. Purpose To evaluate the success and complication rates associated with the use of indocyanine green (ICG) to localize pulmonary nodules before resection. Material and Methods This retrospective study was approved by our institutional review board. Informed consent for performing preoperative localization using ICG marking was obtained from all patients. Thirty-seven patients (14 men, 23 women; mean age = 63.1 years; age range = 10–82 years) with small peripheral pulmonary nodules underwent computed tomography (CT)-guided ICG marking immediately before surgery between March 2007 and June 2016. The procedural details and complication rates associated with ICG marking are described. Results The average nodule size and depth were 9.1 mm (range = 2–22 mm) and 9.9 mm (range = 0–33 mm), respectively. Marking was detected at the pleural surface in 35 patients (95%). Three cases of mild pneumothorax (8%), five cases of cough (14%), and one case of mild bloody sputum (3%) with no clinical significance were noted. There were no severe complications. The average duration required to perform the marking was 19.4 min (range = 12–41 min). Conclusion Our results indicate that CT-guided ICG marking is safe and useful for detecting the location of small pulmonary nodules preoperatively.

scholarly journals Methylene Blue versus Coil-Based Computed Tomography-Guided Localization of Lung Nodules

2020 ◽  
Vol 68 (06) ◽  
pp. 540-544 ◽  
Author(s):  
Ze-Dong Zhang ◽  
Hua-Long Wang ◽  
Xian-Yan Liu ◽  
Feng-Fei Xia ◽  
Yu-Fei Fu
Keyword(s):  
Computed Tomography ◽  
Methylene Blue ◽  
Thoracoscopic Surgery ◽  
Wedge Resection ◽  
Lung Nodule ◽  
Lung Nodules ◽  
Complication Rates ◽  
Success Rates ◽  
Technical Success ◽  
Ct Guided

Abstract Background Preoperative computed tomography (CT)-guided localization has been shown to significantly improve lung nodule video-assisted thoracoscopic surgery (VATS)-based wedge resection technical success rates. However, at present, there was insufficient research regarding the optimal approaches to localization of these nodules prior to resection. We aimed to compare the relative clinical efficacy of preoperative CT-guided methylene blue and coil-based lung nodule localization. Methods In total, 91 patients with lung nodules were subjected to either CT-guided methylene blue (n = 34) or coil (n = 57) localization and VATS resection from January 2014 to December 2018. We compared baseline data, localization-associated complication rates, as well as the technical success of localization and resection between these two groups of patients. Results In total, 42 lung nodules in 34 patients underwent methylene blue localization, with associated localization and wedge resection technical success rates of 97.6 and 97.6%, respectively. A total of 71 lung nodules in 57 patients underwent coil localization, with associated localization and wedge resection technical success rates of 94.4 and 97.2%, respectively. There were no significant differences in technical success rates of localization or wedge resection between these groups (p = 0.416 and 1.000, respectively). The coil group sustained a longer duration between localization and VATS relative to the methylene blue group (13.2 vs. 2.5 hours, p = 0.003). Conclusion Both methylene blue and coil localization can be safely and effectively implemented for conducting the diagnostic wedge resection of lung nodules. The coil-based approach is compatible with a longer period of time between localization and VATS procedures.

scholarly journals CT-Guided Hook-Wire Localization of Malignant Pulmonary Nodules for Video Assisted Thoracoscopic Surgery

2020 ◽  
Author(s):  
Huijun Zhang ◽  
Ying Li ◽  
Nadier Yimin ◽  
Zelai He ◽  
Xiaofeng Chen
Keyword(s):  
Thoracoscopic Surgery ◽  
Small Diameter ◽  
Pulmonary Nodules ◽  
Lung Parenchyma ◽  
Preoperative Localization ◽  
Wire Localization ◽  
Ct Guided ◽  
Video Assisted ◽  
Hook Wire ◽  
Video Assisted Thoracoscopic Surgery

Abstract Objectives: Video assisted thoracoscopic surgery (VATS) can currently be used to diagnose and treat pulmonary nodules. However, intraoperative location of pulmonary nodules in VATS is challenging due to their small diameter and deep location in the pulmonary parenchyma. The purpose of this study was to report the clinical safety and effectiveness of CT-guided hook-wire for preoperative localization of malignant pulmonary nodules smaller than 1 cm in diameter.Methods: From February 2017 to January 2018, we collected the data of 80 patients with malignant pulmonary nodules less than 1 cm in diameter who underwent CT-guided hook-wire preoperative localization and VATS surgery. The effectiveness of preoperative localization was evaluated based on surgical duration, success rate of VATS surgery, and localization-related complications.Results: The diameter of pulmonary nodules were 0.85 ± 0.17 mm with a distance to the pleural surface of 19.66 ± 14.10 mm. The length of the hook-wire in the lung parenchyma was 29.17 ± 13.14 mm and hook-wire dislodgement occurred in 2 patients. Complications included 27 cases of minor pneumothorax and 18 cases of mild parenchymal hemorrhage. A significant correlation was observed between the length of the hook-wire in the lung parenchyma and mild parenchymal hemorrhage (P = 0.044). The average time of hook-wire localization was 9.0 ± 2.6 min and the average operation time for VATS was 89.02 ± 23.35 min without conversion thoracotomy.Conclusions: CT-guided hook-wire localization of the lesion during VATS resection is safe for malignant pulmonary nodules with diameter less than 1 cm.

Computed tomography‐guided coil localization for video‐assisted thoracoscopic surgery of sub‐solid lung nodules: a retrospective study

2019 ◽  
Vol 89 (11) ◽  
Author(s):  
Fei Teng ◽  
Zi‐Shan Wang ◽  
An‐Le Wu ◽  
Yu‐Fei Fu ◽  
Shan Yang
Keyword(s):  
Computed Tomography ◽  
Retrospective Study ◽  
Thoracoscopic Surgery ◽  
Lung Nodules ◽  
Video Assisted ◽  
Video Assisted Thoracoscopic Surgery

scholarly journals Video-assisted thoracoscopic surgery using mobile computed tomography: New method for locating of small lung nodules

2014 ◽  
Vol 9 (1) ◽  
Author(s):  
Kazuto Ohtaka ◽  
Yasuhiro Takahashi ◽  
Kichizo Kaga ◽  
Naoto Senmaru ◽  
Yoshihisa Kotani ◽  
...  
Keyword(s):  
Computed Tomography ◽  
Thoracoscopic Surgery ◽  
New Method ◽  
Lung Nodules ◽  
Video Assisted ◽  
Video Assisted Thoracoscopic Surgery

Computed Tomography-Guided Transfissural Coil Localization of Lung Nodules

2019 ◽  
Vol 68 (06) ◽  
pp. 545-548 ◽  
Author(s):  
Feng-Fei Xia ◽  
Yi-Bing Shi ◽  
Tao Wang ◽  
Yu-Fei Fu
Keyword(s):  
Computed Tomography ◽  
Success Rate ◽  
Thoracoscopic Surgery ◽  
Wedge Resection ◽  
Lung Nodules ◽  
Adenocarcinoma In Situ ◽  
Technical Success ◽  
Invasive Adenocarcinoma ◽  
Ct Guided ◽  
Technical Success Rate

Background The objective of this study was to evaluate the feasibility, safety, and clinical effectiveness of preoperative computed tomography (CT)-guided transfissural coil localization (TFCL) of subfissural lung nodules. Methods Five patients with lung nodules who underwent CT-guided TFCL before video-assisted thoracoscopic surgery between November 2015 and December 2018 were included. Technical success rates of TFCL and wedge resection were assessed, as well complications and pathological results. Results The technical success rate of TFCL was 100%. Two patients experienced parenchymal hemorrhage around the needle path, and two patients experienced asymptomatic pneumothorax after TFCL. The technical success rate of the wedge resection of lung nodules was also 100%. The pathological diagnoses of the five nodules were minimally invasive adenocarcinoma (n = 3), adenocarcinoma in situ (n = 1), and inflammatory nodule (n = 1). Conclusion CT-guided TFCL is a safe and effective method for the preoperative localization of subfissural lung nodules.

scholarly journals CT-Guided Hook-Wire Localization of Malignant Pulmonary Nodules for Video Assisted Thoracoscopic Surgery

2020 ◽  
Author(s):  
Huijun Zhang ◽  
Ying Li ◽  
Nadier Yimin ◽  
Zelai He ◽  
Xiaofeng Chen
Keyword(s):  
Thoracoscopic Surgery ◽  
Small Diameter ◽  
Pulmonary Nodules ◽  
Lung Parenchyma ◽  
Preoperative Localization ◽  
Wire Localization ◽  
Ct Guided ◽  
Video Assisted ◽  
Hook Wire ◽  
Video Assisted Thoracoscopic Surgery

Abstract Objectives: Video assisted thoracoscopic surgery (VATS) can currently be used to diagnose and treat pulmonary nodules. However, intraoperative location of pulmonary nodules in VATS is challenging due to their small diameter and deep location in the pulmonary parenchyma. The purpose of this study was to report the clinical safety and effectiveness of CT-guided hook-wire for preoperative localization of malignant pulmonary nodules smaller than 1 cm in diameter.Methods: From February 2017 to January 2018, we collected the data of 80 patients with malignant pulmonary nodules less than 1 cm in diameter who underwent CT-guided hook-wire preoperative localization and VATS surgery. The effectiveness of preoperative localization was evaluated based on surgical duration, success rate of VATS surgery, and localization-related complications.Results: The diameter of pulmonary nodules were 0.85 ± 0.17 mm with a distance to the pleural surface of 19.66 ± 14.10 mm. The length of the hook-wire in the lung parenchyma was 29.17 ± 13.14 mm and hook-wire dislodgement occurred in 2 patients. Complications included 27 cases of minor pneumothorax and 18 cases of mild parenchymal hemorrhage. A significant correlation was observed between the length of the hook-wire in the lung parenchyma and mild parenchymal hemorrhage (P = 0.044). The average time of hook-wire localization was 9.0 ± 2.6 min and the average operation time for VATS was 89.02 ± 23.35 min without conversion thoracotomy.Conclusions: CT-guided hook-wire localization of the lesion during VATS resection is safe for malignant pulmonary nodules with diameter less than 1 cm.

scholarly journals Computed tomography-guided dye localization prior to uniportal thoracoscopic surgery for lung nodules: A propensity score matching analysis

2019 ◽  
Vol 118 (4) ◽  
pp. 783-789 ◽  
Author(s):  
Tung-Ming Tsai ◽  
Wan-Ting Hung ◽  
Mong-Wei Lin ◽  
Hsao-Hsun Hsu ◽  
Jin-Shing Chen
Keyword(s):  
Computed Tomography ◽  
Propensity Score ◽  
Propensity Score Matching ◽  
Thoracoscopic Surgery ◽  
Lung Nodules ◽  
Propensity Score Matching Analysis
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