A Simple Way to Indicate Pulmonary Nodules at Thoracoscopic Wedge Resections

1996 ◽  
Vol 37 (1P1) ◽  
pp. 234-236
Author(s):  
L. Denbratt ◽  
J. Svanvik ◽  
G. Rådberg
Keyword(s):  
Steel Wire ◽  
Pulmonary Nodules ◽  
Cost Effective ◽  
Minimal Invasive ◽  
Thoracoscopic Resection ◽  
Ct Guided ◽  
Effective System ◽  
Preoperative Ct ◽  
Manual Palpation ◽  
The Wire

Purpose: Small pulmonary subpleural nodules are sometimes difficult to localise at thoracotomy. With the advent of minimal invasive surgery, thoracoscopic resection avoiding anterolateral thoracotomy is an attractive procedure. Since this technique does not allow manual palpation, preoperative indication of lesions is mandatory. A simple and cost-effective system for preoperative CT-guided localisation of small subpleural nodules before thoracoscopic resection is described. Material and Methods: The system consists of a 0.2-mm steel wire 30–40 cm in length and a 0.9-mm biopsy needle. The tip of the wire is bent to a hook, and, guided by CT, it is placed in the vicinity of the lesion. The technique was tested in 8 cases. Results: The procedure was possible to perform in 7 patients. In all instances the wire remained in place when the lung was collapsed during the thoracoscopic procedure. The staple resected part of the lung also contained the lesion when examined extracorporeally. Conclusion: This simple and inexpensive system was found to be useful for indication of pulmonary lesions at thoracoscopic wedge resections.

scholarly journals CT-guided methylene-blue labelling before thoracoscopic resection of pulmonary nodules

1998 ◽  
Vol 14 (3) ◽  
pp. 265-270 ◽  
Author(s):  
Riccardo E. Vandoni ◽  
Jean-François Cuttat ◽  
Stéphane Wicky ◽  
Michel Suter
Keyword(s):  
Methylene Blue ◽  
Pulmonary Nodules ◽  
Thoracoscopic Resection ◽  
Ct Guided

Pulmonary nodules: CT-guided contrast material localization for thoracoscopic resection.

Radiology ◽  
1998 ◽  
Vol 208 (2) ◽  
pp. 399-401 ◽  
Author(s):  
B G Choi ◽  
H H Kim ◽  
B S Kim ◽  
K T Kim ◽  
K S Shinn ◽  
...  
Keyword(s):  
Contrast Material ◽  
Pulmonary Nodules ◽  
Thoracoscopic Resection ◽  
Ct Guided

Computed Tomography-Guided Trans-scapular Coil Localization for Pulmonary Nodules

2020 ◽  
Author(s):  
Jian-Hua Zhang ◽  
Shi-Qing Zhou ◽  
Feng-Fei Xia ◽  
Tao Wang
Keyword(s):  
Computed Tomography ◽  
Success Rate ◽  
Thoracoscopic Surgery ◽  
Wedge Resection ◽  
Pulmonary Nodules ◽  
Technical Success ◽  
Ct Guided ◽  
Technical Success Rate ◽  
Preoperative Ct ◽  
Video Assisted Thoracoscopic Surgery

Abstract Background The aim of the study is to evaluate the feasibility, safety, and effectiveness of preoperative computed tomography (CT)-guided trans-scapular coil localization (TSCL) of scapula-blocked pulmonary nodules (PNs). Methods Between November 2015 and May 2020, 11 patients underwent preoperative CT-guided TSCL procedures owing to PN occlusion by scapula. Results A 100% technical success rate was achieved for CT-guided TSCL, with one coil being used for each PN. One patient (9.1%) developed pneumothorax. Successful video-assisted thoracoscopic surgery (VATS)-guided wedge resection of these scapula-blocked PNs was conducted in all patients. Conclusion CT-guided TSCL can be simply and safely used to facilitate successful VATS-guided wedge resection of scapula-blocked PNs.

scholarly journals Trans-Scapular Approach Coil Localization for Scapular-Blocked Pulmonary Nodules: A Retrospective Study

2020 ◽  
Author(s):  
Juan Wu ◽  
Min-Ge Zhang ◽  
Jin Chen ◽  
Wen-Bin Ji
Keyword(s):  
Success Rate ◽  
Thoracoscopic Surgery ◽  
Pulmonary Nodules ◽  
Adenocarcinoma In Situ ◽  
Technical Failure ◽  
Technical Success ◽  
Ct Guided ◽  
Technical Success Rate ◽  
Preoperative Ct ◽  
The Mean

Abstract Background: Preoperative computed tomography (CT)-guided coil localization (CL) is commonly employed to facilitate the video-assisted thoracoscopic surgery (VATS)-guided diagnostic wedge resection (WR) of pulmonary nodules (PNs). When a scapular-blocked PN (SBPN) will be localized, the trans-scapular CL (TSCL) should be performed. In this study, we investigated the safety, feasibility, and clinical efficacy of preoperative CT-guided TSCL for SBPNs.Materials and Methods: From January 2014 to September 2020, a total of 152 patients with PNs underwent CT-guided CL prior to VATS-guided WR. Among them, 14 patients had the SBPNs and underwent TSCL procedure. Results: A total of 14 SBPNs were localized in the 14 patients. The mean diameter of the 14 SBPNs was 7.4 ± 2.4 mm. Technical success rate of puncture of the scapula was 100%. No complications occurred near the scapula. Technical success rate of CL was 92.9%. One coil dropped off when performing the VATS procedure. The mean duration of the TSCL was 14.2 ± 2.7 min. Two patient (14.3%) developed aysmptomatic pneumothorax after TSCL. Technical success rate of VATS-guided WR was 92.9%. The patient who experienced technical failure of TSCL directly underwent lobectomy. The mean VATS procedure duration and blood loss were 90.0 ± 42.4 min and 62.9 ± 37.2 ml, respectively. The final diagnoses of the 14 SBPNs included invasive adenocarcinoma (n = 4), adenocarcinoma in situ (n = 9), and benign (n = 1).Conclusions: Preoperative CT-guided TSCL can be safely and simply used to facilitate high successful rates of VATS-guided WR of SBPNs.

Successful Thoracoscopic Resection of Pulmonary Metastasis Less Than 1 cm in Size Utilizing Preoperative CT-Guided Wire Localization

2009 ◽  
Vol 19 (s1) ◽  
pp. s171-s173 ◽  
Author(s):  
Silvana Federici ◽  
Alberto Ratta ◽  
Mauruzio Mordenti ◽  
Vincenzo Domenichelli ◽  
Gabriella Pelusi ◽  
...  
Keyword(s):  
Pulmonary Metastasis ◽  
Wire Localization ◽  
Thoracoscopic Resection ◽  
Ct Guided ◽  
Preoperative Ct

scholarly journals Uniportal VATS Coil-Assisted Resections for GGOs

2019 ◽  
Vol 2019 ◽  
pp. 1-7
Author(s):  
Maria Teresa Congedo ◽  
Roberto Iezzi ◽  
Dania Nachira ◽  
Anna Rita Larici ◽  
Marco Chiappetta ◽  
...  
Keyword(s):  
Lung Resection ◽  
Pulmonary Nodules ◽  
Ground Glass ◽  
Ct Guided ◽  
Pleural Surface ◽  
Preoperative Ct ◽  
Mean Size ◽  
Accurate Procedure ◽  
The Mean ◽  
Mixed Ground

Backgrounds. Although uniportal video-assisted thoracic surgery (VATS) theoretically allows the direct palpation of any zone of the lung through a small incision, sometimes it can be difficult to localize pure ground-glass opacities anyway. The aim of this study is to evaluate the usefulness and safety of preoperative computed tomography (CT)-guided microcoil localization of GGO nodules in patients undergoing uniportal VATS lung resection.Methods. The clinical data and CT images of 30 consecutive patients (30 pulmonary nodules) who underwent preoperative CT-guided coil localization and subsequent uniportal VATS resection, from January 2017 to October 2018, were reviewed.Results. All the CT-localization procedures have been performed with success (30/30) and the mean procedure time was 35±15 minutes. The mean size of the nodules was 15,53±6,72 mm, and the mean distance of the nodules from the pleural surface was 19,08±12,08 mm. Eleven nodules (36,7%) were pure ground-glass opacities and 19 (63,3%) were mixed ground-glass with a solid component of 50% or more. In 5 cases, the localization procedure was complicated by asymptomatic pneumothoraxes and in 1 case the pneumothorax required chest tube insertion. In any case a conversion to thoracotomy was avoided because all nodules were identified and resected through uniportal VATS.Conclusions. Preoperative CT-guided coil localization seems to be a feasible, safe, and accurate procedure. It makes uniportal VATS an easy approach even for resecting small, deep, and impalpable nodules.

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