Percutaneous Localization of Pulmonary Nodules Prior to Thoracoscopic Surgery by CT-guided Hook-wire

Percutaneous Localization of Pulmonary Nodules Prior to Thoracoscopic Surgery by CT-guided Hook-wire

Background: When performing thoracoscopic surgery in patients with small pulmonary nodules, intra-operative localization can be difficult and time-consuming. The percutaneous localization of suspicious intrapulmonary lesions was evaluated pre-operatively to facilitate the resection of the lesion and...

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Bibliographic Details
Published in:Anticancer research Vol. 26; no. 4B; pp. 3123 - 3126
Main Authors: Kastl, Sigrid, Langwieler, Thomas E, Krupski-Berdien, Gerrit, Demir, Ersen, Izbicki, Jakob R
Format: Journal Article
Language:English
Published: Attiki International Institute of Anticancer Research 01-07-2006
Subjects:
Adult
Aged
Biological and medical sciences
Humans
Lung Neoplasms - secondary
Lung Neoplasms - surgery
Medical sciences
Middle Aged
Solitary Pulmonary Nodule - secondary
Solitary Pulmonary Nodule - surgery
Thoracic Surgery, Video-Assisted - methods
Tumors
Endoscopic surgery
VATS
Lung
Pulmonary nodules
Wire
Respiratory system
Nodule
Percutaneous route
Guidance
Cancerology
Treatment
Endoscopy
Localization
Thoracoscopy
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Summary:Background: When performing thoracoscopic surgery in patients with small pulmonary nodules, intra-operative localization can be difficult and time-consuming. The percutaneous localization of suspicious intrapulmonary lesions was evaluated pre-operatively to facilitate the resection of the lesion and to avoid thoracotomy. Materials and Methods: Thoracoscopies were performed in 13 patients with intrapulmonary nodules previously localized by CT-scan and flagged percutaneously with a hook-wire. Immediately after the procedure, the patient was transferred to the operating room and thoracoscopic pulmonary wedge resection was performed. Results: All the nodules were properly identified. The time to position the wire was 20-30 min and thoracotomy could be avoided in all patients. The nodules were 0.5 cm - 6 cm in size and situated 1 cm - 4 cm subpleurally. Conclusion: Guide-wire identification of an intrapulmonary nodule is a safe, elegant, time-saving and reliable method. The lack of manual examination of pulmonary parenchyma in thoracoscopy is compensated for by precise pre-operative localization.
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ISSN:0250-7005
1791-7530