Computed tomography-guided localization of small lung nodules before video-assisted resection: experience with an efficient hook-wire system.
نویسندگان
چکیده
The rate of successful video-assisted thoracoscopic surgery (VATS) for resection of pulmonary nodules has improved since the development of radiologic localization techniques. The failure rate has decreased from 45% to 5%.1 Several techniques have been described, including methylene blue injection, hook-wire localization, and combined techniques, but none has proved entirely satisfactory.2-5 We report our experience with a mammographic hook-wire system with characteristics that appear to offer an efficient anchorage.
منابع مشابه
Pre-operative localization of solitary pulmonary nodules with computed tomography-guided hook wire: report of 181 patients
BACKGROUND Video-assisted thoracic surgery (VATS) is currently performed to diagnose and treat solitary pulmonary nodules (SPN). However, the intra-operative identification of deep nodules can be challenging with VATS as the lung is difficult to palpate. The aim of the study was to report the utility and the results of pre-operative computed tomography (CT)-guided hook wire localization of SPN....
متن کاملEarly effective treatment of small pulmonary nodules with video-assisted thoracoscopic surgery combined with CT-guided dual-barbed hookwire localization
PURPOSE To assess the feasibility of computed tomography (CT)-guided localization using a specific long dual-barbed hookwire in resection of pulmonary nodules with the size of 20mm or less by video-assisted thoracoscopic surgery (VATS) and to discuss the necessity of early treatment of small pulmonary nodules by VATS. RESULTS All the nodules were successfully localized with hook wire under CT...
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BACKGROUND AND OBJECTIVE Localization of pulmonary ground glass small nodule is the technical difficulty of minimally invasive operation resection. The aim of this study is to evaluate the value of intraoperative computed tomography (CT)-guided localization using a hook-wire system for small ground glass opacity (GGO) in minimally invasive resection, as well as to discuss the necessity and feas...
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BACKGROUND AND OBJECTIVE Chest computed tomography (CT), particularly thin-slice high resolution CT, has low sensitivity and specificity for detecting pulmonary nodules <10 mm in size. This limitation leads to challenges in clinical diagnosis and treatment of small pulmonary nodules. This study introduces the use of video-assisted thoracoscopic surgery (VATS) for the diagnosis and treatment of ...
متن کاملCT-guided hook wire localization of subpleural lung lesions for video-assisted thoracoscopic surgery (VATS).
BACKGROUND/PURPOSE Histologic diagnosis of suspicious small subpleural lung lesions is difficult and often impossible using existing image-guided needle biopsy techniques including video-assisted thoracoscopic wedge resection. Preoperative lung lesion localization provides a more obvious target to facilitate intraoperative resection. This study reviewed the indications, results and complication...
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عنوان ژورنال:
- The Journal of thoracic and cardiovascular surgery
دوره 124 2 شماره
صفحات -
تاریخ انتشار 2002