Combined use of preoperative methylene blue dye and microcoil localization facilitates thoracoscopic wedge resection of indeterminate pulmonary nodules in children

Journal of Laparoendoscopic & Advanced Surgical Techniques. Part a
Seema K PursnaniEvan P Nadler

Abstract

The ability to biopsy indeterminate pulmonary lesions in children has evolved with advances in minimal access surgery. Recent advances in preoperative localization including image-guided dye injection or wire implantation have expanded the types of lesions that are accessible via minimal access surgery. We present a case of a 13-year-old boy who underwent preoperative localization using both methylene blue dye and microcoil labeling, and a subsequent thoracoscopic pulmonary wedge resection under the same anesthesia. The combined use of both dye and microcoil localization provides the advantage of superior intraoperative visualization of the lesion and the ability to use fluoroscopy to confirm the presence of the nodule in the surgical specimen. We recommend this technique for the biopsy of indeterminate pulmonary lesions that would not otherwise be accessible via a minimally invasive approach.

References

Feb 1, 1979·Annals of Surgery·B M RodgersJ L Talbert
Oct 1, 1993·The Annals of Thoracic Surgery·M J MackT E Acuff
Dec 13, 1997·Journal of Pediatric Surgery·J H WaldhausenR S Sawin
Mar 10, 2001·Journal of Computer Assisted Tomography·J P ReinschmidtG J Collins
Mar 28, 2001·The Annals of Thoracic Surgery·N LizzaL Delaunois
Jun 22, 2002·Journal of Pediatric Surgery·David A PartrickRoger K Harned
Dec 17, 2002·Journal of Pediatric Surgery·Patrick I McConnellRebecka L Meyers

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Citations

Feb 27, 2007·Oral Surgery, Oral Medicine, Oral Pathology, Oral Radiology, and Endodontics·Reinhilde JacobsJan Gelan
Dec 2, 2008·Journal of Pediatric Surgery·Kenneth W GowMark L Wulkan
Jan 11, 2007·Seminars in Pediatric Surgery·Scott A Engum
Oct 29, 2020·Journal of Pediatric Surgery·Katrina M MorganMarcus M Malek

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