Fluoroscopy-assisted thoracoscopic resection of pulmonary nodules after computed tomography--guided bronchoscopic metallic coil marking

The Journal of Thoracic and Cardiovascular Surgery
Takanori MiyoshiAkira Tangoku

Abstract

To localize small and deeply situated pulmonary nodules during thoracoscopy with roentgenographic fluoroscopy, we developed a marking procedure that uses a metallic coil. Nine patients underwent video-assisted thoracoscopic surgery for the removal of 11 pulmonary lesions. Fluoroscopy-assisted thoracoscopic surgery after computed tomography-guided bronchoscopic metallic coil marking was performed with an ultrathin bronchoscope, with simulation by means of virtual bronchoscopy. During thoracoscopy, a C-arm-shaped roentgenographic fluoroscope was used to detect the radiopaque nodules. The marking procedure took 15 to 60 minutes from insertion to removal of the bronchoscope. There were no complications from the marking, and all 11 nodules were easily localized by means of thoracoscopy. The metallic coil showed the nodules on the fluoroscopic monitor, which aided in nodule manipulation. Nodules were completely resected under thoracoscopic guidance, except in one case in which a minithoracotomy was performed at an early stage of the trial. The pathologic diagnosis was primary adenocarcinoma in 9 patients, pulmonary metastasis from colon cancer in 1 patient, and pulmonary lymph node in 1 patient. Two cases of bronchioloalveolar adenoc...Continue Reading

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Citations

May 26, 2015·Annals of Thoracic and Cardiovascular Surgery : Official Journal of the Association of Thoracic and Cardiovascular Surgeons of Asia·Akira MogiHiroyuki Kuwano
Apr 27, 2016·Thoracic Surgery Clinics·Biniam Kidane, Kazuhiro Yasufuku
Jul 4, 2007·Surgical Oncology Clinics of North America·Horacio J AsbunVivian E Strong
Jul 30, 2015·Journal of Cardiothoracic Surgery·Young Jo SaSeok Whan Moon
Oct 17, 2014·Surgery Today·Katsuhiro OkudaYoshitaka Fujii
Apr 20, 2013·European Journal of Cardio-thoracic Surgery : Official Journal of the European Association for Cardio-thoracic Surgery·Hiroaki TobaAkira Tangoku
Nov 14, 2017·Future Oncology·Keyvan Moghissi, Kate Dixon
Dec 19, 2017·Journal of Investigative Surgery : the Official Journal of the Academy of Surgical Research·Rasool BaghbaniMohammad Behgam Shadmehr
Oct 28, 2019·General Thoracic and Cardiovascular Surgery·Masaaki Sato
Sep 25, 2018·Interactive Cardiovascular and Thoracic Surgery·Fei YaoJian Wang
May 2, 2017·European Journal of Cardio-thoracic Surgery : Official Journal of the European Association for Cardio-thoracic Surgery·Kongjia LuoLanjun Zhang

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