In patients undergoing video-assisted thoracoscopic surgery excision, what is the best way to locate a subcentimetre solitary pulmonary nodule in order to achieve successful excision?

Interactive Cardiovascular and Thoracic Surgery
Mahvash ZamanAugustine Tang

Abstract

A best evidence topic in cardiac surgery was written according to a structured protocol. The question addressed was 'In patients undergoing video-assisted thoracoscopic surgery (VATS) excision, what is the best way to locate a subcentimetre solitary pulmonary nodule (PN) in order to achieve successful excision?' Altogether, 107 papers were found using the reported search, of which 19 represented the best evidence to answer the clinical question. The authors, journal, date and country of publication, patient group studied, study type, relevant outcomes and results of these papers were tabulated. The hook-wire technique showed a varied success rate ranging from 58 to 97.6% and a relatively higher failure rate due to wire dislodgement. The most common complication of this method was pneumothorax. CT-guided spiral-wire localization displayed a success rate of 86% with the added advantage of providing more stability than the hook-wire technique and permitting manipulation. Radio-guided localization techniques and fluoroscopic-aided methods using contrast media displayed consistently high sensitivities with few complications. The radio-guided technique had the benefit of allowing a longer time-period between the staining of the nodul...Continue Reading

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Citations

Sep 23, 2014·Seminars in Diagnostic Pathology·Boris Sepesi, Garrett L Walsh
Aug 12, 2014·The Annals of Thoracic Surgery·Olugbenga T OkusanyaSunil Singhal
Jan 24, 2015·Journal of Thoracic Oncology : Official Publication of the International Association for the Study of Lung Cancer·Daniel P SteinfortLouis B Irving
Aug 29, 2016·Seminars in Thoracic and Cardiovascular Surgery·Jane Keating, Sunil Singhal
Oct 1, 2014·Journal of Cardiothoracic Surgery·Xiaofeng ChenQinyun Ma
Oct 16, 2015·World Journal of Surgery·Etienne Abdelnour-BerchtoldMichel Gonzalez
Jun 22, 2015·Contemporary Clinical Trials·Chul Hwan ParkUNKNOWN LOGIS Investigators
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Apr 22, 2016·Interactive Cardiovascular and Thoracic Surgery·Qingjie YangMing Guo
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Feb 28, 2016·Interactive Cardiovascular and Thoracic Surgery·Simon RouzéJean-Philippe Verhoye
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Jun 30, 2021·European Journal of Nuclear Medicine and Molecular Imaging·Ivan VollmerPilar Paredes

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