Pre-operative localization of solitary pulmonary nodules with computed tomography-guided hook wire: report of 181 patients

Journal of Cardiothoracic Surgery
Matthieu HanauerMichel Gonzalez

Abstract

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. All records of the patients undergoing CT-guided hook wire localization prior to VATS resection for SPN between 2002 and 2013 were reviewed. The efficacy in localizing the nodule, hook wire complications, necessity to convert VATS to thoracotomy and the histology of SPN are reported. One hundred eighty-one patients (90 females, mean age 63 y, range 28-82 y) underwent 187 pulmonary resections after CT-guided hook wire localization. The mean SPN diameter was 10.3 mm (range: 4-29 mm). The mean distance of the lesion from the pleural surface was 11.6 mm (range: 0-45 mm). The mean time interval from hook wire insertion to VATS resection was 224 min (range 54-622 min). Hook wire complications included pneumothorax requiring chest tube drainage in 4 patients (2.1%) and mild parenchymal haemorrhage in 11 (5.9%) patients. Migration of the hook wire occurred...Continue Reading

References

Aug 1, 1994·AJR. American Journal of Roentgenology·F X LenglingerW Artmann
Apr 1, 1997·AJR. American Journal of Roentgenology·A L GreenfieldD A Merton
Jul 27, 1999·The Annals of Thoracic Surgery·R SantambrogioM Mezzetti
Jun 28, 2000·European Journal of Cardio-thoracic Surgery : Official Journal of the European Association for Cardio-thoracic Surgery·A ChellaC A Angeletti
Mar 17, 2004·European Journal of Cardio-thoracic Surgery : Official Journal of the European Association for Cardio-thoracic Surgery·Paola CiriacoPiero Zannini
Aug 11, 2004·European Journal of Cardio-thoracic Surgery : Official Journal of the European Association for Cardio-thoracic Surgery·Seiji MatsumotoHiromi Wada
Dec 29, 2004·The Annals of Thoracic Surgery·Davide SortiniAndrea Sortini
Dec 8, 2007·Journal of the Formosan Medical Association = Taiwan Yi Zhi·Yu-Ruei ChenHui-Ping Liu
Aug 8, 2009·The Journal of Thoracic and Cardiovascular Surgery·Ryoichi KondoJun Amano
Nov 23, 2011·The Journal of Thoracic and Cardiovascular Surgery·Jung Min SeoKyung Soo Lee
Jul 31, 2013·The Annals of Thoracic Surgery·Junji IchinoseSouichiro Suzuki

❮ Previous
Next ❯

Citations

Feb 23, 2019·Interactive Cardiovascular and Thoracic Surgery·Andrea ImperatoriNicola Rotolo
Jun 19, 2018·Innovations : Technology and Techniques in Cardiothoracic and Vascular Surgery·John Joseph BradyUday Dasika
Jan 4, 2020·Interactive Cardiovascular and Thoracic Surgery·Kazuhiro ItoMasayoshi Inoue
Mar 3, 2020·The Thoracic and Cardiovascular Surgeon·Tian JiangQun Wang
Aug 17, 2019·Radiographics : a Review Publication of the Radiological Society of North America, Inc·Shaunagh McDermottAmita Sharma
Oct 14, 2019·Korean Journal of Radiology : Official Journal of the Korean Radiological Society·Ji Won LeeJin Hur
Apr 15, 2017·Surgical Endoscopy·Jocelyn BellierMichel Gonzalez
May 22, 2020·Future Oncology·Marco Nardini, Joel Dunning
Oct 31, 2020·Innovations : Technology and Techniques in Cardiothoracic and Vascular Surgery·Katie N CornellaLauren E Openshaw
Nov 6, 2020·The American Surgeon·Natalie N MerchantOsita Onugha
Jul 2, 2021·The Journal of Surgical Research·Guodong FengJun Chen

❮ Previous
Next ❯

Methods Mentioned

BETA
biopsy
dissection
X-ray
surgical resection

Software Mentioned

STATA

Related Concepts

Related Feeds

Cell Migration

Cell migration is involved in a variety of physiological and pathological processes such as embryonic development, cancer metastasis, blood vessel formation and remoulding, tissue regeneration, immune surveillance and inflammation. Here is the latest research.

© 2022 Meta ULC. All rights reserved