Simple localization of peripheral pulmonary nodules - CT-guided percutaneous hook-wire localization

RöFo : Fortschritte auf dem Gebiete der Röntgenstrahlen und der Nuklearmedizin
F P PorettiD Vorwerk

Abstract

Video-assisted thoracoscopic surgery (VATS) is an alternative approach to small intrapulmonary nodules, if transbronchial or percutaneous biopsy have failed. We investigated the feasibility and effectiveness of the percutaneous CT-guided placement of hook-wires to localize such nodules before video-assisted thoracoscopy. 19 patients with new by diagnosed intrapulmonary nodules underwent CT-guided hook-wire localization by application of a X-Reidy -Set (Cook, Inc., Bjaeverskov, Denmark). The average age of the patient was 63 years (range: 19 - 80 years), the mean distance between the nodule and the pleura visceral was 7.58 mm (range: 0 - 25 mm) and the mean diameter was 11.58 mm (range: 5 - 25 mm). After localization, the patients underwent a VATS resection of the lesion within a mean time of 30 min (range 10 - 48 min). In all cases, resection of the nodules was successful. In 4 older patients the marking was complicated by poor cooperability. At the end of manipulation the end of the hook was distanced from the nodule. But also in these cases, resection was successfully performed. 8 patients developed an asymptomatic pneumothorax: 5 of them in a minor (max. 1.5 cm rim), three of them in a moderate (max. 3 cm rim) dimension. In ...Continue Reading

Citations

Jun 7, 2005·Der Orthopäde·S EndresA Wilke
Mar 20, 2008·Journal of Cardiothoracic Surgery·Lourens WillekesMichael A Goldfarb
Sep 16, 2005·Journal of Computer Assisted Tomography·Din Z KagalwalaDemetrius E M Litwin
May 23, 2019·General Thoracic and Cardiovascular Surgery·Hidejiro TorigoeKazuhiro Washio

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