A novel CT-guided technique using medical adhesive for localization of small pulmonary ground-glass nodules and mixed ground-glass nodules (≤20 mm) before video-assisted thoracoscopic surgery

Gu, Tao; Yu, Jiahui; Guo, Tan; Deng, Xin; Chen, Min

doi:10.5152/dir.2018.17315

Cited by 22 publications

(18 citation statements)

References 13 publications

Supporting

Mentioning

Contrasting

Order By: Relevance

“…We found a positive pathological rate of 78.2%, similar to previous studies evaluating the resection of sub‐solid nodules (75–92.3%) . According to the Fleischner Society guidelines, a sub‐solid lung nodule with a diameter <6 mm is usually considered benign .…”

Section: Discussionsupporting

confidence: 88%

“…The overall successful rate of wedge resection was 96.4% in this study. This is within the range (92–100%) of previous studies assessing coil localization of sub‐solid nodules . Coil localization played a more important role in the wedge resection of the nine patients with multiple nodules.…”

Section: Discussionsupporting

confidence: 86%

“…Malignancies appear to be more frequent in sub‐solid nodules than in solid nodules . Most sub‐solid lung nodules tend to correspond to early‐stage lung cancer or precancerous lesions . Surgical resection may provide nearly 100% disease‐free survival for patients with sub‐solid lung nodules .…”

Section: Discussionmentioning

confidence: 99%

“…To overcome this shortcoming, several preoperative localization techniques (coils, hook‐wires, radiolabelling and methylene blue injection) have been used to increase the success rate of VATS wedge resection . Although preoperative localization for lung nodules has been reported several times to date, few studies have focused on the preoperative localization of sub‐solid lung nodules …”

Section: Introductionmentioning

confidence: 99%

“…[4][5][6][7] Although preoperative localization for lung nodules has been reported several times to date, few studies have focused on the preoperative localization of sub-solid lung nodules. 8,9 In this study, we aimed to evaluate the effectiveness of preoperative coil localization in VATS wedge resection for sub-solid lung nodules.…”

Section: Introductionmentioning

confidence: 99%

See 4 more Smart Citations

Computed tomography‐guided coil localization for video‐assisted thoracoscopic surgery of sub‐solid lung nodules: a retrospective study

Teng

Wang

et al. 2019

ANZ Journal of Surgery

View full text Add to dashboard Cite

Background Wedge resection via video‐assisted thoracoscopic surgery (VATS) is the best choice for the diagnosis of sub‐solid lung nodules. Preoperative localization is utilized to increase the success rate of this procedure. We aimed to evaluate the effectiveness of preoperative coil localization in VATS wedge resection for sub‐solid lung nodules. Methods From October 2015 to August 2018, 42 patients with 55 sub‐solid lung nodules underwent computed tomography‐guided coil localization with subsequent VATS wedge resection in our centre. Data regarding visible coil rates, technical success of the wedge resection and pathological results were collected and analysed retrospectively. Results A total of 55 sub‐solid lung nodules were localized in 42 patients. Thirty‐three patients had one nodule and nine patients had multiple nodules. Fifty‐two coils (52/55, 94.5%) were visible during the VATS. The mean duration of each coil localization was 14.3 ± 4.8 min (range 7–40 min). Three patients (7%) experienced pneumothorax after coil localization. VATS wedge resection was successfully performed for 53 nodules (53/55, 96.4%). The remaining two nodules were treated directly with lobectomy. The nine patients who had multiple nodules underwent one‐stage VATS wedge resection of all nodules. The mean duration of the VATS in the 42 patients was 159.3 ± 83.4 min (range 60–360 min) while the mean blood loss was 119.3 ± 115.3 mL (range 10–700 mL). Conclusion Preoperative computed tomography‐guided coil localization is a safe and effective method to facilitate high success rates for diagnostic VATS wedge resection for sub‐solid nodules.

show abstract

Section: Discussionsupporting

confidence: 88%

Section: Discussionsupporting

confidence: 86%