Computed Tomography-Guided Trans-scapular Coil Localization for Pulmonary Nodules

Zhang, Jianhua; Zhou, Shi-Qing; Xia, Fang; Wang, Tao

doi:10.1055/s-0040-1718772

Cited by 4 publications

(4 citation statements)

References 10 publications

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“…When performing CT-guided pulmonary interventional procedures, bony structures such as the scapula have the potential to obstruct the needle path, thereby increasing the difficulty of manipulation. 13 , 14 Zhang et al 15 attempted to apply a trans-scapular approach for preoperative CT-guided coil localization of scapula-blocked pulmonary nodules, achieving a technical success rate of 100% and pneumothorax in 9.1% of patients. In fact, avoiding bony structures is considered to be the optimal approach.…”

Section: Discussionmentioning

confidence: 99%

CT-guided microcoil localization for scapula-blocked pulmonary nodules using penetrating lung puncture before video-assisted thoracic surgery

Tian¹,

An²,

Zou³

et al. 2023

Diagn Interv Radiol

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Section: Discussionmentioning

confidence: 99%

CT-guided microcoil localization for scapula-blocked pulmonary nodules using penetrating lung puncture before video-assisted thoracic surgery

Tian¹,

An²,

Zou³

et al. 2023

Diagn Interv Radiol

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“…PNs were classified as solid, ground-glass nodules (GGNs), or mixed GGNs. A transscapular localization approach was selected when the shortest PN-pleura line crossed the scapula [ 12 ].…”

Section: Methodsmentioning

confidence: 99%

Preoperative computed tomography-guided transscapular sens-cure needle localization for pulmonary nodule located behind the scapula

Liu

et al. 2023

J Cardiothorac Surg

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Background Video-assisted thoracoscopic surgery (VATS) is an approach that is commonly used to resect pulmonary nodules (PNs). However, when these PNs are located behind the scapula, a transscapular access approach is generally required. In this study, the safety, efficacy, and feasibility of preoperative computed tomography (CT)-guided Sens-cure needle (SCN) localization was assessed for PNs located behind the scapula. Methods From January 2020 - June 2022, a total of 122 PN patients in our hospital underwent preoperative CT-guided SCN localization and subsequent VATS resection, of whom 12 (9.8%) exhibited PNs behind the scapula necessitating a transscapular approach for this localization procedure. Results This study included 12 patients, each of whom had one PN located behind the scapula. The CT-guided transscapular SCN localization approach was successful in all patients, and no complications near the operative site were observed. The median localization time was 12 min, and 2 (16.7%) and 1 (8.3%) patients respectively developed pneumothorax and pulmonary hemorrhage after the localization procedure was complete. Wedge resection procedures for these PNs achieved technical success in all cases. Four patients were diagnosed with invasive adenocarcinomas and subsequently accepted lobectomy and systematic lymph node dissection. The median VATS duration and the median blood loss was 80 min and 10 mL, respectively. In total, 3, 5, and 4 PNs were respectively diagnosed as benign, mini-invasive adenocarcinomas, and invasive adenocarcinomas. Conclusion Preoperative CT-guided transscapular SCN localization represents a safe, straightforward, and effective means of localizing PNs present behind the scapula.

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“…PNs were classi ed as solid, ground-glass nodules (GGNs), or mixed GGNs. A transscapular localization approach was selected when the vertical PN-pleura line crossed the scapula [12].…”

Section: Preoperative Analysesmentioning

confidence: 99%

Preoperative computed tomography-guided transscapular Sens-cure needle localization for pulmonary nodule located behind the scapula

Liu

et al. 2022

Preprint

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Background Video-assisted thoracoscopic surgery (VATS) is an approach that is commonly used to treat pulmonary nodules (PNs). However, when these PNs are located behind the scapula, a transscapular access approach is generally required. In this study, the safety, efficacy, and feasibility of preoperative computed tomography (CT)-guided Sens-cure needle (SCN) localization was assessed for PNs located behind the scapula. Methods From January 2020 - June 2022, a total of 122 PN patients in our hospital underwent preoperative CT-guided SCN localization and subsequent VATS resection, of whom 12 (9.8%) exhibited PNs behind the scapula necessitating a transscapular approach for this localization procedure. Results This study included 12 patients, each of whom had one PN located behind the scapula. The CT-guided transscapular SCN localization approach was successful in all patients, and no complications near the operative site were observed. The median localization time was 12 min, and 2 (16.7%) and 1 (8.3%) patients respectively developed pneumothorax and pulmonary hemorrhage after the localization procedure was complete. Wedge resection procedures for these PNs achieved technical success in all cases. Four patients were diagnosed with invasive adenocarcinomas and subsequently accepted lobectomy and systematic lymph node dissection. The median VATS duration and the median blood loss was 10 mL. In total, 3, 5, and 4 PNs were respectively diagnosed as benign, mini-invasive adenocarcinomas, and invasive adenocarcinomas. Conclusion Preoperative CT-guided transscapular SCN localization represents a safe, straightforward, and effective means of localizing PNs present behind the scapula.

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Computed Tomography-Guided Trans-scapular Coil Localization for Pulmonary Nodules

Cited by 4 publications

References 10 publications

CT-guided microcoil localization for scapula-blocked pulmonary nodules using penetrating lung puncture before video-assisted thoracic surgery

CT-guided microcoil localization for scapula-blocked pulmonary nodules using penetrating lung puncture before video-assisted thoracic surgery

Preoperative computed tomography-guided transscapular sens-cure needle localization for pulmonary nodule located behind the scapula

Preoperative computed tomography-guided transscapular Sens-cure needle localization for pulmonary nodule located behind the scapula

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