Cone-beam computed tomography image-guided percutaneous microwave ablation for lung nodules in a hybrid operating room: an initial experience

Chang, Ling-Kai; Yang, Shun-Mao; Chung, Wen-Yuan; Chen, Lun-Che; Chang, Hao-Chun; Ho, Ming-Chih; Chang, Yeun-Chung; Yu, Chong-Jen

doi:10.1007/s00330-023-10360-5

Cited by 3 publications

(1 citation statement)

References 59 publications

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“…Invasive thoracic procedures involving ablation can be performed under general anesthesia within the controlled environment of a hybrid operating room. 37 , 38 , 39 …”

Section: The Facility Guidance and Room For The Proceduresmentioning

confidence: 99%

2024 multidisciplinary consensus on image‐guided lung tumor ablation from the Taiwan Academy of Tumor Ablation

Chang,

Yang,

Chien

et al. 2024

Thoracic Cancer

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In this article, the multidisciplinary team of the Taiwan Academy of Tumor Ablation, who have expertise in treating lung cancer, present their perspectives on percutaneous image‐guided thermal ablation (IGTA) of lung tumors. The modified Delphi technique was applied to reach a consensus on clinical practice guidelines concerning ablation procedures, including a comprehensive literature review, selection of panelists, creation of a rating form and survey, and arrangement of an in‐person meeting where panelists agreed or disagreed on various points. The conclusion was a final rating and written summary of the agreement. The multidisciplinary expert team agreed on 10 recommendations for the use of IGTA in the lungs. These recommendations include terms and definitions, line of treatment planning, modality, facility rooms, patient anesthesia settings, indications, margin determination, post‐ablation image surveillance, qualified centers, and complication ranges. In summary, IGTA is a safe and feasible approach for treating primary and metastatic lung tumors, with a relatively low complication rate. However, decisions regarding the ablation technique should consider each patient's specific tumor characteristics.

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“…Invasive thoracic procedures involving ablation can be performed under general anesthesia within the controlled environment of a hybrid operating room. 37 , 38 , 39 …”

Section: The Facility Guidance and Room For The Proceduresmentioning

confidence: 99%

2024 multidisciplinary consensus on image‐guided lung tumor ablation from the Taiwan Academy of Tumor Ablation

Chang,

Yang,

Chien

et al. 2024

Thoracic Cancer

View full text Add to dashboard Cite

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Laser-guided percutaneous microwave ablation for lung nodules: a promising approach with reduced operation time

Zhang,

Li,

Ding

et al. 2024

BMC Surg

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Single-Stage Image-Guided Percutaneous Ablation with Thoracoscopic Resection for Multiple Pulmonary Lesions in a Hybrid Operating Room: A Retrospective Study

Chang,

Su,

Chan

et al. 2024

Cancers

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Background: Different approaches are required in treating patients with multiple pulmonary lesions. A multistage procedure may increase the risk of complications and patient discomfort. This study reports an initial experience with single-stage management of multiple lung lesions using percutaneous ablation with thoracoscopic resection in a hybrid operating room (HOR). Methods: We retrospectively evaluated patients who underwent combined ablation and resection in an HOR between May 2022 and July 2024. All patients received a single anesthesia via endotracheal tube intubation. The clinical data, operative findings, and pathological characteristics of the lung nodules were recorded. Results: A total of 22 patients were enrolled in this study. Twenty patients underwent unilateral procedures, while the other two patients underwent bilateral procedures. Ablations were performed before lung resection in 21 patients; only 1 patient underwent surgery first. The median global operating room time was 227.0 min. The median total radiation dose (dose area product) was 14,076 μGym2. The median hospital postoperative length of stay was 2 days. Conclusions: The single-stage procedure of percutaneous ablation with thoracoscopic resection under general anesthesia in an HOR is feasible and safe. This procedure is an alternative method for managing multiple pulmonary lesions.

show abstract

Cone-beam computed tomography image-guided percutaneous microwave ablation for lung nodules in a hybrid operating room: an initial experience

Cited by 3 publications

References 59 publications

2024 multidisciplinary consensus on image‐guided lung tumor ablation from the Taiwan Academy of Tumor Ablation

2024 multidisciplinary consensus on image‐guided lung tumor ablation from the Taiwan Academy of Tumor Ablation

Laser-guided percutaneous microwave ablation for lung nodules: a promising approach with reduced operation time

Single-Stage Image-Guided Percutaneous Ablation with Thoracoscopic Resection for Multiple Pulmonary Lesions in a Hybrid Operating Room: A Retrospective Study

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