CT‐guided percutaneous hookwire localization increases the efficacy and safety of VATS for pulmonary nodules

Klinkenberg, Theo J.; Dinjens, Lars; Wolf, R.F.E.; Wekken, Anthonie J. van der; Wauwer, Caroline Van De; Bock, Geertruida H. de; Timens, Wim; Mariani, Massimo A.; Groen, Harry J.M.

doi:10.1002/jso.24589

Cited by 49 publications

(49 citation statements)

References 36 publications

(106 reference statements)

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“…Surgeons palpated the scar with the help of probe or finger and resected corresponding parenchyma in VATS procedure. In most cases, localization time was less than 20 minutes, similar to other localization studies (11).…”

Section: Discussionsupporting

confidence: 88%

“…All nodules were successfully localized without major complications. The conversion rate of VATS to thoracotomy was lower than other studies (11). In our study, minor hemorrhage, indicated by small areas of consolidation in the lung window on final CT scan, was found in 3 patients, with no cases of hemoptysis.…”

Section: Discussioncontrasting

confidence: 39%

“…A failure rate of around 13% for methylene blue injection alone has been reported due to either an excess of liquid injected or an error in nodule localization (9). Hook-wire has been used for its low complication rate, but its dislodgement rate is rather high, up to 16% in some reports (10,11). In addition, many lesions located close to the scapula or hilum are not suitable for hook-wire localization.…”

Section: Discussionmentioning

confidence: 99%

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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

Guo

et al. 2018

Diagn Interv Radiol

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Section: Discussionsupporting

confidence: 88%

Section: Discussioncontrasting

confidence: 39%

Section: Discussionmentioning

confidence: 99%

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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

Guo

et al. 2018

Diagn Interv Radiol

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“…With the widespread use of low‐dose CT screening, the detection rate of lung nodules is increasing . Thoracoscopic wedge resection is considered the best choice for the diagnosis of lung nodules . In addition, wedge resection can be used as a radical treatment for adenocarcinoma in situ (AIS) and microinvasive adenocarcinoma (MIA) …”

Section: Introductionmentioning

confidence: 99%

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

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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.

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“…reported one case (0.7%) and Chen et al . two cases (4.9%) of dislodgement in their studies; thus, open thoracotomy was performed as an alternative . Dislodgement could have occurred during transport to surgery, during positioning of the patient on the operating table, during deflation of the non‐ventilated lung, or as a result of the surgeon's manipulation during VATS .…”

Section: Discussionmentioning

confidence: 99%

Computed tomography‐guided hook wire localization facilitates video‐assisted thoracoscopic surgery of pulmonary ground‐glass nodules

Liu

Jia

et al. 2018

Thoracic Cancer

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BackgroundThis retrospectively study was conducted to assess the efficiency and safety of computed tomography (CT)‐guided hook wire localization of pulmonary ground‐glass nodules (GGNs) prior to video‐assisted thoracoscopic surgery (VATS).MethodsFrom 2015 to 2018, a total of 86 patients with 86 pulmonary GGNs underwent preoperative CT‐guided hook wire localization before VATS. The technical details and clinicopathological findings were analyzed.ResultsAll 86 pulmonary GGNs (25 pure GGNs and 61 part‐solid GGNs) were successfully located and resected. The mean diameter of the GGNs was 1.4 ± 0.4 cm (range 0.6–2.2) and the mean lesion distance to the pleural surface was 7.3 ± 4.3 mm (range 2–19). Complications of hook wire marking included asymptomatic minor pneumothorax in 21 patients (24%) and focal pulmonary hemorrhage in 18 (21%). The median hook wire localization time was 19.1 minutes (range 10–30) and the median VATS time was 49 minutes (range 28–89). Pathology revealed 72 precancerous lesions or primary lung adenocarcinomas, 5 metastatic tumors, and 9 benign lesions.ConclusionsPreoperative localization of small pulmonary GGNs using CT‐guided hook wire was efficient and safe prior to VATS resection.

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CT‐guided percutaneous hookwire localization increases the efficacy and safety of VATS for pulmonary nodules

Abstract: CT-PHL is a very efficient and safe procedure prior to VATS for pulmonary nodules and allows in 96% radical resection with a diagnostic accuracy of 100%.

Cited by 49 publications

References 36 publications

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

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

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

Computed tomography‐guided hook wire localization facilitates video‐assisted thoracoscopic surgery of pulmonary ground‐glass nodules

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