Indication for preoperative localization of small peripheral pulmonary nodules in thoracoscopic surgery

Abstract

The results suggest that this formula might serve as an indication for preoperative marking of small peripheral pulmonary nodules in thoracoscopic resection.

Radio-Guided Localization and Resection of Small or Ill-Defined Pulmonary Lesions

“…Video-assisted thoracoscopic surgery (VATS) is now the procedure of choice for surgical biopsy and removal of peripheral lung nodules. Nevertheless, the use of VATS can be difficult in the case of small, nonsolid, or deep lung nodules because of the impossibility of localizing them by endoscopic instruments or by direct finger palpation [11]. Therefore, many innovative techniques have been developed to improve the intraoperative identification of these pulmonary lesions and achieving an adequate surgical resection, thus avoiding conversion to open thoracotomy [12][13][14][15][16][17][18][19][20][21][22][23][24][25].…”

Usefulness of circumference difference for estimating the likelihood of malignancy in small solitary pulmonary nodules on CT

“…In our previous study of 120-patients, the incidence of malignant SSPN diagnosed by histological examination following surgical resection was 74.2% [8]. Malignant diagnoses are usually established using invasive procedures such as surgical resection by video-assisted thoracoscopic surgery (VATS) or needle biopsy procedures.…”

Using an image-guided navigation system for localization of small pulmonary nodules before thoracoscopic surgery

“…Video-assisted thoracic surgery (VATS) is less invasive than conventional thoracotomy and is suitable for the resection of small peripheral lung nodules [1,14]. However, a major problem with conducting a successful thoracoscopic resection is to locate small or deeply situated target nodules, which cannot be seen as much as palpated and often are difficult to identify by thoracoscopy.…”