Ultrasonographic Identification of Peripheral Pulmonary Nodules Through Uniportal Video-Assisted Thoracic Surgery

Rocco, Gaetano; Cicalese, Marcellino; Manna, Carmine La; Rocca, Antonello La; Martucci, Nicola; Salvi, Rosario

doi:10.1016/j.athoracsur.2011.03.030

Cited by 36 publications

(25 citation statements)

References 10 publications

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“…In one series, ultrasonography wasn't attempted until the lung had been excluded from ventilation for at least 40 min (43). Also, there is a learning curve associated with use of the ultrasound equipment, with some studies reporting the presence of a radiologist in the operating room (38,43,44). Suggestion has been made that nodules can be diagnosed based on their ultrasonographic characteristics, but more work must be done in this area (41,45).…”

Section: Discussionmentioning

confidence: 99%

CT-guided microcoil VATS resection of lung nodules: a single-centre experience and review of the literature

et al. 2016

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Background: Video-assisted thoracoscopic surgery (VATS) is standard of care for small lung resections at many centres. Computed tomography (CT)-guided insertion of microcoils can aid surgeons in performing VATS resections for non-palpable lung nodules deep to the lung surface.Methods: Retrospective analysis of CT-guided microcoil insertions prior to VATS lung resection at a single institution from October 2008 to January 2014.Results: A total of 63 patients were included (37% male, mean age 61.6±11.4 years). Forty-two patients (67%) had a history of smoking, with 10 current smokers. Sixty one (97%) patients underwent wedge resection and 3 (5%) patients had segmentectomy. Three (5%) patients required intra-operative staple line re-resection for positive or close margins. Eleven (17%) patients had a completion lobectomy, 5 of which were during the same anaesthetic. The average time between the CT-guided insertion and start of operation was 136.6±89.0 min, and average operative time was 84.0±53.3 min. The intra-operative complication rate was 5% (n=3), including 1 episode of hemoptysis, and 2 conversions to thoracotomy. The post-operative complication rate was 8% (5 patients), and included 2 air leaks, 1 hemothorax (drop in hemoglobin), 1 post chest tube removal pneumothorax, and one venous infarction of the lingula after lingula-sparing lobectomy requiring completion lobectomy. . Average post-operative length of stay was 2.2 days. A diagnosis was made for all patients.Conclusions: CT-guided microcoil insertion followed by VATS lobectomy is safe, with short operative times, short length of stay and 100% diagnosis of small pulmonary nodules. This technique will become more important in the future with increasing numbers of small nodules detected on CT as part of lung cancer screening programs.

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Section: Discussionmentioning

confidence: 99%

CT-guided microcoil VATS resection of lung nodules: a single-centre experience and review of the literature

et al. 2016

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“…Conventional VATS is widely performed through a 2-port or 3-port approach, including a thoracoscope port and other utility/working incision(s) [3][4][5]. Uniportal or singleaccess VATS was introduced recently and has been shown to reduce postoperative pain, residual paresthesia, and hospital stay compared with conventional multiport VATS [6][7][8].…”

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confidence: 99%

Nonintubated Uniportal Thoracoscopic Surgery for Peripheral Lung Nodules

Hung¹,

Cheng²,

Chan³

et al. 2014

The Annals of Thoracic Surgery

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“…I would like to thank Dr Kamiyoshihara and colleagues for their valuable comments on our work and greatly appreciate their interest in uniportal video-assisted thoracoscopic surgery (VATS) pulmonary resections [1,2]. I agree with them that uniportal VATS can be improved along the lines of better instrumentation (like flexible videothoracoscopes but also smaller size videothoracoscopes with 3D technology) and extended indications (ie, GGOs).…”

Section: Reply To the Editormentioning

confidence: 92%

“…

We read with interest the description of "Ultrasonographic identification of peripheral pulmonary nodules through uniportal videoassisted thoracic surgery" by Rocco and colleagues [1] in the September 2011 issue of The Annals of Thoracic Surgery. We have always been impressed by their innovative, thought-provoking ideas [2,3].

…”

mentioning

confidence: 99%