| HOME | HELP | FEEDBACK | SUBSCRIPTIONS | ARCHIVE | SEARCH | TABLE OF CONTENTS |
|
|
|
|||||||
|
|||||||||
Eur J Cardiothorac Surg 2004;25:429-433
© 2004 Elsevier Science NL
a Department of Thoracic Surgery, Scientific Institute H San Raffaele, Vita-Salute University, Via Olgettina 60, 20132 Milan, Italy
b Department of Radiology, Scientific Institute H San Raffaele, Vita-Salute University, Via Olgettina 60, 20132 Milan, Italy
Received 8 July 2003; received in revised form 20 November 2003; accepted 24 November 2003.
* Corresponding author. Tel.: +39-02-26437138; fax: +39-02-26437147
e-mail: paola.ciriaco{at}hsr.it
Objectives: Video-assisted thoracic surgery (VATS) provides a minimally invasive means to resect pulmonary nodules (PN). Deep localization of PN may jeopardize VATS lung resection. The aim of this study was to establish the utility of preoperative computed tomography (CT)-guided hookwire localization of PN. Methods: Between January 1993 and September 2001, we performed 151 VATS resections for PN. Preoperative CT-guided hookwire localization was not performed in 98 patients (group I); it was done just before surgery in 53 patients (group II) when, at CT scan, the distance of PN from the lung surface was >15 and/or when the size was <10 mm. Results: Pneumothorax occurred in four patients (7.5%). Hookwire dislodged in four patients, but the hematoma left on the visceral pleura made thoracoscopic localization possible in three of these. Seventeen patients (17%) in group I and 4 (7.5%) in group II required conversion to thoracotomy (P
0.05). The most common reason for conversion was impossibility to localize PN in group I (nine cases) and deep localization requiring local enucleation in group II (two cases). In 31 group II patients (58%) hookwire positioning led to successful VATS resection that would otherwise have been impossible because PN were neither visible nor palpable. Conclusions: Preoperative CT-guided hookwire localization for pulmonary nodules is an effective technique which allows VATS resection of PN <10 mm located >15 mm from the pleural surface. Even when PN are subpleural but <10 mm, hookwire localization makes VATS resection faster. Apical and diaphragmatic localization of PN are limitations to the procedure.
Key Words: Video-assisted thoracoscopic surgery • Pulmonary nodules • Hookwire
This article has been cited by other articles:
|
|
 |
|
  A. Gonfiotti, F. Davini, L. Vaggelli, A. De Francisci, A. Caldarella, P. M. Gigli, and A. Janni Thoracoscopic localization techniques for patients with solitary pulmonary nodule: hookwire versus radio-guided surgery Eur. J. Cardiothorac. Surg., December 1, 2007; 32(6): 843 - 847. [Abstract] [Full Text] [PDF]
|
|
|
|
 |
|
 W. Chen, L. Chen, S. Yang, Z. Chen, G. Qian, S. Zhang, and J. Jing A Novel Technique for Localization of Small Pulmonary Nodules Chest, May 1, 2007; 131(5): 1526 - 1531. [Abstract] [Full Text] [PDF]
|
|
|
|
|
|
P. Ciriaco, G. Negri, A. Puglisi, and P. Zannini Reply to Carcoforo et al. Eur. J. Cardiothorac. Surg., July 1, 2004; 26(1): 234 - 235. [Full Text] [PDF]
|
|
|
|
|
|
P. Carcoforo, D. Sortini, E. Pozza, and A. Sortini Necessity of needle wire localization during video assisted thoracic surgery for patients with solitary pulmonary nodule Eur. J. Cardiothorac. Surg., July 1, 2004; 26(1): 233 - 234. [Full Text] [PDF]
|
|
| HOME | HELP | FEEDBACK | SUBSCRIPTIONS | ARCHIVE | SEARCH | TABLE OF CONTENTS |
| ANN THORAC SURG | ASIAN CARDIOVASC THORAC ANN | EUR J CARDIOTHORAC SURG |
| J THORAC CARDIOVASC SURG | ICVTS | ALL CTSNet JOURNALS |
