Preoperative localization of indeterminate pulmonary nodules before videothoracoscopic resection

M. Paci; V. Annessi; F. Giovanardi; G. Ferrari; S. De Franco; C. Casali; G. Sgarbi

doi:10.1007/s00464-001-9014-9

Preoperative localization of indeterminate pulmonary nodules before videothoracoscopic resection

M. Paci, V. Annessi, F. Giovanardi, G. Ferrari, S. De Franco, C. Casali, G. Sgarbi

Arcispedale Santa Maria Nuova

Research output: Contribution to journal › Article › peer-review

Abstract

Background: The management of a solitary pulmonary nodule is the subject of debate and minimally invasive diagnostic approaches have low sensitivity for small peripheral nodules. We discuss the role of video-assisted thoracoscopic surgery (VATS) in the management of solitary pulmonary nodules (SPNs) ≤1 cm performed with a preoperatory computed tomography-guided wire localization. Methods: Thirty-five selected patients underwent VATS resection for SPN, with localization by guide wire before surgery. Results: Seven patients, after VATS exploration, underwent thoracotomy because of pleuropulmonary adhesions, depth or dimensions. Histological diagnosis was obtained in all procedures; there was no postoperative morbility or morbidity. Conclusion: Preoperative computed tomography hookwire localization is a suitable strategy for peripheral nodules ≤1 cm in diameter.

Original language	English
Pages (from-to)	509-511
Number of pages	3
Journal	Surgical Endoscopy and Other Interventional Techniques
Volume	16
Issue number	3
DOIs	https://doi.org/10.1007/s00464-001-9014-9
Publication status	Published - 2002

Keywords

Computed tomography
Hook-wire technique
Preoperative localization
Pulmonary nodule
Videothoracoscopy

ASJC Scopus subject areas

Surgery

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10.1007/s00464-001-9014-9

Cite this

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title = "Preoperative localization of indeterminate pulmonary nodules before videothoracoscopic resection",

abstract = "Background: The management of a solitary pulmonary nodule is the subject of debate and minimally invasive diagnostic approaches have low sensitivity for small peripheral nodules. We discuss the role of video-assisted thoracoscopic surgery (VATS) in the management of solitary pulmonary nodules (SPNs) ≤1 cm performed with a preoperatory computed tomography-guided wire localization. Methods: Thirty-five selected patients underwent VATS resection for SPN, with localization by guide wire before surgery. Results: Seven patients, after VATS exploration, underwent thoracotomy because of pleuropulmonary adhesions, depth or dimensions. Histological diagnosis was obtained in all procedures; there was no postoperative morbility or morbidity. Conclusion: Preoperative computed tomography hookwire localization is a suitable strategy for peripheral nodules ≤1 cm in diameter.",

keywords = "Computed tomography, Hook-wire technique, Preoperative localization, Pulmonary nodule, Videothoracoscopy",

author = "M. Paci and V. Annessi and F. Giovanardi and G. Ferrari and {De Franco}, S. and C. Casali and G. Sgarbi",

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T1 - Preoperative localization of indeterminate pulmonary nodules before videothoracoscopic resection

AU - Paci, M.

AU - Annessi, V.

AU - Giovanardi, F.

AU - Ferrari, G.

AU - De Franco, S.

AU - Casali, C.

AU - Sgarbi, G.

PY - 2002

Y1 - 2002

N2 - Background: The management of a solitary pulmonary nodule is the subject of debate and minimally invasive diagnostic approaches have low sensitivity for small peripheral nodules. We discuss the role of video-assisted thoracoscopic surgery (VATS) in the management of solitary pulmonary nodules (SPNs) ≤1 cm performed with a preoperatory computed tomography-guided wire localization. Methods: Thirty-five selected patients underwent VATS resection for SPN, with localization by guide wire before surgery. Results: Seven patients, after VATS exploration, underwent thoracotomy because of pleuropulmonary adhesions, depth or dimensions. Histological diagnosis was obtained in all procedures; there was no postoperative morbility or morbidity. Conclusion: Preoperative computed tomography hookwire localization is a suitable strategy for peripheral nodules ≤1 cm in diameter.

AB - Background: The management of a solitary pulmonary nodule is the subject of debate and minimally invasive diagnostic approaches have low sensitivity for small peripheral nodules. We discuss the role of video-assisted thoracoscopic surgery (VATS) in the management of solitary pulmonary nodules (SPNs) ≤1 cm performed with a preoperatory computed tomography-guided wire localization. Methods: Thirty-five selected patients underwent VATS resection for SPN, with localization by guide wire before surgery. Results: Seven patients, after VATS exploration, underwent thoracotomy because of pleuropulmonary adhesions, depth or dimensions. Histological diagnosis was obtained in all procedures; there was no postoperative morbility or morbidity. Conclusion: Preoperative computed tomography hookwire localization is a suitable strategy for peripheral nodules ≤1 cm in diameter.

KW - Computed tomography

KW - Hook-wire technique

KW - Preoperative localization

KW - Pulmonary nodule

KW - Videothoracoscopy

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Preoperative localization of indeterminate pulmonary nodules before videothoracoscopic resection

Abstract

Keywords

ASJC Scopus subject areas

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