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 |
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Pages (from-to) | 509-511 |
Number of pages | 3 |
Journal | Surgical Endoscopy and Other Interventional Techniques |
Volume | 16 |
Issue number | 3 |
DOIs | |
Publication status | Published - 2002 |
Keywords
- Computed tomography
- Hook-wire technique
- Preoperative localization
- Pulmonary nodule
- Videothoracoscopy
ASJC Scopus subject areas
- Surgery