Video-assisted thoracoscopic surgery for pulmonary nodules: Rationale for preoperative computed tomography-guided hookwire localization

Paola Ciriaco, Giampiero Negri, Armando Puglisi, Roberto Nicoletti, Alessandro Del Maschio, Piero Zannini

Research output: Contribution to journalArticlepeer-review

Abstract

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 15 mm from the pleural surface. Even when PN are subpleural but

Original languageEnglish
Pages (from-to)429-433
Number of pages5
JournalEuropean Journal of Cardio-thoracic Surgery
Volume25
Issue number3
DOIs
Publication statusPublished - Mar 2004

Keywords

  • Hookwire
  • Pulmonary nodules
  • Video-assisted thoracoscopic surgery

ASJC Scopus subject areas

  • Cardiology and Cardiovascular Medicine
  • Surgery

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