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Computed Tomography-Guided Transfissural Coil Localization of Lung Nodules
- Source :
- The Thoracic and Cardiovascular Surgeon. 68:545-548
- Publication Year :
- 2019
- Publisher :
- Georg Thieme Verlag KG, 2019.
-
Abstract
- Background The objective of this study was to evaluate the feasibility, safety, and clinical effectiveness of preoperative computed tomography (CT)-guided transfissural coil localization (TFCL) of subfissural lung nodules. Methods Five patients with lung nodules who underwent CT-guided TFCL before video-assisted thoracoscopic surgery between November 2015 and December 2018 were included. Technical success rates of TFCL and wedge resection were assessed, as well complications and pathological results. Results The technical success rate of TFCL was 100%. Two patients experienced parenchymal hemorrhage around the needle path, and two patients experienced asymptomatic pneumothorax after TFCL. The technical success rate of the wedge resection of lung nodules was also 100%. The pathological diagnoses of the five nodules were minimally invasive adenocarcinoma (n = 3), adenocarcinoma in situ (n = 1), and inflammatory nodule (n = 1). Conclusion CT-guided TFCL is a safe and effective method for the preoperative localization of subfissural lung nodules.
- Subjects :
- Male
Pulmonary and Respiratory Medicine
medicine.medical_specialty
Lung Neoplasms
Computed tomography
030204 cardiovascular system & hematology
Asymptomatic
03 medical and health sciences
0302 clinical medicine
Predictive Value of Tests
medicine
Humans
Pneumonectomy
Pathological
Retrospective Studies
Lung
medicine.diagnostic_test
Thoracic Surgery, Video-Assisted
business.industry
Solitary Pulmonary Nodule
Nodule (medicine)
Middle Aged
medicine.disease
Tumor Burden
Treatment Outcome
medicine.anatomical_structure
Pneumothorax
030220 oncology & carcinogenesis
Feasibility Studies
Multiple Pulmonary Nodules
Adenocarcinoma
Female
Surgery
Radiology
medicine.symptom
Tomography, X-Ray Computed
Cardiology and Cardiovascular Medicine
business
Wedge resection (lung)
Subjects
Details
- ISSN :
- 14391902 and 01716425
- Volume :
- 68
- Database :
- OpenAIRE
- Journal :
- The Thoracic and Cardiovascular Surgeon
- Accession number :
- edsair.doi.dedup.....09904d95866008f648bc05b69c384dc4
- Full Text :
- https://doi.org/10.1055/s-0039-1695759