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Uniportal VATS Coil-Assisted Resections for GGOs.
J Oncol 2019; 2019:5383086JO

Abstract

Backgrounds

Although uniportal video-assisted thoracic surgery (VATS) theoretically allows the direct palpation of any zone of the lung through a small incision, sometimes it can be difficult to localize pure ground-glass opacities anyway. The aim of this study is to evaluate the usefulness and safety of preoperative computed tomography (CT)-guided microcoil localization of GGO nodules in patients undergoing uniportal VATS lung resection.

Methods

The clinical data and CT images of 30 consecutive patients (30 pulmonary nodules) who underwent preoperative CT-guided coil localization and subsequent uniportal VATS resection, from January 2017 to October 2018, were reviewed.

Results

All the CT-localization procedures have been performed with success (30/30) and the mean procedure time was 35±15 minutes. The mean size of the nodules was 15,53±6,72 mm, and the mean distance of the nodules from the pleural surface was 19,08±12,08 mm. Eleven nodules (36,7%) were pure ground-glass opacities and 19 (63,3%) were mixed ground-glass with a solid component of 50% or more. In 5 cases, the localization procedure was complicated by asymptomatic pneumothoraxes and in 1 case the pneumothorax required chest tube insertion. In any case a conversion to thoracotomy was avoided because all nodules were identified and resected through uniportal VATS.

Conclusions

Preoperative CT-guided coil localization seems to be a feasible, safe, and accurate procedure. It makes uniportal VATS an easy approach even for resecting small, deep, and impalpable nodules.

Authors+Show Affiliations

UOC di Chirurgia Toracica, Fondazione Policlinico Universitario A. Gemelli, IRCCS, Rome, Italy. Università Cattolica del Sacro Cuore, Rome, Italy.Università Cattolica del Sacro Cuore, Rome, Italy. UOC di Radiologia Diagnostica e Interventistica Generale, Fondazione Policlinico Universitario A. Gemelli, IRCCS, Rome, Italy.UOC di Chirurgia Toracica, Fondazione Policlinico Universitario A. Gemelli, IRCCS, Rome, Italy. Università Cattolica del Sacro Cuore, Rome, Italy.Università Cattolica del Sacro Cuore, Rome, Italy. UOC di Radiologia Diagnostica e Interventistica Generale, Fondazione Policlinico Universitario A. Gemelli, IRCCS, Rome, Italy.UOC di Chirurgia Toracica, Fondazione Policlinico Universitario A. Gemelli, IRCCS, Rome, Italy. Università Cattolica del Sacro Cuore, Rome, Italy.Università Cattolica del Sacro Cuore, Rome, Italy. UOC di Radiologia Diagnostica e Interventistica Generale, Fondazione Policlinico Universitario A. Gemelli, IRCCS, Rome, Italy.UOC di Chirurgia Toracica, Fondazione Policlinico Universitario A. Gemelli, IRCCS, Rome, Italy. Università Cattolica del Sacro Cuore, Rome, Italy.UOC di Chirurgia Toracica, Fondazione Policlinico Universitario A. Gemelli, IRCCS, Rome, Italy. Università Cattolica del Sacro Cuore, Rome, Italy.UOC di Chirurgia Toracica, Fondazione Policlinico Universitario A. Gemelli, IRCCS, Rome, Italy. Università Cattolica del Sacro Cuore, Rome, Italy.Klinikum Ernst von Bergmann, Academic Hospital of the Charité - Universitätsmedizin, Humboldt University Berlin, Potsdam, Germany.Università Cattolica del Sacro Cuore, Rome, Italy. UOC di Radiologia Diagnostica e Interventistica Generale, Fondazione Policlinico Universitario A. Gemelli, IRCCS, Rome, Italy.UOC di Chirurgia Toracica, Fondazione Policlinico Universitario A. Gemelli, IRCCS, Rome, Italy. Università Cattolica del Sacro Cuore, Rome, Italy.

Pub Type(s)

Journal Article

Language

eng

PubMed ID

31214259

Citation

Congedo, Maria Teresa, et al. "Uniportal VATS Coil-Assisted Resections for GGOs." Journal of Oncology, vol. 2019, 2019, p. 5383086.
Congedo MT, Iezzi R, Nachira D, et al. Uniportal VATS Coil-Assisted Resections for GGOs. J Oncol. 2019;2019:5383086.
Congedo, M. T., Iezzi, R., Nachira, D., Larici, A. R., Chiappetta, M., Calandriello, L., ... Margaritora, S. (2019). Uniportal VATS Coil-Assisted Resections for GGOs. Journal of Oncology, 2019, p. 5383086. doi:10.1155/2019/5383086.
Congedo MT, et al. Uniportal VATS Coil-Assisted Resections for GGOs. J Oncol. 2019;2019:5383086. PubMed PMID: 31214259.
* Article titles in AMA citation format should be in sentence-case
TY - JOUR T1 - Uniportal VATS Coil-Assisted Resections for GGOs. AU - Congedo,Maria Teresa, AU - Iezzi,Roberto, AU - Nachira,Dania, AU - Larici,Anna Rita, AU - Chiappetta,Marco, AU - Calandriello,Lucio, AU - Vita,Maria Letizia, AU - Meacci,Elisa, AU - Porziella,Venanzio, AU - Ismail,Mahmoud, AU - Manfredi,Riccardo, AU - Margaritora,Stefano, Y1 - 2019/05/12/ PY - 2018/11/30/received PY - 2019/03/11/revised PY - 2019/04/30/accepted PY - 2019/6/20/entrez PY - 2019/6/20/pubmed PY - 2019/6/20/medline SP - 5383086 EP - 5383086 JF - Journal of oncology JO - J Oncol VL - 2019 N2 - Backgrounds: Although uniportal video-assisted thoracic surgery (VATS) theoretically allows the direct palpation of any zone of the lung through a small incision, sometimes it can be difficult to localize pure ground-glass opacities anyway. The aim of this study is to evaluate the usefulness and safety of preoperative computed tomography (CT)-guided microcoil localization of GGO nodules in patients undergoing uniportal VATS lung resection. Methods: The clinical data and CT images of 30 consecutive patients (30 pulmonary nodules) who underwent preoperative CT-guided coil localization and subsequent uniportal VATS resection, from January 2017 to October 2018, were reviewed. Results: All the CT-localization procedures have been performed with success (30/30) and the mean procedure time was 35±15 minutes. The mean size of the nodules was 15,53±6,72 mm, and the mean distance of the nodules from the pleural surface was 19,08±12,08 mm. Eleven nodules (36,7%) were pure ground-glass opacities and 19 (63,3%) were mixed ground-glass with a solid component of 50% or more. In 5 cases, the localization procedure was complicated by asymptomatic pneumothoraxes and in 1 case the pneumothorax required chest tube insertion. In any case a conversion to thoracotomy was avoided because all nodules were identified and resected through uniportal VATS. Conclusions: Preoperative CT-guided coil localization seems to be a feasible, safe, and accurate procedure. It makes uniportal VATS an easy approach even for resecting small, deep, and impalpable nodules. SN - 1687-8450 UR - https://www.unboundmedicine.com/medline/citation/31214259/Uniportal_VATS_Coil-Assisted_Resections_for_GGOs L2 - https://dx.doi.org/10.1155/2019/5383086 DB - PRIME DP - Unbound Medicine ER -