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Computed tomography-guided microcoil placement for localizing small pulmonary nodules before uniportal video-assisted thoracoscopic resection.
Radiol Med. 2020 Jan; 125(1):24-30.RM

Abstract

PURPOSE

The increasing number of computed tomography (CT) performed allows the more frequent identification of small, solid pulmonary nodules or ground-glass opacities. Video-assisted thoracic surgery (VATS) represents the standard in most lung resections. However, since VATS limit is the digital palpation of the lung parenchyma, many techniques of nodule localization were developed. The aim of this study was to determine the feasibility and safety of CT-guided microcoil insertion followed by uniportal VATS wedge resection (WR).

MATERIALS AND METHODS

Retrospective study in a single institution, including patients undergone CT-guided microcoil insertion prior to uniportal VATS resection between May 2015 and December 2018. The lesion was identified using fluoroscopy.

RESULTS

Forty-six consecutive patients were enrolled (22 male and 24 female). On CT: 5 cases of GGO, 2 cases of semisolid nodules, 39 cases of solid nodules. The median pathologic tumor size was 1.21 cm. Neither conversion to thoracotomy nor microcoil dislodgement was recorded. All patients underwent uniportal VATS WR (9/46 underwent completion lobectomy after frozen section). WR median time was 105 min (range 50-150 min). No patients required intraoperative re-resection for positive margins. After radiological procedure, 1 case of hematoma and 2 cases of pneumothorax were recorded. Four complications occurred in the postoperative period. The mean duration of chest drain and length of stay were 2.9 and 4.6 days, respectively.

CONCLUSIONS

CT-guided microcoil insertion followed by uniportal VATS resection was a safe and feasible procedure having a minimal associated complications rate and offering surgeons the ease of localization of small intrapulmonary nodules.

Authors+Show Affiliations

Unit of Thoracic Surgery, AOU Ospedali Riuniti of Ancona, Ancona, Italy. majedit@yahoo.com.Unit of Thoracic Surgery, AOU Ospedali Riuniti of Ancona, Ancona, Italy.Unit of Anatomical Pathology, AOU Ospedali Riuniti of Ancona, Ancona, Italy.Unit of Thoracic Surgery, AOU Ospedali Riuniti of Ancona, Ancona, Italy.Unit of Thoracic Surgery, AOU Ospedali Riuniti of Ancona, Ancona, Italy.Unit of Thoracic Surgery, AOU Ospedali Riuniti of Ancona, Ancona, Italy.Unit of Thoracic Surgery, AOU Ospedali Riuniti of Ancona, Ancona, Italy.Unit of Thoracic Surgery, AOU Ospedali Riuniti of Ancona, Ancona, Italy.Department of Radiological Sciences, Polytechnic University of Marche, AOU Ospedali Riuniti of Ancona, Ancona, Italy.Unit of Interventional Radiology, AOU Ospedali Riuniti of Ancona, Ancona, Italy.

Pub Type(s)

Journal Article

Language

eng

PubMed ID

31531810

Citation

Refai, Majed, et al. "Computed Tomography-guided Microcoil Placement for Localizing Small Pulmonary Nodules Before Uniportal Video-assisted Thoracoscopic Resection." La Radiologia Medica, vol. 125, no. 1, 2020, pp. 24-30.
Refai M, Andolfi M, Barbisan F, et al. Computed tomography-guided microcoil placement for localizing small pulmonary nodules before uniportal video-assisted thoracoscopic resection. Radiol Med. 2020;125(1):24-30.
Refai, M., Andolfi, M., Barbisan, F., Roncon, A., Guiducci, G. M., Xiumè, F., Salati, M., Tiberi, M., Giovagnoni, A., & Paci, E. (2020). Computed tomography-guided microcoil placement for localizing small pulmonary nodules before uniportal video-assisted thoracoscopic resection. La Radiologia Medica, 125(1), 24-30. https://doi.org/10.1007/s11547-019-01077-x
Refai M, et al. Computed Tomography-guided Microcoil Placement for Localizing Small Pulmonary Nodules Before Uniportal Video-assisted Thoracoscopic Resection. Radiol Med. 2020;125(1):24-30. PubMed PMID: 31531810.
* Article titles in AMA citation format should be in sentence-case
TY - JOUR T1 - Computed tomography-guided microcoil placement for localizing small pulmonary nodules before uniportal video-assisted thoracoscopic resection. AU - Refai,Majed, AU - Andolfi,Marco, AU - Barbisan,Francesca, AU - Roncon,Alberto, AU - Guiducci,Gian Marco, AU - Xiumè,Francesco, AU - Salati,Michele, AU - Tiberi,Michela, AU - Giovagnoni,Andrea, AU - Paci,Enrico, Y1 - 2019/09/17/ PY - 2019/04/26/received PY - 2019/09/04/accepted PY - 2019/9/19/pubmed PY - 2020/1/18/medline PY - 2019/9/19/entrez KW - CT-guided microcoil insertion KW - Lung resection KW - Solitary pulmonary nodule KW - Uniportal VATS KW - VATS SP - 24 EP - 30 JF - La Radiologia medica JO - Radiol Med VL - 125 IS - 1 N2 - PURPOSE: The increasing number of computed tomography (CT) performed allows the more frequent identification of small, solid pulmonary nodules or ground-glass opacities. Video-assisted thoracic surgery (VATS) represents the standard in most lung resections. However, since VATS limit is the digital palpation of the lung parenchyma, many techniques of nodule localization were developed. The aim of this study was to determine the feasibility and safety of CT-guided microcoil insertion followed by uniportal VATS wedge resection (WR). MATERIALS AND METHODS: Retrospective study in a single institution, including patients undergone CT-guided microcoil insertion prior to uniportal VATS resection between May 2015 and December 2018. The lesion was identified using fluoroscopy. RESULTS: Forty-six consecutive patients were enrolled (22 male and 24 female). On CT: 5 cases of GGO, 2 cases of semisolid nodules, 39 cases of solid nodules. The median pathologic tumor size was 1.21 cm. Neither conversion to thoracotomy nor microcoil dislodgement was recorded. All patients underwent uniportal VATS WR (9/46 underwent completion lobectomy after frozen section). WR median time was 105 min (range 50-150 min). No patients required intraoperative re-resection for positive margins. After radiological procedure, 1 case of hematoma and 2 cases of pneumothorax were recorded. Four complications occurred in the postoperative period. The mean duration of chest drain and length of stay were 2.9 and 4.6 days, respectively. CONCLUSIONS: CT-guided microcoil insertion followed by uniportal VATS resection was a safe and feasible procedure having a minimal associated complications rate and offering surgeons the ease of localization of small intrapulmonary nodules. SN - 1826-6983 UR - https://www.unboundmedicine.com/medline/citation/31531810/Computed_tomography_guided_microcoil_placement_for_localizing_small_pulmonary_nodules_before_uniportal_video_assisted_thoracoscopic_resection_ L2 - https://dx.doi.org/10.1007/s11547-019-01077-x DB - PRIME DP - Unbound Medicine ER -