To explain the usefullness of pulmonary lesion localization prior to Video-assisted thoracoscopic surgery (VATS),
being CT-guided hook-wire a feasible and safe method.
non widely known.
To describe the procedure.
To assess the safety and effectiveness of thistechnique and show its potential complications.
To show the experience with this procedure in our Institution.
Lung cancer is the most common cause of cancer death in developed countries,
and survival rate is closely related to the stage at diagnosis.
Early detection of malignant nodules can be potentially curative.
Lungs are also a common site for metastases from other primary malignancies.
Small subcentimeter nodules are frecuent finding in cross sectional images (mainly CT and PET-CT scans) carried out for multiple medical conditions.
caracterization of this nodules with noninvasive imaging techniques is often difficult and tissue confirmation can be needed in...
Findings and procedure details
We retrospectively analized the results of 30 consecutive CT-guided hook-wire localization prior to VATS for pulmonary lesions resection,
between May 2013 and June 2017 at our institution.
Thirty lesions: 17 women,
Median age 64 years old; range 41-78).
History of extrapulmonary malignancy in 14 of them.
The nodules diameter ranged from 6 to 24 mm (mean 11,53 mm),
measured on axial CT.
19 lesions were ≤10 mm (63.33 %).
Distance from the pleura to the outer border of target was 0 - 45...
CT-guided guide-wire localisation prior to VATS is a feasible and safe technique to facilitate surgical resection by localising the lesion accurately,
reducing the amount of ressected tissue,
and obviate unnecesary open thoracotomy.
Comparative effectivenes and safety of preoperative lung localization for pulmonary nodules.
A systematic review and meta-analysis.Chest 2017;151:316-28.
CT.guided hook-wire localisation prior to video-assisted thoracoscopic surgery of pulmonary lesions.
Clin Radiol 2017;72:898.e7-898.e11.
Epub 2017 Jun 12.