BACKGROUND: The management of a solitary pulmonary nodule is the subject of debate and minimally invasive diagnostic approaches have low sensitivity for small peripheral nodules. We discuss the role of video-assisted thoracoscopic surgery (VATS) in the management of solitary pulmonary nodules (SPNs) < or = 1 cm performed with a preoperative computed tomography-guided wire localization. METHODS: Thirty-five selected patients underwent VATS resection for SPN, with localization by guide wire before surgery. RESULTS: Seven patients, after VATS exploration, underwent thoracotomy because of pleuropulmonary adhesions, depth or dimensions. Histological diagnosis was obtained in all procedures; there was no postoperative morbidity or morbidity. CONCLUSION: Preoperative computed tomography hook-wire localization is a suitable strategy for peripheral nodules < or = 1 cm in diameter.
BACKGROUND: The management of a solitary pulmonary nodule is the subject of debate and minimally invasive diagnostic approaches have low sensitivity for small peripheral nodules. We discuss the role of video-assisted thoracoscopic surgery (VATS) in the management of solitary pulmonary nodules (SPNs) < or = 1 cm performed with a preoperative computed tomography-guided wire localization. METHODS: Thirty-five selected patients underwent VATS resection for SPN, with localization by guide wire before surgery. RESULTS: Seven patients, after VATS exploration, underwent thoracotomy because of pleuropulmonary adhesions, depth or dimensions. Histological diagnosis was obtained in all procedures; there was no postoperative morbidity or morbidity. CONCLUSION: Preoperative computed tomography hook-wire localization is a suitable strategy for peripheral nodules < or = 1 cm in diameter.
Authors: Laura L Donahoe; Elsie T Nguyen; Tae-Bong Chung; Lan-Chau Kha; Marcelo Cypel; Gail E Darling; Marc de Perrot; Shaf Keshavjee; Andrew F Pierre; Thomas K Waddell; Kazuhiro Yasufuku Journal: J Thorac Dis Date: 2016-08 Impact factor: 2.895
Authors: Peter S Y Yu; Cheuk Man Chu; Rainbow W H Lau; Innes Y P Wan; Malcolm J Underwood; Simon C H Yu; Calvin S H Ng Journal: J Thorac Dis Date: 2018-05 Impact factor: 2.895
Authors: Chul Hwan Park; Dong Jin Im; Sang Min Lee; Ji Won Lee; Sung Ho Hwang; Semin Chong; Min Jae Cha; Kye Ho Lee; Woocheol Kwon; Hwan Seok Yong; Jae Wook Lee; Gong Yong Jin; Sang Hyun Paik; Kyunghwa Han; Jin Hur Journal: Contemp Clin Trials Commun Date: 2017-12-07