Pengliang Xu1, Xiuhua Peng2, Wenhui Li1, Huanming Yu1. 1. Department of Thoracic Surgery, The First People's Hospital of Huzhou, Huzhou, China. 2. Department of Radiology, The First People's Hospital of Huzhou, Huzhou, China.
Abstract
BACKGROUND: The method of locating pulmonary nodules before operation plays a crucial role in the surgery of pulmonary ground-glass nodules (GGNs). However, the methodologies surrounding intraoperative localization remains limited, with the majority procedures requiring specific additional equipment. We report a new approach in locating pulmonary GGNs by image-localized body surface marking intraoperative (IBMI) localization. METHODS: A retrospective review of the medical records of 76 patients with pulmonary GGNs was performed. All patients underwent IBMI localization between January 2018 and March 2019. Twenty-six patients underwent CT-guided hook wire localization before IBMI localization during surgery. IBMI localization was undertaken directly without pre-treatment in the remaining patients. The efficacy and complications of this approach were analyzed and compared with other pre- or intraoperative localization methods in the current literature. RESULTS: The intraoperative localizations were performed successfully in 72 of all 76 patients pulmonary GGNs within a mean duration of 5.3±1.8 (range, 2.0 to 9.6) minutes. The GGNs in four cases were found to have a significant deviation (>1.5 cm) from the positioning points. All GGNs were successfully resected. Except for five cases of active chest wall bleeding (6.5%), no other intra- or postoperative complications occurred. CONCLUSIONS: The IBMI localization approach is a safe and short-duration procedure with high success rates and fewer complications. We used it for the first time for intraoperative localization of peripheral GGNs with excellent results. 2020 Quantitative Imaging in Medicine and Surgery. All rights reserved.
BACKGROUND: The method of locating pulmonary nodules before operation plays a crucial role in the surgery of pulmonary ground-glass nodules (GGNs). However, the methodologies surrounding intraoperative localization remains limited, with the majority procedures requiring specific additional equipment. We report a new approach in locating pulmonary GGNs by image-localized body surface marking intraoperative (IBMI) localization. METHODS: A retrospective review of the medical records of 76 patients with pulmonary GGNs was performed. All patients underwent IBMI localization between January 2018 and March 2019. Twenty-six patients underwent CT-guided hook wire localization before IBMI localization during surgery. IBMI localization was undertaken directly without pre-treatment in the remaining patients. The efficacy and complications of this approach were analyzed and compared with other pre- or intraoperative localization methods in the current literature. RESULTS: The intraoperative localizations were performed successfully in 72 of all 76 patients pulmonary GGNs within a mean duration of 5.3±1.8 (range, 2.0 to 9.6) minutes. The GGNs in four cases were found to have a significant deviation (>1.5 cm) from the positioning points. All GGNs were successfully resected. Except for five cases of active chest wall bleeding (6.5%), no other intra- or postoperative complications occurred. CONCLUSIONS: The IBMI localization approach is a safe and short-duration procedure with high success rates and fewer complications. We used it for the first time for intraoperative localization of peripheral GGNs with excellent results. 2020 Quantitative Imaging in Medicine and Surgery. All rights reserved.
Authors: Jung Min Seo; Ho Yun Lee; Hong Kwan Kim; Yong Soo Choi; Jhingook Kim; Young Mog Shim; Kyung Soo Lee Journal: J Thorac Cardiovasc Surg Date: 2011-11-20 Impact factor: 5.209
Authors: Richard J Finley; John R Mayo; Kyle Grant; Joanne C Clifton; John English; Joyce Leo; Stephen Lam Journal: J Thorac Cardiovasc Surg Date: 2014-09-16 Impact factor: 5.209