Pulmonary nodule localization guided by computed tomography using a nitinol guidewire before video-assisted thoracoscopic surgery

Tibana, Tiago Kojun; Carvalho, Tony Rocha de; Filho, Adalberto Arão; Marchiori, Edson; Nunes, Thiago Franchi

doi:10.1590/0100-3984.2018.0040

Cited by 1 publication

(1 citation statement)

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“…(9) This is a simple, reproducible, and reliable technique, and probably the most reported and used. (10) Nonetheless, this technique presents higher incidence of complications, being displacement the most relevant one, occurring in up to 47% of cases. (9,11) Displacement can occur at different times, but mainly during transportation to the operating room, lung disinflation in the beginning of VATS, and during surgical manipulation.…”

Section: Literature Reviewmentioning

confidence: 99%

Lung nodule localization in hybrid room before minimally invasive thoracic surgery: series of 20 cases and literature review

Gilberto¹,

Falsarella²,

Andrade³

et al. 2022

Einstein (São Paulo)

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Objective: To describe an experience in the preoperative localization of small pulmonary nodules and ground-glass lesions to guide minimally invasive thoracic surgery; in addition, a literature review was conducted, including the main advantages and disadvantages of the different agents used, and site marking in a hybrid operating room. Methods: A retrospective search was conducted in a Interventional Radiology Department database, between March 2015 and May 2019, to identify patients undergoing preoperative percutaneous marking of lung injuries measuring up to 25mm. Results: A total of 20 patients were included and submitted to descriptive analysis. All patients were marked in a hybrid room, at the same surgical-anesthetic time. Most often used markers were guidewire, Lipiodol ® and microcoils. Despite one case of coil displacement, two cases of pneumothorax, and one case of hypotension after marking, all lesions were identified and resected accordingly from all patients. Conclusion: Preoperative percutaneous localization of lung injuries in hybrid room is an effective and a safe technique, which can have decisive impact on surgical resection. The choice of marker and of the operating room scenario should be based on availability and experience of service. Multidisciplinary discussions with surgical teams, pathologists, and interventional radiologists are crucial to improve outcome of patients.

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