Computed tomography-guided microcoil placement for localizing small pulmonary nodules before uniportal video-assisted thoracoscopic resection

Refai, Majed; Andolfi, Marco; Barbisan, Francesca; Roncon, Alberto; Guiducci, Gian Marco; Xiumé, Francesco; Salati, Michele; Tiberi, Michela; Giovagnoni, Andrea; Paci, Enrico

doi:10.1007/s11547-019-01077-x

Cited by 18 publications

(18 citation statements)

References 27 publications

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“…18,19 Uniportal VATS is advantageous because it only involves one intercostal space, so postoperative pain can be reduced, and rapid recovery can be achieved. In a previous study 12 of 46 patients who underwent uniportal VATS WR with intraoperative fluoroscopy, the operation time was 105 min, postoperative complication rate was 8.7%, and mean postoperative length of hospital stay was 4.6 days. A longer operation time and more postoperative complication rates were reported compared with our study.…”

Section: Discussionmentioning

confidence: 98%

“…11 However, nonanatomical resection, known as wedge resection (WR), which is performed to diagnose pulmonary nodules, can be problematic for VATS or RATS. 12,13 However, with advances in multidetector CT technology, high-quality multiplanar reconstruction (MPR) images have been provided. MPR images provide computed images from the scanned volume and incorporate spatial resolution.…”

Section: Introductionmentioning

confidence: 99%

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Video‐assisted thoracoscopic surgical wedge resection using multiplanar computed tomography reconstruction‐fluoroscopy after CT guided microcoil localization

et al. 2021

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Background: When early-stage lung cancer is diagnosed, the recommended treatment is anatomical resection using video-assisted thoracoscopic surgery (VATS) or robotic lobectomy. However, nonanatomical resection, known as wedge resection (WR), which is performed to diagnose pulmonary nodules, can be problematic for clinicians performing VATS or robotic-assisted thoracic surgery (RATS). The purpose of this study was to evaluate the safety and effectiveness of VATS WR using multiplanar computed tomography reconstruction (CT MPR)-fluoroscopy after CT guided microcoil localization to achieve complete pulmonary nodule resection. Methods: Between January 2016 to December 2020, the medical records of patients who underwent CT-guided microcoil localization for suspicious malignant pulmonary nodules and VATS WR with CT MPR and intraoperative fluoroscopy were retrospectively reviewed. Results: All 130 patients successfully underwent CT-guided localization. The success rate of VATS WR with CT MPR-intraoperative fluoroscopy was 98.5%. Mean operation time was 58 min (range 50-84 min). The postoperative complication rate was 3.1%, and no major postoperative complications were reported. The mean postoperative length of hospital stay was 4.7 days (range 4-8 days). Conclusions: VATS WR using CT MPR-fluoroscopy after CT guided microcoil localization is a safe and highly effective approach for complete pulmonary nodule resection. However, even in uniport VATS or recently performed robotic surgery, localization and resection of nonvisible, nonpalpable pulmonary nodules is a challenging problem. Consequently, satisfactory outcomes can be expected if this technique is used for suspicious malignant pulmonary nodule resection.

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Section: Discussionmentioning

confidence: 98%

Section: Introductionmentioning

confidence: 99%

Video‐assisted thoracoscopic surgical wedge resection using multiplanar computed tomography reconstruction‐fluoroscopy after CT guided microcoil localization

et al. 2021

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“…Moreover, Kodama's (Kodama et al, 1997) and Kates's (Kates, Swanson & Wisnivesky, 2011) studies both reveal that for T1N0 NSCLC, the survival rate of SLR is also similar to that of lobectomy. Recently, several authors reported different VATS techniques to localize lung tumors, avoiding the necessity of open thoracotomy, which can be performed through minimally invasive video-assisted thoracoscopic surgery (Ambrogi et al, 2012;Gruber-Rouh et al, 2017;Lin et al, 2016;Refai et al, 2020). Furthermore, an incidence rate of 5% of lymph node involvement was observed in 100 NSCLC patients with tumor <1 cm in diameter, suggesting that nodal assessment should be taken into consideration even in small lesions (El-Sherif et al, 2005).…”

Section: Discussionmentioning

confidence: 99%

Comparison between radiofrequency ablation and sublobar resections for the therapy of stage I non-small cell lung cancer: a meta-analysis

Chen

Yang

et al. 2020

PeerJ

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Background Sublobar resection (SLR) and radiofrequency ablation (RFA) are the two minimally invasive procedures performed for treating stage I non-small cell lung cancer (NSCLC). This study aimed to compare SLR and RFA for the treatment of stage I NSCLC using the meta-analytical method. Methods We searched PubMed and Embase for articles published till December 2019 to evaluate the comparative studies and assess the survival and progression-free survival rates and postoperative complications (PROSPERO registration number: CRD42018087587). A meta-analysis was performed by combining the outcomes of the reported incidences of short-term morbidity and long-term mortality. The fixed or random effects model was utilized to calculate the pooled odds ratios (OR) and the 95% confidence intervals. Results Four retrospective studies were considered in the course of this study. The studies included a total of 309 participants; 154 were assigned to the SLR group, and 155 were assigned to the RFA group. Moreover, there were statistically significant differences between the one- and three-year survival rates and one- and three-year progression-free survival rates for the two groups, which were in favor of the SLR group. Among the post-surgical complications, pneumothorax and pleural effusion were more common for the SLR group, while cardiac abnormalities were prevalent in the RFA group. There was no difference in prevalence of hemoptysis between SLR and RFA groups, which might be attributed to the limited study sample size. Conclusion Considering the higher survival rates and disease control in the evaluated cases, surgical resection is the preferred treatment method for stage I NSCLC. RFA can be considered a valid alternative in patients not eligible for surgery and in high-risk patients as it is less invasive and requires shorter hospital stay.

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“…the necessity of open thoracotomy, which can be performed through minimally invasive videoassisted thoracoscopic surgery (Ambrogi et al 2012;Gruber-Rouh et al 2017;Lin et al 2016;Refai et al 2020). Furthermore, an incidence rate of 5% of lymph node involvement was observed in 100 NSCLC patients with tumor <1 cm in diameter, suggesting that nodal assessment should be taken into consideration even in small lesions (El-Sherif et al 2005).…”

Section: Discussionmentioning

confidence: 99%

Peer Review #2 of "Comparison between radiofrequency ablation and sublobar resections for the therapy of stage I non-small cell lung cancer: a meta-analysis (v0.2)"

2020

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Background. Sublobar resection (SLR) and radiofrequency ablation (RFA) are the two minimally invasive procedures performed for treating stage I non-small cell lung cancer (NSCLC). This study aimed to compare SLR and RFA for the treatment of stage I NSCLC using the meta-analytical method. Methods. We searched PubMed and Embase for articles published till December 2019 to evaluate the comparative studies and assess the survival and progression-free survival rates and postoperative complications (PROSPERO registration number: 176765). A meta-analysis was performed by combining the outcomes of the reported incidences of short-term morbidity and long-term mortality. The fixed or random effects model was utilized to calculate the pooled odds ratios (OR) and the 95% confidence intervals. Results. Four retrospective studies were considered in the course of this study. The studies included a total of 309 participants; 154 were assigned to the SLR group, and 155 were assigned to the RFA group. Moreover, there were statistically significant differences between the one-and three-year survival rates and oneand three-year progression-free survival rates for the two groups, which were in favor of the SLR group. Among the post-surgical complications, pneumothorax and pleural effusion were more common for the SLR group, while cardiac abnormalities were prevalent in the RFA group. There was no difference in prevalence of hemoptysis between SLR and RFA groups, which might be attributed to the limited study sample size. Conclusion. Considering the higher survival rates and disease control in the evaluated cases, surgical resection is the preferred treatment method for stage I NSCLC. RFA can be considered a valid alternative in patients not eligible for surgery and in high-risk patients as it is less invasive and requires shorter hospital stay.

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Computed tomography-guided microcoil placement for localizing small pulmonary nodules before uniportal video-assisted thoracoscopic resection

Cited by 18 publications

References 27 publications

Video‐assisted thoracoscopic surgical wedge resection using multiplanar computed tomography reconstruction‐fluoroscopy after CT guided microcoil localization

Video‐assisted thoracoscopic surgical wedge resection using multiplanar computed tomography reconstruction‐fluoroscopy after CT guided microcoil localization

Comparison between radiofrequency ablation and sublobar resections for the therapy of stage I non-small cell lung cancer: a meta-analysis

Peer Review #2 of "Comparison between radiofrequency ablation and sublobar resections for the therapy of stage I non-small cell lung cancer: a meta-analysis (v0.2)"

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