Electromagnetic navigation bronchoscopy fiducial marker margin identification plus triple dye for complete lung nodule resection

Chan, Jimmy Yu‐Wai; Lau, Rainbow W. H.; Ng, Calvin S.H.

doi:10.1016/j.xjtc.2020.07.010

Cited by 7 publications

(9 citation statements)

References 5 publications

(13 reference statements)

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“…In this study we used VBN as a navigation mode in porcine solid nodules (fluoroscopy-detectable) and ENB in human pure ground-glass nodules (fluoroscopy-undetectable) and the results show that both methods could localize pulmonary nodules successfully. Whilst there was no difference in localization success rate between VBN and ENB in our study, the potential advantage of ENB may be that it gives real time display of the distance from the fiducial marker to the lesion, facilitating determination of the surgical resection boundary, although this needs to be further explored (27). Our results show that pulmonary nodule localization and resection can be conducted simultaneously.…”

Section: Discussionmentioning

confidence: 57%

The feasibility of navigation bronchoscopy-guided pulmonary microcoil localization of small pulmonary nodules prior to thoracoscopic surgery

Chen

Pan

et al. 2020

Transl Lung Cancer Res

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Background: Accurate preoperative localization of small pulmonary nodules facilitates the rapid and precise video-assisted thoracoscopic surgery (VATS). This study aims to evaluate the feasibility, safety, and efficacy of navigation bronchoscopy-guided pulmonary microcoil placement for preoperative pulmonary nodule localization.Methods: Twelve lung lesions were simulated by mixing lipiodol in three porcine models. After 1 week, two microcoils per lesion were deployed under bronchoscopic guidance. Computed tomography scans were then performed 1 day, 1 week, 2 weeks, and 4 weeks after the deployment to assess the position of the microcoils relative to the lesions. Surgical resection of the simulated lesions was performed under fluoroscopy 5 weeks after the deployment and the accuracy, stability, and associated complications of the microcoil localization were evaluated. Following this, an exploratory clinical study was conducted on three patients with pure ground-glass pulmonary nodules. Results:The mean diameter of the twelve simulated lung lesions was 9.55±2.36 mm, and the mean distance from the pleura to the lesions was 8.29±2.99 mm. Twenty-four pulmonary microcoils were implanted in the bronchi surrounding the lesions. Four weeks later, the mean distance between the microcoils and the center of the lesions was 16.12±8.97 mm and the average migration of the microcoils relative to the baseline position (1 day after implantation) was 3.48±4.56 mm. All microcoils and target lesions were successfully resected in both the animal experiment and clinical study and no complications, such as pneumothorax, were observed during marker implantation or postoperative follow-up. Conclusions:The preoperative localization of pulmonary nodules by navigation bronchoscopy-guided microcoil placement is a safe, stable, and effective technique with minimal complication risk. This procedure can assist subsequent thoracoscopic resection.

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Section: Discussionmentioning

confidence: 57%

The feasibility of navigation bronchoscopy-guided pulmonary microcoil localization of small pulmonary nodules prior to thoracoscopic surgery

Chen

Pan

et al. 2020

Transl Lung Cancer Res

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“…such as CT guided hookwire or microcoil placement, virtual bronchoscopy and electromagnetic navigation bronchoscopy (ENB), to tackle the challenge of intraoperative identification of these small lesions for diagnostic and therapeutic purposes (8,9). The rising popularity of the hybrid operating theatre has also allowed for the marriage of such techniques with minimally invasive surgery to provide an efficient operating environment for localisation and therapy in one single setting (9)(10)(11)(12)(13).…”

Section: Bronchoscopic Ablation Of Lung Tumours: Patient Selection and Techniquementioning

confidence: 99%

Bronchoscopic ablation of lung tumours: patient selection and technique

Siu¹,

Chan²,

Manuel³

et al. 2022

J Vis Surg

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“…Electromagnetic navigation bronchoscopy (ENB)-guided procedures are being increasingly popular, these include ENB biopsy of lung nodules, dye marking for subsequent surgical wedge biopsy (1,2), implantation of fiducial marker (3,4), and the promising novel technique of transbronchial lung nodule ablation under ENB and cone-beam CT (CBCT) guidance (5,6). For more complicated cases involving peripheral small lesions requiring transbronchial access, real-time fluoroscopy and CBCT is required to improve accuracy and confirm needle placement within nodules, usually in the setting of hybrid theatre (7).…”

mentioning

confidence: 99%

Expanding the scope of electromagnetic navigation bronchoscopy-guided transbronchial biopsy and ablation with mobile 3D C-arm Machine Cios Spin®—feasibility and challenges

Chan¹,

Lau²,

Chu³

et al. 2021

Transl Lung Cancer Res

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Electromagnetic navigation bronchoscopy fiducial marker margin identification plus triple dye for complete lung nodule resection

Cited by 7 publications

References 5 publications

The feasibility of navigation bronchoscopy-guided pulmonary microcoil localization of small pulmonary nodules prior to thoracoscopic surgery

The feasibility of navigation bronchoscopy-guided pulmonary microcoil localization of small pulmonary nodules prior to thoracoscopic surgery

Bronchoscopic ablation of lung tumours: patient selection and technique

Expanding the scope of electromagnetic navigation bronchoscopy-guided transbronchial biopsy and ablation with mobile 3D C-arm Machine Cios Spin®—feasibility and challenges

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