Fluorescence-guided lung nodule identification during minimally invasive lung resections

Tajé, Riccardo; Gallina, Filippo Tommaso; Forcella, Daniele; Vallati, Giulio; Cappelli, Federico; Pierconti, Federico; Visca, Paolo; Melis, Enrico; Facciolo, Francesco

doi:10.3389/fsurg.2022.943829

Cited by 2 publications

(1 citation statement)

References 75 publications

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“…Each of these methods (alone or in combination) has advantages and often augments the thoracic surgeon’s ability to localize a nodule. However, there is a significant variation in technique by institution, as well as a plethora of papers describing minor modifications to these techniques, demonstrating the imperfect nature of the current practice [ 1 , 2 , 3 , 4 , 5 , 6 ].…”

Section: Introductionmentioning

confidence: 99%

State of the Art in Lung Nodule Localization

Alicuben

Lévesque

Ashraf

et al. 2022

JCM

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Lung nodule and ground-glass opacity localization for diagnostic and therapeutic purposes is often a challenge for thoracic surgeons. While there are several adjuncts and techniques in the surgeon’s armamentarium that can be helpful, accurate localization persists as a problem without a perfect solution. The last several decades have seen tremendous improvement in our ability to perform major operations with minimally invasive procedures and resulting lower morbidity. However, technological advances have not been as widely realized for lung nodule localization to complement minimally invasive surgery. This review describes the latest advances in lung nodule localization technology while also demonstrating that more efforts in this area are needed.

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Section: Introductionmentioning

confidence: 99%

State of the Art in Lung Nodule Localization

Alicuben

Lévesque

Ashraf

et al. 2022

JCM

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Minimally Invasive Surgery in Non-Small Cell Lung Cancer: Where Do We Stand?

Berzenji,

Wen,

Verleden

et al. 2023

Cancers

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In the last two decades, robotic-assisted thoracoscopic surgery (RATS) has gained popularity as a minimally invasive surgical (MIS) alternative to multi- and uniportal video-assisted thoracoscopic surgery (VATS). With this approach, the surgeon obviates the known drawbacks of conventional MIS, such as the reduced in-depth perception, hand-eye coordination, and freedom of motion of the instruments. Previous studies have shown that a robotic approach for operable lung cancer has treatment outcomes comparable to other MIS techniques such as multi-and uniportal VATS, but with less blood loss, a lower conversion rate to open surgery, better lymph node dissection rates, and improved ergonomics for the surgeon. The thoracic surgeon of the future is expected to perform more complex procedures. More patients will enter a multimodal treatment scheme making surgery more difficult due to severe inflammation. Furthermore, due to lung cancer screening programs, the number of patients presenting with operable smaller lung nodules in the periphery of the lung will increase. This, combined with the fact that segmentectomy is becoming an increasingly popular treatment for small peripheral lung lesions, indicates that the future thoracic surgeons need to have profound knowledge of segmental resections. New imaging techniques will help them to locate these lesions and to achieve a complete oncologic resection. Current robotic techniques exist to help the thoracic surgeon overcome these challenges. In this review, an update of the latest MIS approaches and nodule detection techniques will be given.

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Fluorescence-guided lung nodule identification during minimally invasive lung resections

Cited by 2 publications

References 75 publications

State of the Art in Lung Nodule Localization

State of the Art in Lung Nodule Localization

Minimally Invasive Surgery in Non-Small Cell Lung Cancer: Where Do We Stand?

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