Localization of pulmonary nodules for thoracoscopic resection: experience with a system using a short hookwire and suture.

Kanazawa, Susumu; Ando, Akio; Yasui, Kotaro; Mitani, Minoru; Hiraki, Yoshio; Shimizu, Nobuyoshi; Hamanaka, D; Kojima, Kazunori

doi:10.2214/ajr.170.2.9456940

Cited by 51 publications

(34 citation statements)

References 8 publications

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“…The needle wire technique is associated with several complications, mainly dislodgment of the needle [8,20,23,32,54,58,60,61,79]. It generally occurs during transportation of the patient to the operating room or during the surgical procedure, either when the lung is deflated or during the resection of the nodule, because the surgeon will often apply gentle retraction on the wire.…”

Section: Discussionmentioning

confidence: 99%

“…This technique is probably one of the most employed to localize pulmonary nodules and the first reports date back 12 years [3,8,12,20,22,23,25,32,46,54,58,60,61,63,64,74,75,79]. The insertion into the pulmonary parenchyma of a 20-to 24-gauge needle can cause pneumothorax or bleeding (i.e., hemorrhage or hematoma).…”

Section: Hook Wirementioning

confidence: 99%

“…The insertion into the pulmonary parenchyma of a 20-to 24-gauge needle can cause pneumothorax or bleeding (i.e., hemorrhage or hematoma). However, this technique has recently been improved by adding a suture system to avoid dislodgement [12,23]. Several perspective studies, including up to 168 patients, have been published on the hook wire technique (Table 1).…”

Section: Hook Wirementioning

confidence: 99%

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Intrathoracoscopic localization techniques

et al. 2006

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Section: Discussionmentioning

confidence: 99%

Section: Hook Wirementioning

confidence: 99%

Section: Hook Wirementioning

confidence: 99%

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Intrathoracoscopic localization techniques

et al. 2006

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“…Preoperative techniques are percutaneous CT-guided placement of mammographic or dedicated hook wires [13,14,15,16,17,18,19] and by CT-guided percutaneous injection of methylene blue or coloured collagen [20]. These two techniques may possibly be associated.…”

Section: Discussionmentioning

confidence: 99%

Ultrasonographic localization of occult pulmonary nodules during video-assisted thoracic surgery

et al. 2003

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The aim of our study was to evaluate the role of ultrasonography in the localization of pulmonary nodules during video-assisted thoracic surgery (VATS). Ultrasonography was performed in 35 patients for the localization of pulmonary nodules during VATS. Indication for VATS was excisional biopsy of undetermined nodules in 22 patients, single or multiple metastasectomy in 12 patients and resection of primitive pulmonary cancer in 1 patient with reduced pulmonary reserve. A laparoscopic probe with flexible head and multi-frequency transducer (5-7.5 MHz) was used. Intraoperative ultrasonography localized 37 of 40 nodules preoperatively detected by CT and/or by positron emission tomography in 35 patients. Furthermore, ultrasonography localized two nodules not visualized at spiral CT. Eighteen nodules were not visible or palpable at thoracoscopic examination and were found by intraoperative sonography only. In 6 patients in whom thoracotomy was performed, manual palpation did not reveal more lesions than ultrasonography. In our experience, ultrasonography was very helpful when lesions were not visible or palpable during thoracoscopy, showing high sensitivity (92.5%) in finding pulmonary nodules. Since it is not possible to determine preoperatively whether a localization technique will be necessary during the operation or not, and ultrasonography is a non-invasive technique, we think that, at present, this technique can be considered as the first-instance localization technique during thoracoscopic resection of pulmonary nodules.

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“…However, peripheral pulmonary nodules may be undetectable over the pulmonary surface. Therefore, computed tomography (CT)-guided percutaneous hookwire placement has been reported to mark the site of lesion preoperatively [5]. Recently, intraoperative sonography was introduced during video-assisted thoracoscopic surgery (VATS) in accordance with instrumental development of the endoscopic probe [2,3,9,10].…”

mentioning

confidence: 99%