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学科主题: 临床医学
题名:
Computed tomography guided microcoil localization for pulmonary small nodules and ground-glass opacity prior to thoracoscopic resection
作者: Sui, Xizhao; Zhao, Hui; Yang, Feng; Li, Ji-Lun; Wang, Jun
关键词: Lung cancer ; thoracoscopic ; nodule ; localization
刊名: JOURNAL OF THORACIC DISEASE
发表日期: 2015-09-01
DOI: 10.3978/j.issn.2072-1439.2015.09.02
卷: 7, 期:9, 页:1580-1587
收录类别: SCI
文章类型: Article
WOS标题词: Science & Technology
类目[WOS]: Respiratory System
研究领域[WOS]: Respiratory System
关键词[WOS]: LUNG NODULES ; HOOK WIRE ; SURGERY ; COMPLICATIONS ; FLUOROSCOPY ; EXPERIENCE ; MARKING
英文摘要:

Background: To evaluate the feasibility, safety and efficacy of computed tomography (CT)-guided microcoil localization for small pulmonary lesions prior to thoracoscopic resection.

Methods: We retrospectively reviewed the medical data of patients with pulmonary solid nodules and ground-glass opacity (GGO) who underwent CT-guided microcoil localization prior to thoracoscopic surgery. The microcoil was deployed with the proximal end of the microcoil coiling beyond the parietal pleura while the distal part anchoring in the lung parenchyma. After marking with microcoil, the pulmonary lesions were removed by thoracoscopic surgery.

Results: CT-guided microcoil placements were successful in all 98 lesions, including 14 solid nodules, 11 part-solid GGO, and 73 pure GGO. The mean distance from the lesions to the pleura surface was 11.1 +/- 6.6 mm. Eighty-four microcoils (85.7%) were successfully placed with the tails coiled beyond the parietal pleura. Seventeen patients (17.3%) had mild complications after the procedure of localization. Thirteen patients with asymptomatic pneumothorax, only one patient required further thoracentesis, four patients with pulmonary hematoma. Removal of the pulmonary lesions was successful in all patients. Sixty-six lesions (67.3%) were localized through the proximal end of the microcoil beyond the visceral pleura by visual inspection, 29 lesions were localized by palpation of the microcoil or the nodule, and 3 lesions had dislocation of the microcoil, resulting in a success rate of 96.9% for intraoperative localization.

Conclusions: CT-guided microcoil localization prior to thoracoscopic resection is a feasible, safe, and effective method for localization of pulmonary small nodules and GGO.

语种: 英语
WOS记录号: WOS:000362071500038
Citation statistics:
内容类型: 期刊论文
URI标识: http://ir.bjmu.edu.cn/handle/400002259/57386
Appears in Collections:北京大学第二临床医学院_胸外科_期刊论文

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作者单位: Peking Univ, Peoples Hosp, Dept Thorac Surg, Ctr Mini Invas Thorac Surg, Beijing 100044, Peoples R China

Recommended Citation:
Sui, Xizhao,Zhao, Hui,Yang, Feng,et al. Computed tomography guided microcoil localization for pulmonary small nodules and ground-glass opacity prior to thoracoscopic resection[J]. JOURNAL OF THORACIC DISEASE,2015,7(9):1580-1587.
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