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学科主题临床医学
Computed tomography guided microcoil localization for pulmonary small nodules and ground-glass opacity prior to thoracoscopic resection
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
2015-09-01
DOI10.3978/j.issn.2072-1439.2015.09.02
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
引用统计
被引频次:9[WOS]   [WOS记录]     [WOS相关记录]
文献类型期刊论文
条目标识符http://ir.bjmu.edu.cn/handle/400002259/57386
专题北京大学第二临床医学院_胸外科
北京大学基础医学院
作者单位Peking Univ, Peoples Hosp, Dept Thorac Surg, Ctr Mini Invas Thorac Surg, Beijing 100044, Peoples R China
推荐引用方式
GB/T 7714
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.
APA Sui, Xizhao,Zhao, Hui,Yang, Feng,Li, Ji-Lun,&Wang, Jun.(2015).Computed tomography guided microcoil localization for pulmonary small nodules and ground-glass opacity prior to thoracoscopic resection.JOURNAL OF THORACIC DISEASE,7(9),1580-1587.
MLA Sui, Xizhao,et al."Computed tomography guided microcoil localization for pulmonary small nodules and ground-glass opacity prior to thoracoscopic resection".JOURNAL OF THORACIC DISEASE 7.9(2015):1580-1587.
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