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学科主题临床医学
CT-guided localization of small pulmonary nodules using adjacent microcoil implantation prior to video-assisted thoracoscopic surgical resection
Su, Tian-Hao1; Fan, Yue-Feng2; Jin, Long1; He, Wen1; Hu, Li-Bao3
关键词Pulmonary nodule Preoperative localization Computed tomography Microcoil Video-assisted thoracoscopic surgery
刊名EUROPEAN RADIOLOGY
2015-09-01
DOI10.1007/s00330-015-3676-5
25期:9页:2627-2633
收录类别SCI
文章类型Article
WOS标题词Science & Technology
类目[WOS]Radiology, Nuclear Medicine & Medical Imaging
资助者Capital Clinical Characteristic Applied Research program of Beijing Municipal Science and Technology Commission ; Capital Clinical Characteristic Applied Research program of Beijing Municipal Science and Technology Commission
研究领域[WOS]Radiology, Nuclear Medicine & Medical Imaging
关键词[WOS]LUNG NODULES ; SURGERY ; PLACEMENT ; INJECTION ; GUIDANCE ; LIPIODOL ; MARKING
英文摘要

Objectives To describe and assess the localization of small peripheral pulmonary nodules prior to video-assisted thoracoscopic surgical (VATS) resection using the implantation of microcoils.

Methods Ninety-two patients with 101 pulmonary nodules underwent computed tomography (CT)-guided implantation of microcoils proximal to each nodule. Patients were randomly assigned to undergo entire microcoil or leaving-microcoil-end implantations. The complications and efficacy of the two implantation methods were evaluated. VATS resection of lung tissue containing each pulmonary lesion and microcoil were performed in the direction of the microcoil marker. Histopathological analysis was performed for the resected pulmonary lesions.

Results CT-guided microcoil implantation was successful in 99/101 cases, and the placement of microcoils within 1 cm of the nodules was not disruptive. There was no difference in the complications and efficacy associated with the entire implantation method (performed for 51/99 nodules) versus the leaving-microcoil-end implantation method (performed for 48/99 nodules). All nodules were successfully removed using VATS resection. Asymptomatic pneumothorax occurred in 16 patients and mild pulmonary haemorrhage occurred in nine patients. However, none of these patients required further surgical treatment.

Conclusions Preoperative localization of small pulmonary nodules using a refined percutaneous microcoil implantation method was found to be safe and useful prior to VATS resection.

语种英语
所属项目编号Z141107002514175
资助者Capital Clinical Characteristic Applied Research program of Beijing Municipal Science and Technology Commission ; Capital Clinical Characteristic Applied Research program of Beijing Municipal Science and Technology Commission
WOS记录号WOS:000359396700013
引用统计
被引频次:6[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/400002259/66380
专题北京大学第二临床医学院_放射科
作者单位1.Peking Univ, Peoples Hosp, Dept Radiol, Beijing 100044, Peoples R China
2.Capital Med Univ, Beijing Friendship Hosp, Dept Radiol, Beijing 100050, Peoples R China
3.Xiamen Univ, Affiliated Hosp 1, Dept Intervent Therapy, Xiamen 361003, Fujian, Peoples R China
推荐引用方式
GB/T 7714
Su, Tian-Hao,Fan, Yue-Feng,Jin, Long,et al. CT-guided localization of small pulmonary nodules using adjacent microcoil implantation prior to video-assisted thoracoscopic surgical resection[J]. EUROPEAN RADIOLOGY,2015,25(9):2627-2633.
APA Su, Tian-Hao,Fan, Yue-Feng,Jin, Long,He, Wen,&Hu, Li-Bao.(2015).CT-guided localization of small pulmonary nodules using adjacent microcoil implantation prior to video-assisted thoracoscopic surgical resection.EUROPEAN RADIOLOGY,25(9),2627-2633.
MLA Su, Tian-Hao,et al."CT-guided localization of small pulmonary nodules using adjacent microcoil implantation prior to video-assisted thoracoscopic surgical resection".EUROPEAN RADIOLOGY 25.9(2015):2627-2633.
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