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学科主题: 临床医学
题名:
CT-guided localization of small pulmonary nodules using adjacent microcoil implantation prior to video-assisted thoracoscopic surgical resection
作者: 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
发表日期: 2015-09-01
DOI: 10.1007/s00330-015-3676-5
卷: 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
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
项目资助者: Capital Clinical Characteristic Applied Research program of Beijing Municipal Science and Technology Commission
WOS记录号: WOS:000359396700013
Citation statistics:
内容类型: 期刊论文
URI标识: http://ir.bjmu.edu.cn/handle/400002259/66380
Appears in Collections:北京大学第二临床医学院_放射科_期刊论文

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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

Recommended Citation:
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.
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