Tactile Imaging System for Localizing Lung Nodules during Video Assisted Thoracoscopic Surgery

Author(s):  
Andrew P. Miller ◽  
William J. Peine ◽  
Jae S. Son ◽  
M.D. Zane T. Hammoud
2021 ◽  
Vol 6 (1) ◽  
Author(s):  
Cheng YF ◽  
◽  
Wang BY ◽  

Patients with clinical T1aN0M0 Non-Small Cell Carcinoma (NSCLC) or poor pulmonary function may benefit more from segmentectomy compared to lobectomy. However, there is question about segmentectomy provides not enough safe margin, especially for nodules situated at the intersegmental area. We describe a novel technique using image-guided Video-Assisted Thoracoscopic Surgery (iVATS) to accomplish extended segmentectomy for central lung nodules. This technique helps to overcome the challenges of nodules situated at the intersegmental area.


CHEST Journal ◽  
1994 ◽  
Vol 105 (5) ◽  
pp. 1559-1563 ◽  
Author(s):  
Jo-Anne O. Shepard ◽  
Douglas J. Mathisen ◽  
Victorine V. Muse ◽  
Meenakshi Bhalla ◽  
Theresa C. McLoud

2021 ◽  
Vol 16 (1) ◽  
Author(s):  
Zhuo Wu ◽  
Lei Zhang ◽  
Xi-tong Zhao ◽  
Di Zhou ◽  
Xue-ying Yang

Abstract Background To investigate the feasibility of indocyanine green (ICG) use in localizing subcentimeter pulmonary nodules during uniportal video-assisted thoracoscopic surgery. Methods This study was a retrospective analysis of 32 patients who underwent surgery due to pulmonary nodules using ICG localization from September 2019 to March 2020 in the Department of Thoracic Surgery, The Fourth Affiliated Hospital of China Medical University. Laser positioning and large-aperture spiral CT simulation were performed preoperatively. ICG was injected into the lung (2.5 mg/ml). The clinical characteristics and postoperative indicators were recorded. Results A total of 33 subcentimeter pulmonary nodules were successfully localized in 32 patients. Twenty-three patients underwent lobectomy, with an average surgical time of 45.3 min and an average tube retention time of 2 days. Non-small cell lung cancer was confirmed intraoperatively in 9 patients, among whom the longest surgical time was 120 min, and the shortest hospital stay was 7 days. No patient was converted to thoracotomy or developed serious complications. Conclusions ICG imaging is a safe and effective technique for localization of pulmonary nodules. Due to the widespread application of near-infrared devices, fluorescent localization and imaging technology will be more widely used in thoracic surgery.


2021 ◽  
Author(s):  
Zhuo Wu ◽  
Lei Zhang ◽  
Xitong Zhao ◽  
Di Zhou ◽  
Xueying Yang

Abstract Background: To investigate the feasibility of indocyanine green (ICG) use in localizing subcentimeter pulmonary nodules during uniportal video-assisted thoracoscopic surgery. Methods: This study was a retrospective analysis of 32 patients who underwent surgery due to pulmonary nodules using ICG localization from September 2019 to March 2020 in the Department of Thoracic Surgery, The Fourth Affiliated Hospital of China Medical University. Laser positioning and large-aperture spiral CT simulation were performed preoperatively. ICG was injected into the lung (2.5mg/ml). The clinical characteristics and postoperative indicators were recorded. Results: A total of 33 subcentimeter pulmonary nodules were successfully localized in 32 patients. Twenty-three patients underwent lobectomy, with an average surgical time of 45.3 minutes and an average tube retention time of 2 days. Non-small cell lung cancer was confirmed intraoperatively in 9 patients, among whom the longest surgical time was 120 minutes, and the shortest hospital stay was 7 days. No patient was converted to thoracotomy or developed serious complications. Conclusions: ICG imaging is a safe and effective technique for localization of pulmonary nodules. Due to the widespread application of near-infrared devices, fluorescent localization and imaging technology will be more widely used in thoracic surgery.


2020 ◽  
Author(s):  
Chu-Chun Liang ◽  
Chi-Hao Liao ◽  
Ya-Fu Cheng ◽  
Wei-Heng Hung ◽  
Heng-Chung Chen ◽  
...  

Abstract Background We demonstrated the safety and feasibility of image-guided video-assisted thoracoscopic surgery (iVATS) of bilateral lung lesions in a hybrid operating room. Methods This study was a retrospective analysis of a case series. A total of 7 patients with 15 small lung nodules underwent bilateral iVATS between July 2018 and May 2019. All procedures were completed within a single anesthesia procedure and performed in a hybrid operating room that had a cone-beam computed tomography (CT) apparatus equipped with a laser navigation system. The lesion characteristics, operation methods, and peri-operative clinical outcomes were summarized. Results A total of 7 patients with 15 resected lung nodules were analyzed. The most common pathological result of our bilateral iVATS was metastasis. The median length of hospital stay was 5 days (range from 3 to 10 days). The median right chest tube duration was 2 days (range from 1 to 8 days), and the median left chest tube duration was 3 days (range from 2 to 5 days). Only one patient had a complication during his hospitalization period. There was no surgery-related mortality observed. Conclusions The bilateral iVATS procedure seems to be a feasible, safe and cost-effective approach for successful resection of bilateral lung lesions.


2021 ◽  
Author(s):  
Zhuo Wu ◽  
Lei Zhang ◽  
Xi-tong Zhao ◽  
Di Zhou ◽  
Xue-ying Yang

Abstract Background: To investigate the feasibility of indocyanine green (ICG) use in localizing subcentimeter pulmonary nodules during uniportal video-assisted thoracoscopic surgery. Methods: This study was a retrospective analysis of 32 patients who underwent surgery due to pulmonary nodules using ICG localization from September 2019 to March 2020 in the Department of Thoracic Surgery, The Fourth Affiliated Hospital of China Medical University. Laser positioning and large-aperture spiral CT simulation were performed preoperatively. ICG was injected into the lung (2.5mg/ml). The clinical characteristics and postoperative indicators were recorded. Results: A total of 33 subcentimeter pulmonary nodules were successfully localized in 32 patients. Twenty-three patients underwent lobectomy, with an average surgical time of 45.3 minutes and an average tube retention time of 2 days. Non-small cell lung cancer was confirmed intraoperatively in 9 patients, among whom the longest surgical time was 120 minutes, and the shortest hospital stay was 7 days. No patient was converted to thoracotomy or developed serious complications. Conclusions: ICG imaging is a safe and effective technique for localization of pulmonary nodules. Due to the widespread application of near-infrared devices, fluorescent localization and imaging technology will be more widely used in thoracic surgery.


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