Non-intubated uniportal VATS wedge resection of an indeterminate pulmonary nodule in the left upper lobe

ASVIDE ◽  
2018 ◽  
Vol 5 ◽  
pp. 035-035
Author(s):  
Benedetta Bedetti ◽  
Davide Patrini ◽  
Luca Bertolaccini ◽  
Roberto Crisci ◽  
Piergiorgio Solli ◽  
...  
Keyword(s):  
Pulmonary Nodule ◽  
Wedge Resection ◽  
Indeterminate Pulmonary Nodule ◽  
Vats Wedge Resection

Nonanatomic Thoracoscopic Wedge Resection for Diffuse Lung Disease and Indeterminate Pulmonary Nodule

2001 ◽  
Vol 26 (1) ◽  
pp. 43-48 ◽  
Author(s):  
Patricio Santillan-Doherty, M.D. ◽  
Jennifer Cuellar-Rodríguez, M.D. ◽  
Luis Marcelo Argote-Greene, M.D. ◽  
Jorge Hernández-Calleros, M.D.
Keyword(s):  
Lung Disease ◽  
Pulmonary Nodule ◽  
Wedge Resection ◽  
Diffuse Lung Disease ◽  
Indeterminate Pulmonary Nodule ◽  
Diffuse Lung

scholarly journals Cerebral arterial air embolism with anterior spinal cord syndrome after CT-guided hook-wire localization of Lung mass and pulmonary nodule

2021 ◽  
Vol 5 (1) ◽  
pp. 006-015
Author(s):  
Darwich Noor Sameh ◽  
Ugur Umran ◽  
Anstadt Mark P ◽  
Pedoto Michael J
Keyword(s):  
Spinal Cord ◽  
Mental Status ◽  
Pulmonary Nodule ◽  
Wedge Resection ◽  
Air Embolism ◽  
Wire Localization ◽  
Ct Guided ◽  
Needle Localization ◽  
Vats Wedge Resection ◽  
Hook Wire

Systemic arterial air embolism (SAAE) is a rare but serious complication of CT-guided hook wire localization of pulmonary nodule usually with catastrophic and poor outcome. Hook wire needle localization is done pre-operatively by placing wire around or into the pulmonary nodule to provide the thoracic surgeon accurate location guidance of the target nodule for Video-Assisted Thoracoscopic Surgery (VATS) wedge resection with safety margins. Physicians should be aware of this possible complication during the procedure in order to rescue the patient promptly as it requires rapid diagnosis and management. We describe a 55-year-old male who underwent a CT-guided hook wire needle localization of left upper lobe lung cancer and left lower lobe pulmonary nodule prior to planned VATS wedge resection who developed altered mental status and bilateral lower extremities paralysis after wire placement was completed. His CT head demonstrated small air embolism in the left occipital area, confirming the diagnosis of cerebral air embolism and follow up CT and MRI of the head revealed multiple areas of brain infarction. In addition, he was diagnosed with anterior spinal cord syndrome (ACS), most likely due to anterior spinal artery ischemia from micro air embolism on the basis of clinical findings but with negative ischemic changes on MRI of the spinal cord. His mental status recovered but he remained paraplegic and transferred to inpatient rehabilitation service.

Diagnosing the indeterminate pulmonary nodule: Percutaneous biopsy versus thoracoscopy

Surgery ◽  
1995 ◽  
Vol 118 (4) ◽  
pp. 676-684 ◽  
Author(s):  
Surindra Mitruka ◽  
Rodney J. Landreneau ◽  
Michael J. Mack ◽  
Lynda S. Fetterman ◽  
James Gammie ◽  
...  
Keyword(s):  
Pulmonary Nodule ◽  
Percutaneous Biopsy ◽  
Indeterminate Pulmonary Nodule

scholarly journals Advances in Minimally Invasive Surgery for Lung Cancer

2020 ◽  
Author(s):  
Rachit Shah ◽  
Nils-Tomas Delagar McBride
Keyword(s):  
Lung Cancer ◽  
Minimally Invasive Surgery ◽  
Minimally Invasive ◽  
Wedge Resection ◽  
Surgical Techniques ◽  
Robotic Assisted ◽  
Current State ◽  
Chest Disease ◽  
History Of ◽  
Vats Wedge Resection

Over the last 25 years, improvement in instrumentation and surgical techniques has led to widespread adaptation of thoracoscopic (VATS) surgery in the field of thoracic oncology. What once was a niche operation like VATS wedge resection to now hybrid VATS chest wall resections, and advanced surgeries like bronchoplasty and sleeve resections are done with VATS. This has led to improved surgical outcomes for our patients and increased use of surgery in the treatment of chest disease. We review the history of VATS and its current state with most recent changes and upgrades in the technique in this chapter. We review the advancement in uniportal VATS, robotic assisted resection, complex VATS resection, and awake lung surgery with VATS.

scholarly journals Indeterminate pulmonary nodule in lung allograft characterized using dual-energy computed tomography

2021 ◽  
Vol 16 (1) ◽  
pp. 132-135
Author(s):  
Christopher Di Felice ◽  
Elias George Kikano ◽  
Benjamin Young ◽  
Amit Gupta
Keyword(s):  
Computed Tomography ◽  
Pulmonary Nodule ◽  
Dual Energy ◽  
Dual Energy Computed Tomography ◽  
Indeterminate Pulmonary Nodule

Corrigendum to “Erector spinae plane block allows non-intubated vats-wedge resection” [J. Clin. Anesth. (March 2020), 60: 89–90]

2020 ◽  
Vol 62 ◽  
pp. 109740
Author(s):  
Ferdinando Longo ◽  
Chiara Piliego ◽  
Eleonora Tomaselli ◽  
Matteo Martuscelli ◽  
Felice E. Agrò
Keyword(s):  
Wedge Resection ◽  
Erector Spinae ◽  
Erector Spinae Plane Block ◽  
Vats Wedge Resection

scholarly journals Subsequent Antituberculous Treatment may not be Mandatory among Surgically Resected Culture-Negative Pulmonary Granulomas: a Retrospective Nationwide Multicenter Cohort Study

2021 ◽  
Author(s):  
Che-Liang Chung ◽  
Wei-Chang Huang ◽  
Hung-Ling Huang ◽  
Chun-Shih Chin ◽  
Meng-Hsuan Cheng ◽  
...  
Keyword(s):  
Pulmonary Nodule ◽  
Wedge Resection ◽  
Granulomatous Inflammation ◽  
Multicenter Cohort Study ◽  
Histologic Diagnosis ◽  
Tb Treatment ◽  
Study Results ◽  
Pulmonary Granulomas ◽  
Culture Negative

Abstract Background Histologic diagnosis of granuloma is often considered clinically equivalent to a definite diagnosis of pulmonary tuberculosis (TB) in endemic area. Optimal management of surgically resected granulomatous inflammation in lung with negative mycobacterial culture results, however, remains unclear. Methods From seven medical institutions in northern, middle, and southern Taiwan between January 2010 and December 2018, patients whose surgically resected pulmonary nodule(s) had histological features suggestive of TB but negative microbiological study results and who received no subsequent anti-TB treatment were identified retrospectively. All patients were followed up for 2 years until death or active TB disease was diagnosed. Results A total of 116 patients were enrolled during the study period. Among them, sixty-one patients (52.6%) were clinically asymptomatic, and 36 (31.0%) patients were immunocompromised. Solitary pulmonary nodule accounted for 44 (39.6%) of all cases. The lung nodules were removed by wedge resection in 95 (81.9%), lobectomy in 17 (14.7%), and segmentectomy in 4 (3.4%) patients. The most common histological feature was granulomatous inflammation (n=116, 100%), followed by caseous necrosis (n=39, 33.6%). During follow-up (218.4 patient-years), none of the patients developed active TB. Conclusions In patients with surgically resected culture-negative pulmonary granulomas, the incidence rate of subsequent active TB is low. Watchful monitoring along with regular clinical, radiological, and microbiological follow-up, instead of routine anti-TB treatment, may also be a reasonable option.

Pneumoconiosis

Chest Imaging ◽  
2019 ◽  
pp. 379-381
Author(s):  
Sanjeev Bhalla
Keyword(s):  
Lung Cancer ◽  
Pulmonary Nodule ◽  
Primary Lung Cancer ◽  
Imaging Findings ◽  
Dust Inhalation ◽  
Inhaled Particles ◽  
Potential Case ◽  
Key Features ◽  
Imaging Signs ◽  
Indeterminate Pulmonary Nodule

The term pneumoconiosis refers to lung disease related to dust inhalation. The inhaled particles produce a pulmonary reaction that may result in fibrosis as with asbestosis or silicosis or may result in a macrophage reaction with little fibrosis. Three key features must be addressed in a potential case of pneumoconiosis: identification of imaging signs of exposure, location of imaging findings and distribution of imaging abnormalities. Patients with pneumoconiosis may present with very subtle abnormalities usually well characterized on thin section CT or HRCT. When areas of cavitation are seen, tuberculosis must be considered in association with silicosis and coal worker pneumoconiosis. In addition, any noncalcified or indeterminate pulmonary nodule must be carefully assessed as some pneumoconioses, most notably silicosis and asbestosis, result in a higher incidence of primary lung cancer.

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