scholarly journals Uniportal video-assisted thoracic surgery resection of small ground-glass opacities (GGOs) localized with CT-guided placement of microcoils and palpation

2016 ◽  
Vol 8 (7) ◽  
pp. 1837-1840 ◽  
Author(s):  
Zhe Shi ◽  
Chang Chen ◽  
Sen Jiang ◽  
Gening Jiang
Keyword(s):  
Thoracic Surgery ◽  
Ground Glass ◽  
Ct Guided ◽  
Video Assisted Thoracic Surgery ◽  
Video Assisted ◽  
Surgery Resection

CT Guided Placement of the End of the Microcoil in the Pleural Cavity: A More Helpful Method for Video-Assisted Thoracic Surgery (VATS) Resection of Ground Glass Opacity (GGO)

2021 ◽  
Author(s):  
Jianli An ◽  
Yanchao Dong ◽  
Yanguo Li ◽  
Xiaoyu Han ◽  
Hongtao Niu ◽  
...  
Keyword(s):  
Thoracic Surgery ◽  
Pleural Cavity ◽  
Ground Glass Opacity ◽  
Ground Glass ◽  
Ct Guided ◽  
Video Assisted Thoracic Surgery ◽  
Video Assisted ◽  
Significant Difference ◽  
Lower Complication ◽  
Lower Complication Rate

Abstract Objective To investigate and summarize the effectiveness and safety of CT guided microcoil localization before video-assisted thoracic surgery (VATS) for the removal of ground glass opacity (GGO).Method 147 patients with GGO who were treated in our hospital from January 2019 to February 2021 were retrospectively analyzed. They were divided into two groups according to the final position of the end of the microcoil, intracavity group (n=78) and extracavity group (n=69). Comparison of the two groups of patients with puncture complications, and the influence of the end position of the coil for VATS.Results The proportion of supine and prone position in the intracavity group was significantly higher than that in the extracavity group (82.1% vs. 66.7%, P<0.05). The incidence of intrapulmonary hemorrhage, chest pain and coil displacement in the intracavitary group was significantly lower than that in the extracavitary group (28.2% vs. 46.4%; 19.2% vs. 39.1%;1.3% vs. 11.6%, P<0.05), and the incidence of pneumothorax had no significant difference(P>0.05). The time of VATS and the rate of conversion to thoracotomy in the intracavity group were significantly lower than those in the extracavity group (103.4±21.0min vs. 112.2±17.3min, 0% vs. 5.8%, P<0.05).Conclusion CT-guided placement of the microcoil was a very practical, simple and convenient localization method before VATS with high success rate and few complications, further more, it was a better method to place the end of the coil in the pleural cavity because of the lower complication rate, shorter VATS time and lower rate of thoracotomy conversion.

Diagnostic and therapeutic video-assisted thoracic surgery resection of pulmonary metastases

Surgery ◽  
1999 ◽  
Vol 126 (4) ◽  
pp. 636-642 ◽  
Author(s):  
Jeffrey C. Lin ◽  
Robert J. Wiechmann ◽  
Michael F. Szwerc ◽  
Stephen R. Hazelrigg ◽  
Peter F. Ferson ◽  
...  
Keyword(s):  
Thoracic Surgery ◽  
Pulmonary Metastases ◽  
Video Assisted Thoracic Surgery ◽  
Video Assisted ◽  
Surgery Resection

scholarly journals The utility of simultaneous CT-guided localization for multiple pulmonary nodules using microcoil before Video-Assisted Thoracic Surgery

2020 ◽  
Author(s):  
Yanyan Xu ◽  
Lingchuan Ma ◽  
Hongliang Sun ◽  
Zhenguo Huang ◽  
Zhenrong Zhang ◽  
...  
Keyword(s):  
Thoracic Surgery ◽  
Pulmonary Nodules ◽  
Control Group ◽  
Related Complication ◽  
Ct Guided ◽  
Video Assisted Thoracic Surgery ◽  
Multiple Pulmonary Nodules ◽  
Video Assisted ◽  
Group A ◽  
Group B

Abstract Background: To evaluate the feasibility and safety of microcoil in simultaneous localization for multiple pulmonary nodules before video-assisted thoracic surgery (VATS). Methods: Twenty-eight consecutive patients (26 two-nodule, 2 three-nodule; totally 58 nodules; Group A) underwent simultaneous CT-guided localization for multiple pulmonary nodules before VATS using microcoil. Successful targeting, localization, and VATS were defined as implantation of microcoil at the target site on CT image obtained immediately after the marking procedure, visualization of nodule location, and complete resection of the target nodule with adequate margin, respectively. Meanwhile, the clinical characteristics, localization procedure-related variables of the nodules and procedure-related complication in group A were also assessed and compared with those in a control group (221 single-localization procedures in 221 patients; Group B). Results: The similar rates of success targeting, localization and VATS were observed in group A and B (96.6% vs 98.2%; 91.4% vs 91.0%; 100% vs 99.1%). Although the rate of overall complications (including localized pneumothorax and intrapulmonary hemorrhage) was a bit higher in group A than that in group B (32.8% vs 30.8%, p =0.771), only minor complications were observed in the subjects of the two groups with no need for further treatment. In addition, the duration of simultaneous localization procedures was significantly longer than that of single localization ones (24±7.5 vs 13±6 min, p <0.001). Conclusions: CT-guided simultaneous microcoil localization for multiple pulmonary nodules before VATS was clinical feasible and safe with acceptable increasing the procedure time. Compared with localization for a single pulmonary nodule, simultaneous microcoil localizations for multiple nodules were prone to the occurrence of pneumothorax and hemorrhage. However, no statistically significant differences were observed between the two groups.

Incidence of Ipsilateral Side Recurrence After Open or Video-Assisted Thoracic Surgery Resection of Colorectal Lung Metastases

2020 ◽  
Vol 109 (5) ◽  
pp. 1591-1597
Author(s):  
Nuria Prenafeta Claramunt ◽  
David Hwang ◽  
Marc de Perrot ◽  
Kazuhiro Yasufuku ◽  
Gail Darling ◽  
...  
Keyword(s):  
Thoracic Surgery ◽  
Lung Metastases ◽  
Ipsilateral Side ◽  
Video Assisted Thoracic Surgery ◽  
Video Assisted ◽  
Colorectal Lung Metastases ◽  
Surgery Resection

scholarly journals The utility of simultaneous CT-guided localization for multiple pulmonary nodules using microcoil before Video-Assisted Thoracic Surgery

2021 ◽  
Author(s):  
Yanyan Xu ◽  
Lingchuan Ma ◽  
Hongliang Sun ◽  
Zhenguo Huang ◽  
Zhenrong Zhang ◽  
...  
Keyword(s):  
Thoracic Surgery ◽  
Pulmonary Nodules ◽  
Control Group ◽  
Ct Guided ◽  
Video Assisted Thoracic Surgery ◽  
Multiple Pulmonary Nodules ◽  
Video Assisted ◽  
Group A ◽  
Group B ◽  
Adequate Margin

Abstract Background: To evaluate the feasibility and safety of microcoil in simultaneous localization for multiple pulmonary nodules before video-assisted thoracic surgery (VATS).Methods: Twenty-eight consecutive patients (26 two-nodule, 2 three-nodule; 58 nodules in total; Group A) underwent simultaneous CT-guided localization of multiple pulmonary nodules before VATS using microcoil. Successful targeting, localization, and VATS were defined as implantation of microcoil at the target site on CT image which was obtained immediately after the marking procedure, visualization of nodule location, and complete resection of the target nodule with adequate margin, respectively. Meanwhile, the clinical characteristics, localization procedure-related variables of the nodules and procedure-related complications in group A were also assessed and compared with those in a control group (221 single-localization procedures in 221 patients; Group B). Results: Similar rates of successful targeting, localization and VATS were observed in group A and B (96.6% vs 98.2%; 91.4% vs 91.0%; 100% vs 99.1%). Although the rate of overall complications (including localized pneumothorax and intrapulmonary hemorrhage) was a bit higher in group A than that in group B (32.8% vs 30.8%, p=0.771), only minor complications were observed in the subjects of the two groups with no need for further treatment. In addition, the duration of simultaneous localization procedures was significantly longer than that of single localization (24±7.5 vs 13±6 min, p<0.001).Conclusions: CT-guided simultaneous microcoil localization for multiple pulmonary nodules before VATS was clinically feasible and safe with acceptable increase in the procedure time. Compared with localization for a single pulmonary nodule, simultaneous microcoil localizations for multiple nodules were prone to pneumothorax and hemorrhage. However, no statistically significant differences were observed between the two groups.

scholarly journals The utility of simultaneous CT-guided localization for multiple pulmonary nodules using microcoil before Video-Assisted Thoracic Surgery

2020 ◽  
Author(s):  
Yanyan Xu ◽  
Lingchuan Ma ◽  
Hongliang Sun ◽  
Zhenguo Huang ◽  
Zhenrong Zhang ◽  
...  
Keyword(s):  
Thoracic Surgery ◽  
Pulmonary Nodules ◽  
Control Group ◽  
Related Complication ◽  
Ct Guided ◽  
Video Assisted Thoracic Surgery ◽  
Multiple Pulmonary Nodules ◽  
Video Assisted ◽  
Group A ◽  
Group B

Abstract Background: To evaluate the feasibility and safety of microcoil in simultaneous localization for multiple pulmonary nodules before video-assisted thoracic surgery (VATS).Methods: Twenty-eight consecutive patients (26 two-nodule, 2 three-nodule; totally 58 nodules; Group A) underwent simultaneous CT-guided localization for multiple pulmonary nodules before VATS using microcoil. Successful targeting, localization, and VATS were defined as implantation of microcoil at the target site on CT image obtained immediately after the marking procedure, visualization of nodule location, and complete resection of the target nodule with adequate margin, respectively. Meanwhile, the clinical characteristics, localization procedure-related variables of the nodules and procedure-related complication in group A were also assessed and compared with those in a control group (221 single-localization procedures in 221 patients; Group B). Results: The similar rates of success targeting, localization and VATS were observed in group A and B (96.6% vs 98.2%; 91.4% vs 91.0%; 100% vs 99.1%). Although the rate of overall complications (including localized pneumothorax and intrapulmonary hemorrhage) was a bit higher in group A than that in group B (32.8% vs 30.8%, p=0.771), only minor complications were observed in the subjects of the two groups with no need for further treatment. In addition, the duration of simultaneous localization procedures was significantly longer than that of single localization ones (24±7.5 vs 13±6 min, p<0.001).Conclusions: CT-guided simultaneous microcoil localization for multiple pulmonary nodules before VATS was clinical feasible and safe with acceptable increasing the procedure time. Compared with localization for a single pulmonary nodule, simultaneous microcoil localizations for multiple nodules were prone to the occurrence of pneumothorax and hemorrhage. However, no statistically significant differences were observed between the two groups.

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