Intraoperative Percutaneous Microcoil Localization of Small Peripheral Pulmonary Nodules Using Cone-Beam CT in a Hybrid Operating Room
Jason K. Lempel1 and Daniel P. Raymond2
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Citation: American Journal of Roentgenology: 1-4. 10.2214/AJR.19.21175
AbstractFull TextReferencesPDFPDF PlusAdd to FavoritesPermissionsDownload Citation
ABSTRACT :
OBJECTIVE. Thoracoscopic surgical resection of small peripheral pulmonary nodules can be challenging, and often preoperative localization techniques are needed to avoid conversion to open thoracotomy. In this article, we show the feasibility and benefits of performing intraoperative percutaneous microcoil localization with C-arm cone-beam CT in a hybrid operating room immediately before video-assisted thoracoscopic surgery for wedge resection of a small pulmonary nodule.
CONCLUSION. This technique can provide safe and accurate localization while minimizing patient discomfort and thus enhancing the patient's experience.
Keywords: hybrid operating room (OR), localization, microcoil, nodule, video-assisted thoracoscopic surgery (VATS)
References
Previous section
1. Siegel RL, Miller KD, Jemal A. Cancer statistics. 2016. CA Cancer J Clin 2016; 66:7–30 [Crossref] [Medline] [Google Scholar]
2. Aberle DR, Adams AM, Berg CD, et al.; National Lung Screening Trial Research Team. Reduced lung-cancer mortality with low-dose computed tomographic screening. N Engl J Med 2011; 365:395–409 [Crossref] [Medline] [Google Scholar]
3. Seo JM, Lee HY, Kim HK, et al. Factors determining successful computed tomography-guided localization of lung nodules. J Thorac Cardiovasc Surg 2012; 143:809–814 [Crossref] [Medline] [Google Scholar]
4. Lempel JK, Raymond DP, Ahmad U, et al. Video-assisted thoracic surgery resection without intra-operative fluoroscopy after CT-guided microcoil localization of peripheral pulmonary nodules. J Vasc Interv Radiol 2018; 29:1423–1428 [Crossref] [Medline] [Google Scholar]
5. Gill RR, Zheng Y, Barlow JS, et al. Image-guided video assisted thoracoscopic surgery (iVATS): phase I–II clinical trial. J Surg Oncol 2015; 112:18–25 [Crossref] [Medline] [Google Scholar]
6. Ng CSH, Man Chu C, Kwok MWT, Yim APC, Wong RHL. Hybrid DynaCT scan-guided localization single-port lobectomy. Chest 2015; 147:e76–e78 [Crossref] [Medline] [Google Scholar]
7. Yang SM, Ko WC, Lin MW, et al. Image-guided thoracoscopic surgery with dye localization in a hybrid operating room. J Thorac Dis 2016; 8(suppl 9):S681–S689 [Medline] [Google Scholar]
8. Mayo JR, Clifton JC, Powell TI, et al. Lung nodules: CT-guided placement of microcoils to direct video-assisted thoracoscopic surgical resection. Radiology 2009; 250:576–585 [Crossref] [Medline] [Google Scholar]
Address correspondence to J. K. Lempel (lempelj@ccf.org).
Read More: https://www.ajronline.org/doi/abs/10.2214/AJR.19.21175
Jason K. Lempel1 and Daniel P. Raymond2
Share Share
+ Affiliations:
Citation: American Journal of Roentgenology: 1-4. 10.2214/AJR.19.21175
AbstractFull TextReferencesPDFPDF PlusAdd to FavoritesPermissionsDownload Citation
ABSTRACT :
OBJECTIVE. Thoracoscopic surgical resection of small peripheral pulmonary nodules can be challenging, and often preoperative localization techniques are needed to avoid conversion to open thoracotomy. In this article, we show the feasibility and benefits of performing intraoperative percutaneous microcoil localization with C-arm cone-beam CT in a hybrid operating room immediately before video-assisted thoracoscopic surgery for wedge resection of a small pulmonary nodule.
CONCLUSION. This technique can provide safe and accurate localization while minimizing patient discomfort and thus enhancing the patient's experience.
Keywords: hybrid operating room (OR), localization, microcoil, nodule, video-assisted thoracoscopic surgery (VATS)
References
Previous section
1. Siegel RL, Miller KD, Jemal A. Cancer statistics. 2016. CA Cancer J Clin 2016; 66:7–30 [Crossref] [Medline] [Google Scholar]
2. Aberle DR, Adams AM, Berg CD, et al.; National Lung Screening Trial Research Team. Reduced lung-cancer mortality with low-dose computed tomographic screening. N Engl J Med 2011; 365:395–409 [Crossref] [Medline] [Google Scholar]
3. Seo JM, Lee HY, Kim HK, et al. Factors determining successful computed tomography-guided localization of lung nodules. J Thorac Cardiovasc Surg 2012; 143:809–814 [Crossref] [Medline] [Google Scholar]
4. Lempel JK, Raymond DP, Ahmad U, et al. Video-assisted thoracic surgery resection without intra-operative fluoroscopy after CT-guided microcoil localization of peripheral pulmonary nodules. J Vasc Interv Radiol 2018; 29:1423–1428 [Crossref] [Medline] [Google Scholar]
5. Gill RR, Zheng Y, Barlow JS, et al. Image-guided video assisted thoracoscopic surgery (iVATS): phase I–II clinical trial. J Surg Oncol 2015; 112:18–25 [Crossref] [Medline] [Google Scholar]
6. Ng CSH, Man Chu C, Kwok MWT, Yim APC, Wong RHL. Hybrid DynaCT scan-guided localization single-port lobectomy. Chest 2015; 147:e76–e78 [Crossref] [Medline] [Google Scholar]
7. Yang SM, Ko WC, Lin MW, et al. Image-guided thoracoscopic surgery with dye localization in a hybrid operating room. J Thorac Dis 2016; 8(suppl 9):S681–S689 [Medline] [Google Scholar]
8. Mayo JR, Clifton JC, Powell TI, et al. Lung nodules: CT-guided placement of microcoils to direct video-assisted thoracoscopic surgical resection. Radiology 2009; 250:576–585 [Crossref] [Medline] [Google Scholar]
Address correspondence to J. K. Lempel (lempelj@ccf.org).
Read More: https://www.ajronline.org/doi/abs/10.2214/AJR.19.21175
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