RT Journal Article
SR Electronic
T1 Needlescopy-assisted resection of pulmonary nodule after dual localization
JF European Respiratory Journal
JO Eur Respir J
FD European Respiratory Society
SP erj00214-2010
DO 10.1183/09031936.00021410
A1 D-y. Kang
A1 H.K. Kim
A1 Y.K. Kim
A1 H.S. Yong
A1 E-Y. Kang
A1 Y.H. Choi
YR 2010
UL http://erj.ersjournals.com/content/early/2010/06/07/09031936.00021410.abstract
AB The aim of this study was to evaluate the feasibility of dual localization with hookwire and lipiodol before needlescopy-assisted resection for pulmonary nodule.Computed tomography-guided dual marking was performed on 36 pulmonary nodules of 32 patients and needlescopy-assisted resection was performed monitored by C-arm fluoroscopy.The mean age of the patients was 58±12 years (range, 12–77 years). The mean size of the nodules was 7.5±3.7 mm (range, 3–17 mm). Their mean distance from the pleural surface was 7.3±7.5 mm (range, 0–35 mm). There were 9 pure ground glass opacity lesions, 5 semisolid lesions and 22 solid lesions. The time of the dual localization procedure was 13.1±4.8 (range 7–23) minutes. Complications of the marking were pneumothorax in 9 patients, and intrapulmonary bleeding in 3. One hookwire dislodged during the operation. All nodules were successfully resected under needlescopy without conversion to a conventional thoracoscopy (5 mm or 10 mm thoracoscopy) or a minithoracotomy. There was no complication related to needlescopy-assisted resection.Dual marking with hookwire and lipiodol is safe and no time consuming procedure, and needlescopy-assisted lung resection for small nodules is a technically feasible and useful for histologic diagnosis and treatment.