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Early effective treatment of small pulmonary nodules with video-assisted thoracoscopic surgery combined with CT-guided dual-barbed hookwire localization
PURPOSE: To assess the feasibility of computed tomography (CT)-guided localization using a specific long dual-barbed hookwire in resection of pulmonary nodules with the size of 20mm or less by video-assisted thoracoscopic surgery (VATS) and to discuss the necessity of early treatment of small pulmon...
Autores principales: | , , , , , , , |
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Formato: | Online Artículo Texto |
Lenguaje: | English |
Publicado: |
Impact Journals LLC
2017
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Materias: | |
Acceso en línea: | https://www.ncbi.nlm.nih.gov/pmc/articles/PMC5503572/ https://www.ncbi.nlm.nih.gov/pubmed/28455967 http://dx.doi.org/10.18632/oncotarget.17044 |
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author | Qi, Han Wan, Chao Zhang, Liang Wang, Junye Song, Ze Zhang, Rong Zhang, Zhenfeng Fan, Weijun |
author_facet | Qi, Han Wan, Chao Zhang, Liang Wang, Junye Song, Ze Zhang, Rong Zhang, Zhenfeng Fan, Weijun |
author_sort | Qi, Han |
collection | PubMed |
description | PURPOSE: To assess the feasibility of computed tomography (CT)-guided localization using a specific long dual-barbed hookwire in resection of pulmonary nodules with the size of 20mm or less by video-assisted thoracoscopic surgery (VATS) and to discuss the necessity of early treatment of small pulmonary nodules by VATS. RESULTS: All the nodules were successfully localized with hook wire under CT guidance. The 34 nodules had a mean diameter of 8.9 ± 3.8 mm and a mean distance from the most superficial edge of the nodules to the visceral pleura of 21.4 ± 12.4 mm. The mean length of time for CT-guided percutaneous localization was 9.0 ± 3.8 minutes. Asymptomatic pneumothorax and parenchyma hemorrhage were observed in 1 patient (3.2%) and 5 patients (16.1%), respectively. VATS successfully resected all the lesions after localization. The mean VATS operation time was 2.6 ± 1.2 hours (range, 0.8−5.2 hours). 24 (70.6%) malignant nodules and 10 benign nodules were discovered after surgery. MATERIALS AND METHODS: Between March 2012 and August 2014, 31 patients with 34 small pulmonary lesions underwent CT-guided hook wire localization and VATS resection. The efficacy of preoperative localization was evaluated in terms of procedure time, VATS success rate and associated complications of localization. And the pathology and imaging diagnosis of all nodules were recorded. CONCLUSIONS: The CT-guided Hook-wire localization for pulmonary nodules with the size of 20 mm or less is an effective and safe technique to assist VATS. Once small pulmonary nodules change in size or number, it is necessary to treat in an early and aggressive way with minimally invasive surgery. |
format | Online Article Text |
id | pubmed-5503572 |
institution | National Center for Biotechnology Information |
language | English |
publishDate | 2017 |
publisher | Impact Journals LLC |
record_format | MEDLINE/PubMed |
spelling | pubmed-55035722017-07-11 Early effective treatment of small pulmonary nodules with video-assisted thoracoscopic surgery combined with CT-guided dual-barbed hookwire localization Qi, Han Wan, Chao Zhang, Liang Wang, Junye Song, Ze Zhang, Rong Zhang, Zhenfeng Fan, Weijun Oncotarget Research Paper PURPOSE: To assess the feasibility of computed tomography (CT)-guided localization using a specific long dual-barbed hookwire in resection of pulmonary nodules with the size of 20mm or less by video-assisted thoracoscopic surgery (VATS) and to discuss the necessity of early treatment of small pulmonary nodules by VATS. RESULTS: All the nodules were successfully localized with hook wire under CT guidance. The 34 nodules had a mean diameter of 8.9 ± 3.8 mm and a mean distance from the most superficial edge of the nodules to the visceral pleura of 21.4 ± 12.4 mm. The mean length of time for CT-guided percutaneous localization was 9.0 ± 3.8 minutes. Asymptomatic pneumothorax and parenchyma hemorrhage were observed in 1 patient (3.2%) and 5 patients (16.1%), respectively. VATS successfully resected all the lesions after localization. The mean VATS operation time was 2.6 ± 1.2 hours (range, 0.8−5.2 hours). 24 (70.6%) malignant nodules and 10 benign nodules were discovered after surgery. MATERIALS AND METHODS: Between March 2012 and August 2014, 31 patients with 34 small pulmonary lesions underwent CT-guided hook wire localization and VATS resection. The efficacy of preoperative localization was evaluated in terms of procedure time, VATS success rate and associated complications of localization. And the pathology and imaging diagnosis of all nodules were recorded. CONCLUSIONS: The CT-guided Hook-wire localization for pulmonary nodules with the size of 20 mm or less is an effective and safe technique to assist VATS. Once small pulmonary nodules change in size or number, it is necessary to treat in an early and aggressive way with minimally invasive surgery. Impact Journals LLC 2017-04-11 /pmc/articles/PMC5503572/ /pubmed/28455967 http://dx.doi.org/10.18632/oncotarget.17044 Text en Copyright: © 2017 Qi et al. http://creativecommons.org/licenses/by/3.0/ This article is distributed under the terms of the Creative Commons Attribution License (http://creativecommons.org/licenses/by/3.0/) (CC-BY), which permits unrestricted use and redistribution provided that the original author and source are credited. |
spellingShingle | Research Paper Qi, Han Wan, Chao Zhang, Liang Wang, Junye Song, Ze Zhang, Rong Zhang, Zhenfeng Fan, Weijun Early effective treatment of small pulmonary nodules with video-assisted thoracoscopic surgery combined with CT-guided dual-barbed hookwire localization |
title | Early effective treatment of small pulmonary nodules with video-assisted thoracoscopic surgery combined with CT-guided dual-barbed hookwire localization |
title_full | Early effective treatment of small pulmonary nodules with video-assisted thoracoscopic surgery combined with CT-guided dual-barbed hookwire localization |
title_fullStr | Early effective treatment of small pulmonary nodules with video-assisted thoracoscopic surgery combined with CT-guided dual-barbed hookwire localization |
title_full_unstemmed | Early effective treatment of small pulmonary nodules with video-assisted thoracoscopic surgery combined with CT-guided dual-barbed hookwire localization |
title_short | Early effective treatment of small pulmonary nodules with video-assisted thoracoscopic surgery combined with CT-guided dual-barbed hookwire localization |
title_sort | early effective treatment of small pulmonary nodules with video-assisted thoracoscopic surgery combined with ct-guided dual-barbed hookwire localization |
topic | Research Paper |
url | https://www.ncbi.nlm.nih.gov/pmc/articles/PMC5503572/ https://www.ncbi.nlm.nih.gov/pubmed/28455967 http://dx.doi.org/10.18632/oncotarget.17044 |
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