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Computed tomography-guided coil localization for sub-fissural lung nodules

This study was designed to explore the safety, feasibility, and clinical efficacy of preoperative computed tomography (CT)-guided coil localization of sub-fissural lung nodules (LNs). A total of 105 LN patients underwent CT-guided coil localization followed by video-assisted thoracoscopic surgery (V...

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Autores principales: Li, Er-Liang, Cao, Wei, Li, Yu, Zhang, Miao
Formato: Online Artículo Texto
Lenguaje:English
Publicado: Lippincott Williams & Wilkins 2020
Materias:
Acceso en línea:https://www.ncbi.nlm.nih.gov/pmc/articles/PMC7458244/
https://www.ncbi.nlm.nih.gov/pubmed/32871959
http://dx.doi.org/10.1097/MD.0000000000022030
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author Li, Er-Liang
Cao, Wei
Li, Yu
Zhang, Miao
author_facet Li, Er-Liang
Cao, Wei
Li, Yu
Zhang, Miao
author_sort Li, Er-Liang
collection PubMed
description This study was designed to explore the safety, feasibility, and clinical efficacy of preoperative computed tomography (CT)-guided coil localization of sub-fissural lung nodules (LNs). A total of 105 LN patients underwent CT-guided coil localization followed by video-assisted thoracoscopic surgery (VATS)-guided wedge resection at our hospital from January 2016 to December 2019. Of these patients, 4 had sub-fissural LNs and were therefore subjected to trans-fissural coil localization procedures. We analyzed data pertaining to the coil localization and VATS procedures in these patients. A total of 4 coils were used to localize 4 LNs in 4 separate patients. One of these patients suffered from parenchymal hemorrhage around the needle path, while one other patient exhibited asymptomatic pneumothorax following coil localization. A thoracoscope was able to successfully visualize the coil tails in all of these patients. There were no instances of coils having been dislodged, and wedge resection was conducted with a 100% technical success rate in these patients. These 4 LNs were subsequently diagnosed as adenocarcinomas in situ (n = 3) and benign nodules (n = 1). CT-guided coil localization can be used to safely and easily localize sub-fissural LNs in patients scheduled to undergo VATS.
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spelling pubmed-74582442020-09-11 Computed tomography-guided coil localization for sub-fissural lung nodules Li, Er-Liang Cao, Wei Li, Yu Zhang, Miao Medicine (Baltimore) 6700 This study was designed to explore the safety, feasibility, and clinical efficacy of preoperative computed tomography (CT)-guided coil localization of sub-fissural lung nodules (LNs). A total of 105 LN patients underwent CT-guided coil localization followed by video-assisted thoracoscopic surgery (VATS)-guided wedge resection at our hospital from January 2016 to December 2019. Of these patients, 4 had sub-fissural LNs and were therefore subjected to trans-fissural coil localization procedures. We analyzed data pertaining to the coil localization and VATS procedures in these patients. A total of 4 coils were used to localize 4 LNs in 4 separate patients. One of these patients suffered from parenchymal hemorrhage around the needle path, while one other patient exhibited asymptomatic pneumothorax following coil localization. A thoracoscope was able to successfully visualize the coil tails in all of these patients. There were no instances of coils having been dislodged, and wedge resection was conducted with a 100% technical success rate in these patients. These 4 LNs were subsequently diagnosed as adenocarcinomas in situ (n = 3) and benign nodules (n = 1). CT-guided coil localization can be used to safely and easily localize sub-fissural LNs in patients scheduled to undergo VATS. Lippincott Williams & Wilkins 2020-08-28 /pmc/articles/PMC7458244/ /pubmed/32871959 http://dx.doi.org/10.1097/MD.0000000000022030 Text en Copyright © 2020 the Author(s). Published by Wolters Kluwer Health, Inc. http://creativecommons.org/licenses/by-nc/4.0 This is an open access article distributed under the terms of the Creative Commons Attribution-Non Commercial License 4.0 (CCBY-NC), where it is permissible to download, share, remix, transform, and buildup the work provided it is properly cited. The work cannot be used commercially without permission from the journal. http://creativecommons.org/licenses/by-nc/4.0
spellingShingle 6700
Li, Er-Liang
Cao, Wei
Li, Yu
Zhang, Miao
Computed tomography-guided coil localization for sub-fissural lung nodules
title Computed tomography-guided coil localization for sub-fissural lung nodules
title_full Computed tomography-guided coil localization for sub-fissural lung nodules
title_fullStr Computed tomography-guided coil localization for sub-fissural lung nodules
title_full_unstemmed Computed tomography-guided coil localization for sub-fissural lung nodules
title_short Computed tomography-guided coil localization for sub-fissural lung nodules
title_sort computed tomography-guided coil localization for sub-fissural lung nodules
topic 6700
url https://www.ncbi.nlm.nih.gov/pmc/articles/PMC7458244/
https://www.ncbi.nlm.nih.gov/pubmed/32871959
http://dx.doi.org/10.1097/MD.0000000000022030
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