Cargando…

Video‐assisted thoracoscopic surgical wedge resection using multiplanar computed tomography reconstruction‐fluoroscopy after CT guided microcoil localization

BACKGROUND: When early‐stage lung cancer is diagnosed, the recommended treatment is anatomical resection using video‐assisted thoracoscopic surgery (VATS) or robotic lobectomy. However, nonanatomical resection, known as wedge resection (WR), which is performed to diagnose pulmonary nodules, can be p...

Descripción completa

Detalles Bibliográficos
Autores principales: Lee, Moon Ok, Jin, Sung Yup, Lee, Sang Kyung, Hwang, Sangwon, Kim, Tae Gyu, Song, Yun Gyu
Formato: Online Artículo Texto
Lenguaje:English
Publicado: John Wiley & Sons Australia, Ltd 2021
Materias:
Acceso en línea:https://www.ncbi.nlm.nih.gov/pmc/articles/PMC8169305/
https://www.ncbi.nlm.nih.gov/pubmed/33943015
http://dx.doi.org/10.1111/1759-7714.13968
_version_ 1783702031400173568
author Lee, Moon Ok
Jin, Sung Yup
Lee, Sang Kyung
Hwang, Sangwon
Kim, Tae Gyu
Song, Yun Gyu
author_facet Lee, Moon Ok
Jin, Sung Yup
Lee, Sang Kyung
Hwang, Sangwon
Kim, Tae Gyu
Song, Yun Gyu
author_sort Lee, Moon Ok
collection PubMed
description BACKGROUND: When early‐stage lung cancer is diagnosed, the recommended treatment is anatomical resection using video‐assisted thoracoscopic surgery (VATS) or robotic lobectomy. However, nonanatomical resection, known as wedge resection (WR), which is performed to diagnose pulmonary nodules, can be problematic for clinicians performing VATS or robotic‐assisted thoracic surgery (RATS). The purpose of this study was to evaluate the safety and effectiveness of VATS WR using multiplanar computed tomography reconstruction (CT MPR)‐fluoroscopy after CT guided microcoil localization to achieve complete pulmonary nodule resection. METHODS: Between January 2016 to December 2020, the medical records of patients who underwent CT‐guided microcoil localization for suspicious malignant pulmonary nodules and VATS WR with CT MPR and intraoperative fluoroscopy were retrospectively reviewed. RESULTS: All 130 patients successfully underwent CT‐guided localization. The success rate of VATS WR with CT MPR‐intraoperative fluoroscopy was 98.5%. Mean operation time was 58 min (range 50–84 min). The postoperative complication rate was 3.1%, and no major postoperative complications were reported. The mean postoperative length of hospital stay was 4.7 days (range 4–8 days). CONCLUSIONS: VATS WR using CT MPR‐fluoroscopy after CT guided microcoil localization is a safe and highly effective approach for complete pulmonary nodule resection. However, even in uniport VATS or recently performed robotic surgery, localization and resection of nonvisible, nonpalpable pulmonary nodules is a challenging problem. Consequently, satisfactory outcomes can be expected if this technique is used for suspicious malignant pulmonary nodule resection.
format Online
Article
Text
id pubmed-8169305
institution National Center for Biotechnology Information
language English
publishDate 2021
publisher John Wiley & Sons Australia, Ltd
record_format MEDLINE/PubMed
spelling pubmed-81693052021-06-05 Video‐assisted thoracoscopic surgical wedge resection using multiplanar computed tomography reconstruction‐fluoroscopy after CT guided microcoil localization Lee, Moon Ok Jin, Sung Yup Lee, Sang Kyung Hwang, Sangwon Kim, Tae Gyu Song, Yun Gyu Thorac Cancer Original Articles BACKGROUND: When early‐stage lung cancer is diagnosed, the recommended treatment is anatomical resection using video‐assisted thoracoscopic surgery (VATS) or robotic lobectomy. However, nonanatomical resection, known as wedge resection (WR), which is performed to diagnose pulmonary nodules, can be problematic for clinicians performing VATS or robotic‐assisted thoracic surgery (RATS). The purpose of this study was to evaluate the safety and effectiveness of VATS WR using multiplanar computed tomography reconstruction (CT MPR)‐fluoroscopy after CT guided microcoil localization to achieve complete pulmonary nodule resection. METHODS: Between January 2016 to December 2020, the medical records of patients who underwent CT‐guided microcoil localization for suspicious malignant pulmonary nodules and VATS WR with CT MPR and intraoperative fluoroscopy were retrospectively reviewed. RESULTS: All 130 patients successfully underwent CT‐guided localization. The success rate of VATS WR with CT MPR‐intraoperative fluoroscopy was 98.5%. Mean operation time was 58 min (range 50–84 min). The postoperative complication rate was 3.1%, and no major postoperative complications were reported. The mean postoperative length of hospital stay was 4.7 days (range 4–8 days). CONCLUSIONS: VATS WR using CT MPR‐fluoroscopy after CT guided microcoil localization is a safe and highly effective approach for complete pulmonary nodule resection. However, even in uniport VATS or recently performed robotic surgery, localization and resection of nonvisible, nonpalpable pulmonary nodules is a challenging problem. Consequently, satisfactory outcomes can be expected if this technique is used for suspicious malignant pulmonary nodule resection. John Wiley & Sons Australia, Ltd 2021-05-04 2021-06 /pmc/articles/PMC8169305/ /pubmed/33943015 http://dx.doi.org/10.1111/1759-7714.13968 Text en © 2021 The Authors. Thoracic Cancer published by China Lung Oncology Group and John Wiley & Sons Australia, Ltd. https://creativecommons.org/licenses/by-nc/4.0/This is an open access article under the terms of the http://creativecommons.org/licenses/by-nc/4.0/ (https://creativecommons.org/licenses/by-nc/4.0/) License, which permits use, distribution and reproduction in any medium, provided the original work is properly cited and is not used for commercial purposes.
spellingShingle Original Articles
Lee, Moon Ok
Jin, Sung Yup
Lee, Sang Kyung
Hwang, Sangwon
Kim, Tae Gyu
Song, Yun Gyu
Video‐assisted thoracoscopic surgical wedge resection using multiplanar computed tomography reconstruction‐fluoroscopy after CT guided microcoil localization
title Video‐assisted thoracoscopic surgical wedge resection using multiplanar computed tomography reconstruction‐fluoroscopy after CT guided microcoil localization
title_full Video‐assisted thoracoscopic surgical wedge resection using multiplanar computed tomography reconstruction‐fluoroscopy after CT guided microcoil localization
title_fullStr Video‐assisted thoracoscopic surgical wedge resection using multiplanar computed tomography reconstruction‐fluoroscopy after CT guided microcoil localization
title_full_unstemmed Video‐assisted thoracoscopic surgical wedge resection using multiplanar computed tomography reconstruction‐fluoroscopy after CT guided microcoil localization
title_short Video‐assisted thoracoscopic surgical wedge resection using multiplanar computed tomography reconstruction‐fluoroscopy after CT guided microcoil localization
title_sort video‐assisted thoracoscopic surgical wedge resection using multiplanar computed tomography reconstruction‐fluoroscopy after ct guided microcoil localization
topic Original Articles
url https://www.ncbi.nlm.nih.gov/pmc/articles/PMC8169305/
https://www.ncbi.nlm.nih.gov/pubmed/33943015
http://dx.doi.org/10.1111/1759-7714.13968
work_keys_str_mv AT leemoonok videoassistedthoracoscopicsurgicalwedgeresectionusingmultiplanarcomputedtomographyreconstructionfluoroscopyafterctguidedmicrocoillocalization
AT jinsungyup videoassistedthoracoscopicsurgicalwedgeresectionusingmultiplanarcomputedtomographyreconstructionfluoroscopyafterctguidedmicrocoillocalization
AT leesangkyung videoassistedthoracoscopicsurgicalwedgeresectionusingmultiplanarcomputedtomographyreconstructionfluoroscopyafterctguidedmicrocoillocalization
AT hwangsangwon videoassistedthoracoscopicsurgicalwedgeresectionusingmultiplanarcomputedtomographyreconstructionfluoroscopyafterctguidedmicrocoillocalization
AT kimtaegyu videoassistedthoracoscopicsurgicalwedgeresectionusingmultiplanarcomputedtomographyreconstructionfluoroscopyafterctguidedmicrocoillocalization
AT songyungyu videoassistedthoracoscopicsurgicalwedgeresectionusingmultiplanarcomputedtomographyreconstructionfluoroscopyafterctguidedmicrocoillocalization