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Lung nodule localization in hybrid room before minimally invasive thoracic surgery: series of 20 cases and literature review

OBJECTIVE: To describe an experience in the preoperative localization of small pulmonary nodules and ground-glass lesions to guide minimally invasive thoracic surgery; in addition, a literature review was conducted, including the main advantages and disadvantages of the different agents used, and si...

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Autores principales: Gilberto, Guilherme Moratti, Falsarella, Priscila Mina, de Andrade, Juliano Ribeiro, Schmid, Bruno Pagnin, Mariotti, Guilherme Cayres, Terra, Ricardo Mingarini, de Campos, Jose Ribas Milanez, Succi, Jose Ernesto, Garcia, Rodrigo Gobbo
Formato: Online Artículo Texto
Lenguaje:English
Publicado: Instituto Israelita de Ensino e Pesquisa Albert Einstein 2022
Materias:
Acceso en línea:https://www.ncbi.nlm.nih.gov/pmc/articles/PMC9000983/
https://www.ncbi.nlm.nih.gov/pubmed/35476085
http://dx.doi.org/10.31744/einstein_journal/2022AO6665
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author Gilberto, Guilherme Moratti
Falsarella, Priscila Mina
de Andrade, Juliano Ribeiro
Schmid, Bruno Pagnin
Mariotti, Guilherme Cayres
Terra, Ricardo Mingarini
de Campos, Jose Ribas Milanez
Succi, Jose Ernesto
Garcia, Rodrigo Gobbo
author_facet Gilberto, Guilherme Moratti
Falsarella, Priscila Mina
de Andrade, Juliano Ribeiro
Schmid, Bruno Pagnin
Mariotti, Guilherme Cayres
Terra, Ricardo Mingarini
de Campos, Jose Ribas Milanez
Succi, Jose Ernesto
Garcia, Rodrigo Gobbo
author_sort Gilberto, Guilherme Moratti
collection PubMed
description OBJECTIVE: To describe an experience in the preoperative localization of small pulmonary nodules and ground-glass lesions to guide minimally invasive thoracic surgery; in addition, a literature review was conducted, including the main advantages and disadvantages of the different agents used, and site marking in a hybrid operating room. METHODS: A retrospective search was conducted in a Interventional Radiology Department database, between March 2015 and May 2019, to identify patients undergoing preoperative percutaneous marking of lung injuries measuring up to 25mm. RESULTS: A total of 20 patients were included and submitted to descriptive analysis. All patients were marked in a hybrid room, at the same surgical-anesthetic time. Most often used markers were guidewire, Lipiodol(®) and microcoils. Despite one case of coil displacement, two cases of pneumothorax, and one case of hypotension after marking, all lesions were identified and resected accordingly from all patients. CONCLUSION: Preoperative percutaneous localization of lung injuries in hybrid room is an effective and a safe technique, which can have decisive impact on surgical resection. The choice of marker and of the operating room scenario should be based on availability and experience of service. Multidisciplinary discussions with surgical teams, pathologists, and interventional radiologists are crucial to improve outcome of patients.
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spelling pubmed-90009832022-04-15 Lung nodule localization in hybrid room before minimally invasive thoracic surgery: series of 20 cases and literature review Gilberto, Guilherme Moratti Falsarella, Priscila Mina de Andrade, Juliano Ribeiro Schmid, Bruno Pagnin Mariotti, Guilherme Cayres Terra, Ricardo Mingarini de Campos, Jose Ribas Milanez Succi, Jose Ernesto Garcia, Rodrigo Gobbo Einstein (Sao Paulo) Original Article OBJECTIVE: To describe an experience in the preoperative localization of small pulmonary nodules and ground-glass lesions to guide minimally invasive thoracic surgery; in addition, a literature review was conducted, including the main advantages and disadvantages of the different agents used, and site marking in a hybrid operating room. METHODS: A retrospective search was conducted in a Interventional Radiology Department database, between March 2015 and May 2019, to identify patients undergoing preoperative percutaneous marking of lung injuries measuring up to 25mm. RESULTS: A total of 20 patients were included and submitted to descriptive analysis. All patients were marked in a hybrid room, at the same surgical-anesthetic time. Most often used markers were guidewire, Lipiodol(®) and microcoils. Despite one case of coil displacement, two cases of pneumothorax, and one case of hypotension after marking, all lesions were identified and resected accordingly from all patients. CONCLUSION: Preoperative percutaneous localization of lung injuries in hybrid room is an effective and a safe technique, which can have decisive impact on surgical resection. The choice of marker and of the operating room scenario should be based on availability and experience of service. Multidisciplinary discussions with surgical teams, pathologists, and interventional radiologists are crucial to improve outcome of patients. Instituto Israelita de Ensino e Pesquisa Albert Einstein 2022-04-07 /pmc/articles/PMC9000983/ /pubmed/35476085 http://dx.doi.org/10.31744/einstein_journal/2022AO6665 Text en https://creativecommons.org/licenses/by/4.0/ This is an Open Access article distributed under the terms of the Creative Commons Attribution License, which permits unrestricted use, distribution, and reproduction in any medium, provided the original work is properly cited.
spellingShingle Original Article
Gilberto, Guilherme Moratti
Falsarella, Priscila Mina
de Andrade, Juliano Ribeiro
Schmid, Bruno Pagnin
Mariotti, Guilherme Cayres
Terra, Ricardo Mingarini
de Campos, Jose Ribas Milanez
Succi, Jose Ernesto
Garcia, Rodrigo Gobbo
Lung nodule localization in hybrid room before minimally invasive thoracic surgery: series of 20 cases and literature review
title Lung nodule localization in hybrid room before minimally invasive thoracic surgery: series of 20 cases and literature review
title_full Lung nodule localization in hybrid room before minimally invasive thoracic surgery: series of 20 cases and literature review
title_fullStr Lung nodule localization in hybrid room before minimally invasive thoracic surgery: series of 20 cases and literature review
title_full_unstemmed Lung nodule localization in hybrid room before minimally invasive thoracic surgery: series of 20 cases and literature review
title_short Lung nodule localization in hybrid room before minimally invasive thoracic surgery: series of 20 cases and literature review
title_sort lung nodule localization in hybrid room before minimally invasive thoracic surgery: series of 20 cases and literature review
topic Original Article
url https://www.ncbi.nlm.nih.gov/pmc/articles/PMC9000983/
https://www.ncbi.nlm.nih.gov/pubmed/35476085
http://dx.doi.org/10.31744/einstein_journal/2022AO6665
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