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[Hookwire localization of pulmonary nodules for video-thorascopic surgical resection]
M J Soleto1, M J Olivera, Y W Pun
1Servicios de Radiología, Hospital de la Princesa, Universidad Autónoma de Madrid, Spain.
Objectives:
To assess the usefulness of a technique for inserting hookwires guided by computed tomography to locate and resect pulmonary nodules by video-assisted thoracoscopy. To describe the procedure and its complications.
Patients And Methods:
Nine pulmonary nodules were located in nine patients. All were
Results:
The hookwire was placed correctly in 8 patients and incorrectly in 1. Thoracotomy was necessary for 1 patient. The histologic diagnosis was benign for all 9 nodules; 5 were hamartomas, 2 were necrotic or fibrotic nodules, 1 was a granuloma and 1 was an anthracotic node. Hospital stay ranged from 1 to 8 days (mean 3.3 days).
Conclusion:
The location of pulmonary nodes by hookwire and needle for later resection by video-assisted thoracoscopic surgery is a simple, safe way to facilitate removal in some cases, for diagnosis and treatment.