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Advances in Image-Guided Thoracic Surgery.

Biniam Kidane1, Kazuhiro Yasufuku1

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|April 27, 2016
PubMed
Summary

When needle biopsy fails, surgical excisional biopsy uses various localization techniques for tissue diagnosis. Microcoils, radiolabeling, and hook-wire methods show the highest efficacy for guiding these procedures.

Keywords:
Minimally invasive surgical proceduresNeoplasm invasivenessNon-small-cell lung carcinomaPulmonary surgical procedures

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Area of Science:

  • Thoracic Surgery
  • Pulmonary Medicine
  • Surgical Oncology

Background:

  • Needle biopsy may not yield sufficient tissue for diagnosis.
  • Surgical excisional biopsy is an alternative when initial biopsies are non-diagnostic.

Purpose of the Study:

  • To review localization techniques for surgical excisional biopsy.
  • To identify effective methods for guiding minimally invasive segmental resection.

Main Methods:

  • Review of intraoperative and preoperative localization modalities.
  • Analysis of techniques including ultrasonography, liquid dyes, radiolabeled aggregates, hook wires, microcoils, and navigational bronchoscopy.
  • Evaluation of methods for identifying intersegmental planes for resection.

Main Results:

  • Microcoil, radiolabeling, and hook-wire localization techniques demonstrate the highest evidence of efficacy.
  • 3-dimensional multidetector computed tomographic rendering, indocyanine green dye, and virtual bronchoscopy aid in identifying intersegmental planes.

Conclusions:

  • Various localization techniques can facilitate surgical excisional biopsy and minimally invasive resection.
  • Specific preoperative and intraoperative methods offer high efficacy and aid in surgical planning.