Coil Localization-Guided Video-Assisted Thoracoscopic Surgery for Lung Nodules

Area of Science:

• Thoracic Surgery
• Pulmonology
• Medical Imaging

Background:

• Lung nodules require precise localization for minimally invasive resection.
• Video-assisted thoracoscopic surgery (VATS) offers a less invasive approach for lung nodule removal.
• Computed tomography (CT)-guided coil localization can aid in targeting non-palpable lung lesions.

Purpose of the Study:

• To evaluate the clinical efficacy of preoperative coil localization-guided VATS for lung nodules.
• To assess the technical success and complication rates of this combined approach.

Main Methods:

• 56 patients with lung nodules underwent CT-guided coil implantation followed by VATS wedge resection.
• Coil placement ensured the end tail remained above the visceral pleura.
• Data collected included technical success of localization and resection, complications, and pathology.

Main Results:

• Coil localization achieved an 89.6% technical success rate for 67 nodules.
• VATS wedge resection had a 97.0% technical success rate.
• Complications included pneumothorax (9.0%), prolonged air leak (2 patients), and pleural effusion (5 patients).

Conclusions:

• Preoperative coil localization is a safe and effective method for VATS wedge resection of lung nodules.
• This technique facilitates a high success rate in minimally invasive lung nodule treatment.