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Electromagnetic Navigation Transthoracic Nodule Localization for Minimally Invasive Thoracic Surgery
Published on: May 4, 2022
Computed tomography-guided coil localization for sub-fissural lung nodules
Er-Liang Li1, Wei Cao1, Yu Li1
1Department of Medical Imaging, Xuzhou Central Hospital, 221009.
Computed tomography (CT)-guided coil localization is a safe and effective method for pinpointing sub-fissural lung nodules before surgery. This technique ensures accurate localization for minimally invasive wedge resections using video-assisted thoracoscopic surgery (VATS).
Area of Science:
- Thoracic Surgery
- Diagnostic Imaging
- Pulmonology
Background:
- Sub-fissural lung nodules pose localization challenges for minimally invasive thoracic surgery.
- Accurate preoperative localization is crucial for successful wedge resection via video-assisted thoracoscopic surgery (VATS).
Purpose of the Study:
- To evaluate the safety, feasibility, and clinical efficacy of preoperative computed tomography (CT)-guided coil localization for sub-fissural lung nodules (LNs).
Main Methods:
- Retrospective analysis of 105 patients undergoing CT-guided coil localization and VATS wedge resection.
- Focus on 4 patients with sub-fissural LNs requiring trans-fissural coil placement.
- Assessment of coil localization procedure, VATS, and histopathological outcomes.
Main Results:
- Successful coil localization was achieved in all 4 patients with sub-fissural LNs.
- Minor complications included parenchymal hemorrhage (1 patient) and asymptomatic pneumothorax (1 patient).
- 100% technical success rate for wedge resection, with no coil dislodgement; nodules were adenocarcinomas in situ or benign.
Conclusions:
- CT-guided coil localization is a safe and feasible method for precisely locating sub-fissural lung nodules.
- This technique facilitates accurate targeting for VATS wedge resection, improving surgical outcomes.
- Coil localization offers a reliable solution for challenging nodule locations within the lung parenchyma.
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