Current Status and Future Perspectives of Preoperative and Intraoperative Marking in Thoracic Surgery
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View abstract on PubMed
Summary
This summary is machine-generated.Lung nodules detected via screening CT scans require precise surgical marking. This review examines traditional and novel preoperative and intraoperative marking techniques for thoracic surgeons, highlighting safety and efficacy.
Area Of Science
- Thoracic Surgery
- Medical Imaging
- Pulmonology
Background
- Lung cancer screening and thin-slice computed tomography (CT) increase detection of small pulmonary nodules.
- Surgical resection is the definitive treatment, necessitating accurate nodule identification and localization.
- Traditional hook-wire marking carries risks, including lethal air embolism.
Purpose Of The Study
- To review and compare various preoperative and intraoperative marking methods for small pulmonary nodules in thoracic surgery.
- To discuss the current status and future directions of nodule localization techniques.
- To provide a better understanding of marking strategies for precise nodule resection.
Main Methods
- Narrative review of existing literature on preoperative and intraoperative marking techniques.
- Exploration of historical methods like hook-wire marking.
- Discussion of novel techniques including virtual-assisted lung mapping, cone-beam CT, intraoperative molecular imaging, and dynamic 3D CT.
Main Results
- Hook-wire marking is historically common but associated with serious complications.
- Emerging techniques offer improved precision and safety for nodule localization.
- Advanced imaging modalities are being developed for real-time localization and margin assessment.
Conclusions
- Novel preoperative and intraoperative marking techniques are crucial for safe and effective resection of small lung nodules.
- Continued innovation in imaging and mapping is essential for advancing thoracic surgical procedures.
- Accurate localization improves diagnostic yield and treatment outcomes for lung nodules.
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