CT-guided localization with a Hook-wire system for nodular pulmonary lesions before video-assisted thoracoscopic resection
10.3760/cma.j.issn.1005-1201.2010.05.017
- VernacularTitle:胸腔镜术前CT引导下Hook-wire定位肺内结节性病灶
- Author:
Shengping WANG
;
Wentao LI
;
Weijun PENG
;
Haiquan CHEN
;
Guodong LI
;
Xinhong HE
;
Lichao XU
;
Biao WANG
;
Jianhua ZHOU
;
Hong HU
;
Xian ZHOU
;
Xiaoyang LUO
- Publication Type:Journal Article
- Keywords:
Coin lesion,pulmonary;
Stereotaxic techniques;
Tomography,X-ray computed;
Thoracoscopy;
Hook-wire
- From:
Chinese Journal of Radiology
2010;44(5):518-522
- CountryChina
- Language:Chinese
-
Abstract:
Objective To evaluate the feasibility,safety and clinical value of CT-guided localization with a Hook-wire system for nodular pulmonary lesions before video-assisted thoracoscopic resection (VATS). Methods The records of all patients undergoing VATS resection for solitary pulmonary nodules preoperatively localized by CT-guided a Hook-wire system were assessed with respect to failure to localize the lesion by the Hook-wire system, conversion thoracotomy rate, duration of operation, postoperative complications, and histology of nodular pulmonary lesions. Results Sixty-eight patients with seventy four nodules underwent VATS resections. Preoperative CT-guided Hook-wire localization succeeded in all patients ( 100. 0% ). Conversion thoracotomy was necessary in 2 patients. The average operative time was ( 15 ±6)min. Asymptomatic complication rate was 70.6% (48/68), asymptomatic pneumothorax rate, asymptomatic hemorrhage rate and simultaneous pneumothorax and bleeding rate were 45.6% (31/68),25.0% ( 17/68 ) and 4. 4% ( 3/68 ), respectively. The mean hospitalization was ( 15 ± 6 ) days.Histological assessment revealed primary lung cancer (NSCLC) in 30, metastasis in 18, and nonmalignant disease in 26 nodules. Conclusions Video-assisted thoracoscopic resection of nodular pulmonary lesions previously localized by a CT-guided Hook-wire system is related to a low conversion thoracotomy rate, short operation time, and high safety. It for differential diagnosis and treatment.
