Clinic research of video-assisted thoracoscopic solitary pulmonary nodule resection after CT-guided hardening agent localization
10.3760/cma.j.issn.1001-4497.2012.07.005
- VernacularTitle:肺部小结节胸腔镜术前CT引导下硬化剂定位的临床应用价值
- Author:
Ninglei QIU
;
Zhi ZHANG
;
Yiping ZHUANG
;
Yong YU
;
Jin ZHANG
;
Hui JIA
;
Dongjie FENG
;
Lin XU
- Publication Type:Journal Article
- Keywords:
Pulmonary nodule,solitary;
Thoracoscopy;
CT guidance;
Hardening agent
- From:
Chinese Journal of Thoracic and Cardiovascular Surgery
2012;28(7):398-400
- CountryChina
- Language:Chinese
-
Abstract:
Objective The aim of this study is to evaluate the efficacy and safety of preoperative CT-guided hardening agent localization.Methods From December 2010 to January 2012,27 patients with 29 solitary pulmonary nodules who had undergone CT-guided hardening agent localization and video-assisted thoracoscopic surgery (VATS) were studied.Results All cases were underwent CT-guided hardening agent localization successfully,and no patient had serious complication that required any intervention.The diameter of nodules ranged from 3 to 21 mm as measured by CT[mean (11.27 ± 6.32) mm].The distance between the center of nodule and visceral pleural ranged from 4 to 38 mm[mean (14.45 ± 4.32) mm].Conversion from VATS to thoracotomies was not necessary during the diagnostic resection procedure nodules.29 solitary pulmonary nodules underwent thoracoscopic wedge resection,and no intra-or postoperative mortality or morbidity was recorded.Conclusion CT-guided hardening agent localization before video-assisted thoracoscopic solitary pulmonary nodule resection is a safe and effective procedure for accurate diagnosis and resection of indeterminate solitary pulmonary nodules.