Diagnostic and treatment value of CT-guided coil localization followed by real-time DSA-guided accurate resection of solitary pulmonary nodules with video-assisted thracoscopic surgery
- VernacularTitle:CT 引导下弹簧圈定位结合 DSA 实时导向 VATS 精准切除孤立性肺结节的诊疗价值
- Author:
Yong QIANG
;
Nan YANG
;
Jian XU
;
Lei XIONG
;
Jun YI
;
Jianjun QIAN
;
Liguo LUO
;
Guohua DONG
;
Yi SHEN
;
Demin LI
;
Zhongdong LI
- Publication Type:Journal Article
- Keywords:
Solitary pulmonary nodule;
Real-time digital subtraction angiography;
Video-assisted thracoscopic surgery;
Coil localization
- From:
Journal of Medical Postgraduates
2015;(2):153-156
- CountryChina
- Language:Chinese
-
Abstract:
Objective The localization of pulmonary nodules in surgery remains a clinical challenge .In this study we dis-cussed the diagnostic and treatment value of CT-guided coil localization followed by real-time digital subtraction angiography ( DSA)-guided accurate resection of solitary pulmonary nodules (SPN) with video-assisted thracoscopic surgery (VATS). Methods This study involved 82 cases of SPN treated in the Department of Cardiothoracic Surgery of Jinling Hospital from September 2011 to May 2014 .The SPNs were preoperatively positioned by placing a metal coil close to the lesion under CT guidance on the same day of surger -y.Then VATS wedge resection of the SPNs was performed under the guidance of real -time DSA and further procedures followed in ac-cordance with the results of intraoperative pathology . Results The success rate of coil localization was 100%, the mean time of po-sitioning was (15.3 ±3.2) min, and the mean time of VATS wedge resection was (24.2 ±12.1) min.Pathological results revealed 45 cases of malignancy and 37 cases of benign lesions . Conclusion Preoperative CT-guided coil localization of SPNs showed a high accuracy and no serious complications , and by real-time DSA-guided VATS that immediately followed , the nodules could be precisely removed with the cutting edge 2 cm above the lesion , which achieved both the purposes of diagnosis and treatment of SPNs .
