Preoperative localization of additional pulmonary nodules in suspected lung cancer patients
10.3969/j.issn.1002-1671.2017.08.027
- VernacularTitle:拟诊肺癌患者肺额外结节切除术前介入定位
- Author:
Tianhao SU
;
Long JIN
;
Zhi GAO
;
Guowen XIAO
;
Guang CHEN
;
Yanjing HAN
;
Zhiyuan ZHANG
;
Kailan YANG
- Keywords:
small pulmonary nodule;
preoperative localization;
multiple pulmonary lesions;
lung cancer;
video-assisted thoracoscopic surgery
- From:
Journal of Practical Radiology
2017;33(8):1265-1268
- CountryChina
- Language:Chinese
-
Abstract:
Objective To study CT-guided localization of additional pulmonary nodules with microcoils prior to video-assisted thoracoscopic surgery (VATS) resection in patients with suspected lung cancer.Methods Eleven patients suspected lung cancer underwent preoperative microcoils localization towards additional small pulmonary nodules.The head of microcoil was pinpointed adjacent to the target nodule while its end tail remained above the visceral pleura.VATS were performed within 24 hours, and comprehensive assessments were conducted according to surgical and pathological outcomes of primary and additional lesions, and suitable surgical processes were followed.Results All 11 localizing pulmonary nodules (4-15 mm in diameter) were successfully removed after VATS, 9 microcoils'' end tails of which were placed above visceral pleural surface.There were no serious complications related with localizing procedure.Other 16 lesions including 11 primary ones were resected.The surgical and pathological outcomes for lung lesions were utterly assessed.Conclusion Microcoil preoperative localization provides helpful orientation for complete resection and assessment of multiple pulmonary lesions in patients with suspected lung cancer.
