Thoracoscopic Localization of Small Peripheral Pulmonary Lesions Using Percutaneous Computed Tomography-guided Pleural Dye Marking: A Retrospective Analysis.
Small pulmonary lesion
ground glass nodule
localization
marking
thoracocentesis
Journal
Acta medica Okayama
ISSN: 0386-300X
Titre abrégé: Acta Med Okayama
Pays: Japan
ID NLM: 0417611
Informations de publication
Date de publication:
Feb 2021
Feb 2021
Historique:
entrez:
2
3
2021
pubmed:
3
3
2021
medline:
21
10
2021
Statut:
ppublish
Résumé
Small pulmonary lesions are often difficult to localize during thoracoscopic surgery. We describe a new com-puted tomography (CT)-guided pleural dye-marking method for small peripheral pulmonary lesions that does not involve a visceral pleural puncture. We used this technique for 23 lesions (22 patients) who underwent tho-racoscopic partial lung resection (Nov. 2016-Jan. 2018). With the patient in the lateral decubitus position, pre-operative CT-guided marking on the skin over the lesion was performed. During the surgery, we marked the visceral pleura with a skin marker directly or with an infant-size nutrition catheter with crystal violet at the tip through a venous indwelling needle inserted perpendicular to the skin marking. We localized and resected the lesions in all cases, without complications. The median nodule size measured histopathologically was 8 (4-20) mm overall, and 7 (0-20) mm of the solid part; the median distance from the visceral pleura to the nodule was 9 (1-33) mm. The median operation time was 67 (37-180) min. The median postoperative hospital stay was 3 (3-11) days. Our CT-guided pleural dye-marking method is useful and safe for the localization of small periph-eral pulmonary lesions in thoracoscopic partial lung resections.
Substances chimiques
Gentian Violet
J4Z741D6O5
Types de publication
Journal Article
Observational Study
Langues
eng
Sous-ensembles de citation
IM
Pagination
55-61Déclaration de conflit d'intérêts
No potential conflict of interest relevant to this article was reported.
Références
Eberth JM: Lung cancer screening with low-dose ct in the united states. J Am Coll Radiol (2015) 12: 1395-1402.
Altorki NK, Yip R, Hanaoka T, Bauer T, Aye R, Kohman L, Sheppard B, Thurer R, Andaz S, Smith M, Mayfield W, Grannis F, Korst R, Pass H, Straznicka M, Flores R, Henschke C and I-ELCAP Investigators: Sublobar resection is equivalent to lobec-tomy for clinical stage 1a lung cancer in solid nodules. J Thorac Cardiovasc Surg (2014) 147: 754-762; Discussion 762-754.
Congregado M, Merchan RJ, Gallardo G, Ayarra J and Loscertales J: Video-assisted thoracic surgery (VATS) lobectomy: 13 yearsʼ experience. Surg Endosc (2008) 22: 1852-1857.
Ichinose J, Kohno T, Fujimori S, Harano T and Suzuki S: Efficacy and complications of computed tomography-guided hook wire local-ization. Ann Thorac Surg (2013) 96: 1203-1208.
Miyoshi T, Kondo K, Takizawa H, Kenzaki K, Fujino H, Sakiyama S and Tangoku A: Fluoroscopy-assisted thoracoscopic resection of pulmonary nodules after computed tomography-guided bronchoscopic metallic coil marking. J Thorac Cardiovasc Surg (2006) 131: 704-710.
Okuda K, Yano M, Sasaki H, Moriyama S, Hikosaka Y, Shitara M, Tatematsu T, Suzuki A and Fujii Y: A safe method for marking small pulmonary nodules with crystal violet. Surg Today (2015) 45: 871-875.
Sekimura A, Funasaki A, Iwai S, Motono N, Usuda K and Uramoto H: Thoracoscopic small pulmonary nodule detection using computed tomography-guided cutaneous marking and pleural marking. J Thorac Dis (2019) 11: 2745-2753.
Miyoshi R, Yamashina A, Nishikawa S, Tamari S, Noguchi M, Hijiya K and Chihara K: Skin marking with computed tomography at functional residual capacity to predict lung nodule site. Interact Cardiovasc Thorac Surg (2020) 30: 36-38.
Khandhar SJ, Bowling MR, Flandes J, Gildea TR, Hood KL, Krimsky WS, Minnich DJ, Murgu SD, Pritchett M, Toloza EM, Wahidi MM, Wolvers JJ, Folch EE and NAVIGATE Study Investigators: Electromagnetic navigation bronchoscopy to access lung lesions in 1,000 subjects: first results of the prospective mul-ticenter NAVIGATE study. BMC Pulm Med. (2017) 17: 1-9
Sato M, Yamada T, Menju T, Aoyama A, Sato T, Chen F, Sonobe M, Omasa M and Date H: Virtual-assisted lung mapping: Outcome of 100 consecutive cases in a single institute. Eur J Cardiothorac Surg (2015) 47: e131-139.
Horan TA, Pinheiro PM, Araujo LM, Santiago FF and Rodrigues MR: Massive gas embolism during pulmonary nodule hook wire localization. Ann Thorac Surg (2002) 73: 1647-1649.
Sakiyama S, Kondo K, Matsuoka H, Yoshida M, Miyoshi T, Yoshida S and Monden Y: Fatal air embolism during computed tomography-guided pulmonary marking with a hook-type marker. J Thorac Cardiovasc Surg (2003) 126: 1207-1209.