A pilot study of intraoperative localization of peripheral small pulmonary tumors by cone-beam computed tomography: sandwich marking technique.

Lung cancer cone-beam computed tomography (CBCT) localization small pulmonary nodules video-assisted thoracoscopic surgery (VATS)

Journal

Journal of thoracic disease
ISSN: 2072-1439
Titre abrégé: J Thorac Dis
Pays: China
ID NLM: 101533916

Informations de publication

Date de publication:
Aug 2022
Historique:
received: 13 02 2022
accepted: 19 05 2022
entrez: 8 9 2022
pubmed: 9 9 2022
medline: 9 9 2022
Statut: ppublish

Résumé

Intraoperative identification of small pulmonary nodules has been an important technical issue. We aimed to develop a new localization method which is much safer and simple procedure compared with conventional methods. This was a retrospective study including patients with resected peripheral pulmonary nodules between November 2017 and April 2021 at Teikyo University School of Medicine, and Saitama Cardiovascular and Respiratory Center. All surgical procedure was wedge resection, and the tumor size was equal to or less than 20 mm which were detected by cone-beam computed tomography (CBCT; Philips Allura Xper FD 20, Philips). Some metal clips were put on several places of visceral pleura, where the target lesion was sandwiched by marking clips (sandwich marking technique). CBCT detected both the target lesion and metal clips, and video-assisted thoracoscopic surgery (VATS) was performed. Radiological and pathological findings were analyzed, and the correlation coefficient of tumor size was examined among pre-, intra-, and post-operative tumor sizes. The average age of 90 patients was 65.2 years, and 47 were male (52.2%). All procedure was wedge resection including twelve bi-wedge resections, and one hundred nine peripheral pulmonary lesions were obtained by sandwich marking technique. The detection rate was 100%, and there was no marking-related complication. All small peripheral pulmonary lesions were successfully detected and resected by using CBCT with no marking-related complication. Sandwich marking technique was demonstrated to provide safe, reliable, and simple localization procedure for small peripheral pulmonary lesions.

Sections du résumé

Background UNASSIGNED
Intraoperative identification of small pulmonary nodules has been an important technical issue. We aimed to develop a new localization method which is much safer and simple procedure compared with conventional methods.
Methods UNASSIGNED
This was a retrospective study including patients with resected peripheral pulmonary nodules between November 2017 and April 2021 at Teikyo University School of Medicine, and Saitama Cardiovascular and Respiratory Center. All surgical procedure was wedge resection, and the tumor size was equal to or less than 20 mm which were detected by cone-beam computed tomography (CBCT; Philips Allura Xper FD 20, Philips). Some metal clips were put on several places of visceral pleura, where the target lesion was sandwiched by marking clips (sandwich marking technique). CBCT detected both the target lesion and metal clips, and video-assisted thoracoscopic surgery (VATS) was performed. Radiological and pathological findings were analyzed, and the correlation coefficient of tumor size was examined among pre-, intra-, and post-operative tumor sizes.
Results UNASSIGNED
The average age of 90 patients was 65.2 years, and 47 were male (52.2%). All procedure was wedge resection including twelve bi-wedge resections, and one hundred nine peripheral pulmonary lesions were obtained by sandwich marking technique. The detection rate was 100%, and there was no marking-related complication.
Conclusions UNASSIGNED
All small peripheral pulmonary lesions were successfully detected and resected by using CBCT with no marking-related complication. Sandwich marking technique was demonstrated to provide safe, reliable, and simple localization procedure for small peripheral pulmonary lesions.

Identifiants

pubmed: 36071773
doi: 10.21037/jtd-22-190
pii: jtd-14-08-2845
pmc: PMC9442511
doi:

Types de publication

Journal Article

Langues

eng

Pagination

2845-2854

Commentaires et corrections

Type : CommentIn

Informations de copyright

2022 Journal of Thoracic Disease. All rights reserved.

Déclaration de conflit d'intérêts

Conflicts of Interest: All authors have completed the ICMJE uniform disclosure form (available at https://jtd.amegroups.com/article/view/10.21037/jtd-22-190/coif). The authors have no conflicts of interest to declare.

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Auteurs

Yuichi Saito (Y)

Department of Surgery, Teikyo University School of Medicine, Tokyo, Japan.
Department of Thoracic Surgery, Saitama Cardiovascular and Respiratory Center, Saitama, Japan.

Tomohiro Watanabe (T)

Department of Surgery, Teikyo University School of Medicine, Tokyo, Japan.

Yasuyuki Kanamoto (Y)

Department of Surgery, Teikyo University School of Medicine, Tokyo, Japan.

Momoko Asami (M)

Department of Surgery, Teikyo University School of Medicine, Tokyo, Japan.

Fumi Yokote (F)

Department of Surgery, Teikyo University School of Medicine, Tokyo, Japan.

Hitoshi Dejima (H)

Department of Surgery, Teikyo University School of Medicine, Tokyo, Japan.

Hiroaki Morooka (H)

Department of Thoracic Surgery, Saitama Cardiovascular and Respiratory Center, Saitama, Japan.

Takayuki Ibi (T)

Department of Thoracic Surgery, Saitama Cardiovascular and Respiratory Center, Saitama, Japan.

Yoshikane Yamauchi (Y)

Department of Surgery, Teikyo University School of Medicine, Tokyo, Japan.

Nobumasa Takahashi (N)

Department of Thoracic Surgery, Saitama Cardiovascular and Respiratory Center, Saitama, Japan.

Tomohiko Ikeya (T)

Department of Thoracic Surgery, Saitama Cardiovascular and Respiratory Center, Saitama, Japan.

Yukinori Sakao (Y)

Department of Surgery, Teikyo University School of Medicine, Tokyo, Japan.

Masafumi Kawamura (M)

Department of Surgery, Teikyo University School of Medicine, Tokyo, Japan.

Classifications MeSH