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Uniportal VATS Coil-Assisted Resections for GGOs
Joint Authors
Iezzi, Roberto
Congedo, Maria Teresa
Nachira, Dania
Larici, Anna Rita
Chiappetta, Marco
Calandriello, Lucio
Vita, Maria Letizia
Meacci, Elisa
Porziella, Venanzio
Ismail, Mahmoud
Manfredi, Riccardo
Margaritora, Stefano
Source
Issue
Vol. 2019, Issue 2019 (31 Dec. 2019), pp.1-7, 7 p.
Publisher
Hindawi Publishing Corporation
Publication Date
2019-05-12
Country of Publication
Egypt
No. of Pages
7
Main Subjects
Abstract EN
Backgrounds.
Although uniportal video-assisted thoracic surgery (VATS) theoretically allows the direct palpation of any zone of the lung through a small incision, sometimes it can be difficult to localize pure ground-glass opacities anyway.
The aim of this study is to evaluate the usefulness and safety of preoperative computed tomography (CT)-guided microcoil localization of GGO nodules in patients undergoing uniportal VATS lung resection.
Methods.
The clinical data and CT images of 30 consecutive patients (30 pulmonary nodules) who underwent preoperative CT-guided coil localization and subsequent uniportal VATS resection, from January 2017 to October 2018, were reviewed.
Results.
All the CT-localization procedures have been performed with success (30/30) and the mean procedure time was 35±15 minutes.
The mean size of the nodules was 15,53±6,72 mm, and the mean distance of the nodules from the pleural surface was 19,08±12,08 mm.
Eleven nodules (36,7%) were pure ground-glass opacities and 19 (63,3%) were mixed ground-glass with a solid component of 50% or more.
In 5 cases, the localization procedure was complicated by asymptomatic pneumothoraxes and in 1 case the pneumothorax required chest tube insertion.
In any case a conversion to thoracotomy was avoided because all nodules were identified and resected through uniportal VATS.
Conclusions.
Preoperative CT-guided coil localization seems to be a feasible, safe, and accurate procedure.
It makes uniportal VATS an easy approach even for resecting small, deep, and impalpable nodules.
American Psychological Association (APA)
Congedo, Maria Teresa& Iezzi, Roberto& Nachira, Dania& Larici, Anna Rita& Chiappetta, Marco& Calandriello, Lucio…[et al.]. 2019. Uniportal VATS Coil-Assisted Resections for GGOs. Journal of Oncology،Vol. 2019, no. 2019, pp.1-7.
https://search.emarefa.net/detail/BIM-1184297
Modern Language Association (MLA)
Congedo, Maria Teresa…[et al.]. Uniportal VATS Coil-Assisted Resections for GGOs. Journal of Oncology No. 2019 (2019), pp.1-7.
https://search.emarefa.net/detail/BIM-1184297
American Medical Association (AMA)
Congedo, Maria Teresa& Iezzi, Roberto& Nachira, Dania& Larici, Anna Rita& Chiappetta, Marco& Calandriello, Lucio…[et al.]. Uniportal VATS Coil-Assisted Resections for GGOs. Journal of Oncology. 2019. Vol. 2019, no. 2019, pp.1-7.
https://search.emarefa.net/detail/BIM-1184297
Data Type
Journal Articles
Language
English
Notes
Includes bibliographical references
Record ID
BIM-1184297