eISSN: 1897-4252
ISSN: 1731-5530
Kardiochirurgia i Torakochirurgia Polska/Polish Journal of Thoracic and Cardiovascular Surgery
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3/2021
vol. 18
 
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abstract:
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Computed tomography-guided trans-pulmonary-hepatic approach coil localization for pulmonary nodules near the right lung base

Ya-Ge Zheng
1
,
Tao Wang
2
,
Pan-Hao Rong
2
,
Yu-Fei Fu
2

  1. Department of Interventional Radiology, Xuzhou City Hospital of Traditional Chinese Medicine, Xuzhou, China
  2. Department of Radiology, Xuzhou Central Hospital, Xuzhou, China
Kardiochirurgia i Torakochirurgia Polska 2021; 18 (3): 173-176
DOI: https://doi.org/10.5114/kitp.2021.109408
Online publish date: 2021/10/05
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Introduction
Video-assisted thoracoscopic surgery (VATS)-guided diagnostic wedge resection (WR) is frequently used for removal of pulmonary nodules (PNs). Preoperative computed tomography (CT)-guided coil localization (CL) is often used for guidance.
Aim: To evaluate the feasibility, safety, and effectiveness of CT-guided trans-pulmonary-hepatic approach CL of PNs near the right lung base.

Material and methods
Consecutive patients with PNs who underwent CT-guided CL followed by VATS-guided WR at our center from January 2018 to December 2020 were analyzed.

Results
One hundred and twenty-two patients with PNs underwent CT-guided CL followed by VATS-guided WR at our center. Of them, 5 (4.1%) patients had PNs near the right lung base and underwent the CT-guided trans-pulmonary-hepatic approach CL procedures. The technical success rate of CL was 100%. The VATS-guided WR was 100% successful. No patient required thoracotomy.

Conclusions
CT-guided trans-pulmonary-hepatic approach CL for PNs located near the right lung base is technically feasible.

keywords:

localization, trans-pulmonary-hepatic approach, coil, pulmonary nodule
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