Please use this identifier to cite or link to this item: http://hdl.handle.net/2381/36133
Title: A Simple and Safe Technique for CT Guided Lung Nodule Marking prior to Video Assisted Thoracoscopic Surgical Resection Revisited
Authors: Stephenson, James A.
Mahfouz, Ayman
Rathinam, Sridhar
Nakas, Apostolos
Bajaj, Amrita
First Published: 2015
Publisher: Hindawi Publishing Corporation
Citation: Lung Cancer International Volume 2015 (2015), Article ID 235720, 3 pages
Abstract: Aim. We describe our experience of a simple, safe, and reproducible technique for lung nodule marking prethoracoscopic metastasectomy. Thoracoscopic lung nodule resection reduces patient discomfort, complications, higher level of care, hospital stay, and cost; however, small deeply placed lung nodules are difficult to locate and resect thoracoscopically. Materials and Methods. We describe and review the success of our novel technique, where nodules are identified on a low dose CT and marked with methylene blue using CT fluoroscopy guidance immediately prior to surgery. Results. 30 nodules were marked with a mean size of 8 mm (4–18 mm) located at a mean depth of 17 mm, distributed through both lungs. Dye was detected at the pleural surface in 97% of the patients and at the nodule in 93%. There were no major complications. Thoracoscopic resection was possible in 90%. Conclusion. This is a simple and safe method of lung nodule marking to facilitate thoracoscopic resection in cases where this may not be technically possible due to nodule location.
DOI Link: 10.1155/2015/235720
ISSN: 2090-3197
eISSN: 2090-3200
Links: http://www.hindawi.com/journals/lci/2015/235720/
http://hdl.handle.net/2381/36133
Version: Publisher Version
Status: Peer-reviewed
Type: Journal Article
Rights: Copyright © 2015 James A. Stephenson et al. This is an open access article distributed under the Creative Commons Attribution License CC BY 3.0 http://creativecommons.org/licenses/by/3.0/, which permits unrestricted use, distribution, and reproduction in any medium, provided the original work is properly cited.
Appears in Collections:Published Articles, College of Medicine, Biological Sciences and Psychology

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