Thorac Cardiovasc Surg 2016; 64(02): 182-186
DOI: 10.1055/s-0035-1545262
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Georg Thieme Verlag KG Stuttgart · New York

Stepwise Tactile Localization and Wedge Resections for Deep Pulmonary Nodules during Video-Assisted Thoracoscopic Surgery

Hui Zheng
1   Department of General Thoracic Surgery, Tongji University School of Medicine, Shanghai, China
,
Sen Jiang
2   Department of Radiology, Tongji University School of Medicine, Shanghai, China
,
Chang Chen
1   Department of General Thoracic Surgery, Tongji University School of Medicine, Shanghai, China
› Author Affiliations
Further Information

Publication History

31 August 2014

18 December 2014

Publication Date:
18 March 2015 (online)

Abstract

This article details a modified method of tactile localization for deep pulmonary nodules of less than 20 mm size and at a distance of more than 15 mm from the visceral pleura. Sixteen patients with deep nodules were successfully located and underwent subsequent thoracoscopic wedge resection. This technique is a continuance of the traditional finger-tough method, which can be an effective complementary technique.

 
  • References

  • 1 Carr SR, Schuchert MJ, Pennathur A , et al. Impact of tumor size on outcomes after anatomic lung resection for stage 1A non-small cell lung cancer based on the current staging system. J Thorac Cardiovasc Surg 2012; 143 (2) 390-397
  • 2 Huang W, Ye H, Wu Y , et al. Hook wire localization of pulmonary pure ground-glass opacities for video-assisted thoracoscopic surgery. Thorac Cardiovasc Surg 2014; 62 (2) 174-178
  • 3 Kerrigan DC, Spence PA, Crittenden MD, Tripp MD. Methylene blue guidance for simplified resection of a lung lesion. Ann Thorac Surg 1992; 53 (1) 163-164
  • 4 Kohno T, Fujimori S, Kishi K, Fujii T. Safe and effective minimally invasive approaches for small ground glass opacity. Ann Thorac Surg 2010; 89 (6) S2114-S2117