Electromagnetic Navigation Bronchoscopy Triple Contrast Dye Marking for Lung Nodule LocalizationFunding Research Grants Council General Research Fund HK, No. 14117715.
09 October 2018
22 November 2018
11 January 2019 (online)
Small pulmonary lesions can be difficult to localize during video-assisted thoracoscopic surgery. Electromagnetic navigation bronchoscopy (ENB) dye marking of the lesion, particularly when guided by cone beam computed tomography in the hybrid operating room (HOR), is an emerging approach. However, issues with confirmation of dye injection and intraoperative visualization of the colored dye can be unpredictable and challenging. To address these uncertainties, we present our technique of ENB dye marking localization of lung nodule using the triple-contrast dye method in the HOR.
Keywordsdye marking - electromagnetic navigation bronchoscopy - hybrid operating room - indocyanine green - video-assisted thoracoscopic surgery
Written informed consent was obtained from patients for report and images.
Institutional Review Board approval was waived due to the retrospective nature of case reporting, and no patient details are disclosed.
- 1 Krimsky WS, Minnich DJ, Cattaneo SM. , et al. Thoracoscopic detection of occult indeterminate pulmonary nodules using bronchoscopic pleural dye marking. J Community Hosp Intern Med Perspect 2014; 4: 4
- 2 Ng CSH, Chu CM, Lo CK, Lau RWH. Hybrid operating room Dyna-computed tomography combined image-guided electromagnetic navigation bronchoscopy dye marking and hookwire localization video-assisted thoracic surgery metastasectomy. Interact Cardiovasc Thorac Surg 2018; 26 (02) 338-340
- 3 Ng CS, Yu SC, Lau RW, Yim AP. Hybrid DynaCT-guided electromagnetic navigational bronchoscopic biopsy. Eur J Cardiothorac Surg 2016; 49 (Suppl. 01) i87-i88
- 4 Zhao ZR, Lau RWH, Ng CSH. Hybrid theater and uniportal video-assisted thoracic surgery: the perfect match for lung nodule localization. Thorac Surg Clin 2017; 27 (04) 347-355