Thorac cardiovasc Surg
DOI: 10.1055/s-0038-1676964
How to Do It
Georg Thieme Verlag KG Stuttgart · New York

Electromagnetic Navigation Bronchoscopy Triple Contrast Dye Marking for Lung Nodule Localization

Calvin S.H. Ng
1  Department of Surgery, The Chinese University of Hong Kong, Prince of Wales Hospital, Hong Kong, Hong Kong
,
Zerui Zhao
2  Department of Thoracic Surgery, Sun Yat-sen University Cancer Center, Guangzhou, People's Republic of China
,
Hao Long
2  Department of Thoracic Surgery, Sun Yat-sen University Cancer Center, Guangzhou, People's Republic of China
,
Rainbow W.H. Lau
1  Department of Surgery, The Chinese University of Hong Kong, Prince of Wales Hospital, Hong Kong, Hong Kong
› Author Affiliations
Funding Research Grants Council General Research Fund HK, No. 14117715.
Further Information

Publication History

09 October 2018

22 November 2018

Publication Date:
11 January 2019 (online)

Abstract

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.

Note

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.