Coil localization assisted wedge resection for pulmonary nodules in patients with malignant history.
Medicine (Baltimore)
; 100(47): e28025, 2021 Nov 24.
Article
em En
| MEDLINE
| ID: mdl-34964799
ABSTRACT
ABSTRACT We describe the clinical efficacy of coil localization (CL) assisted video-assisted thoracoscopic surgery (VATS) wedge resection (WR) for pulmonary nodules (PNs) in patients having a history of malignancy.In a total of 16 patients having PNs and malignant history, treatment was carried out using computed tomography (CT)-guided CL and subsequent VATS-guided WR procedures from November 2015 to December 2019. Technical success of CL, WR, and long-term outcomes was analyzed.A total of 21 PNs were localized (1.3 PNs per patient). A 100% technical success rate was achieved in this study for CT-guided CL. Each PN was localized with 1 coil. Two and 2 patients experienced pneumothorax and hemoptysis, respectively. VATS-guided WR also achieved a 100% technical success rate. Additional lobectomy was performed in 2 patients due to the invasive adenocarcinoma. The final diagnoses of these 21 PNs were adenocarcinoma (T1N0M0, nâ=â8), adenocarcinoma in situ (nâ=â2), pre-cancerosis (nâ=â1), metastasis (nâ=â2), and benign (nâ=â8). All patients underwent CT follow-up for 6 to 48âmonths. All patients were alive during the follow-up. The cumulative 6-, 12, and 24-month disease-free survival rates were 100%, 92.9%, and 47.3%, respectively. The median disease-free survival was 27.9âmonths.Pre-operative CT-guided CL can be safely and conveniently used to facilitate a high success rate of VATS-guided WR for PNs in patients with a malignant history. Among the PNs in patients with malignant history, primary lung cancer also occupied approximately half of the PNs.
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MEDLINE
Assunto principal:
Adenocarcinoma
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Tomografia Computadorizada por Raios X
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Nódulo Pulmonar Solitário
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Procedimentos Cirúrgicos Minimamente Invasivos
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Cirurgia Torácica Vídeoassistida
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Nódulos Pulmonares Múltiplos
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Neoplasias Pulmonares
Idioma:
En
Ano de publicação:
2021
Tipo de documento:
Article