Titre
Video-assisted thoracoscopic resection of a small pulmonary nodule after computed tomography-guided localization with a hook-wire system. Experience in 45 consecutive patients.
Type
article
Institution
UNIL/CHUV/Unisanté + institutions partenaires
Périodique
Auteur(s)
Pittet, O.
Auteure/Auteur
Christodoulou, M.
Auteure/Auteur
Pezzetta, E.
Auteure/Auteur
Schmidt, S.
Auteure/Auteur
Schnyder, P.
Auteure/Auteur
Ris, H.B.
Auteure/Auteur
Liens vers les personnes
Liens vers les unités
ISSN
0364-2313
Statut éditorial
Publié
Date de publication
2007
Volume
31
Numéro
3
Première page
575
Dernière page/numéro d’article
578
Peer-reviewed
Oui
Langue
anglais
Notes
Publication types: Journal Article ; Validation Studies - Publication Status: ppublish
Résumé
BACKGROUND: This study is a single-institution validation of video-assisted thoracoscopic (VATS) resection of a small solitary pulmonary nodule (SPN) previously localized by a CT-guided hook-wire system in a consecutive series of 45 patients. METHODS: The records of all patients undergoing VATS resection for SPN preoperatively localized by CT-guided a hook-wire system from January 2002 to December 2004 were assessed with respect to failure to localize the lesion by the hook-wire system, conversion thoracotomy rate, duration of operation, postoperative complications, and histology of SPN. RESULTS: Forty-five patients underwent 49 VATS resections, with simultaneous bilateral SPN resection performed in 4. Preoperative CT-guided hook-wire localization failed in two patients (4%). Conversion thoracotomy was necessary in two patients (4%) because it was not possible to resect the lesion by a VATS approach. The average operative time was 50 min. Postoperative complications occurred in 3 patients (6%), one hemothorax and two pneumonia. The mean hospital stay was 5 days (range: 2-18 days). Histological assessment revealed inflammatory disease in 17 patients (38%), metastasis in 17 (38%), non-small-cell lung cancer (NSCLC) in 4 (9%), lymphoma in 3 (6%), interstitial fibrosis in 2 (4%), histiocytoma in one (2%), and hamartoma in one (2%). CONCLUSIONS: Histological analysis of resected SPN revealed unexpected malignant disease in more than 50% of the patients indicating that histological clarification of SPN seems warranted. Video-assisted thoracoscopic resection of SPN previously localized by a CT-guided hook-wire system is related to a low conversion thoracotomy rate, a short operation time, and few postoperative complications, and it is well suited for the clarification of SPN.
PID Serval
serval:BIB_A1D83CB1480B
PMID
Open Access
Oui
Date de création
2008-01-29T12:00:29.803Z
Date de création dans IRIS
2025-05-20T21:42:10Z
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Nom
REF.pdf
Version du manuscrit
published
Taille
78.06 KB
Format
Adobe PDF
PID Serval
serval:BIB_A1D83CB1480B.P001
URN
urn:nbn:ch:serval-BIB_A1D83CB1480B1
Somme de contrôle
(MD5):26b06c22d7282fb57ffbe74fd35de6ab