Combination of CT‑guided hookwire localization and video‑assisted thoracoscopic surgery for pulmonary nodular lesions: Analysis of 103 patients

Li,Wentao; Wang,Ying; He,Xinhong; Li,Guodong; Wang,Shengping; Xu,Lichao; Yuan,Zheng

doi:10.3892/ol.2012.800

October 2012 Volume 4 Issue 4

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October 2012 Volume 4 Issue 4

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Article

Combination of CT‑guided hookwire localization and video‑assisted thoracoscopic surgery for pulmonary nodular lesions: Analysis of 103 patients

Authors:
- Wentao Li
- Ying Wang
- Xinhong He
- Guodong Li
- Shengping Wang
- Lichao Xu
- Zheng Yuan
View Affiliations / Copyright

Affiliations: Department of Radiology, Fudan University Shanghai Cancer Center, Shanghai 200032, P.R. China
Pages: 824-828
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Published online on: July 13, 2012

https://doi.org/10.3892/ol.2012.800
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Abstract

At present, there is no standardized method for the diagnosis and management of pulmonary nodular lesions (PNLs) smaller than 3 cm. This study investigated the use of computed tomography (CT)‑guided hookwire localization and video‑assisted thoracoscopic surgery (VATS) for PNLs. A total of 103 patients undergoing CT‑guided hookwire localization and VATS were enrolled, and 107 lesions were collected. We assessed the localization achievement ratio, complications rate, conversion thoracotomy rate, intraoperative dislodgement rate, pathological diagnosis rate, duration of surgery and average days of hospitalization. All 107 nodules from 103 patients were successfully localized (100%), the asymptomatic pneumothorax rate was 36.9%, the asymptomatic hemorrhage rate was 40.8% and the simultaneous pneumothorax and hemorrhage rate was 8.7%. A conversion thoracotomy was required in 2 (1.9%) patients and the intraoperative dislodgement rate was 2.9%. The average time for localization was 11±4 min, and the average times for wedge resection and lobectomies were 16±2 and 95±30 min, respectively. The mean hospitalization time following the surgery was 6±3 days. All 107 nodules managed to achieve pathological diagnoses. A combination of CT‑guided hookwire localization and VATS for PNL is a safe and efficient procedure of great clinical value.

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Journals

International Journal of Molecular Medicine

International Journal of Oncology

Molecular Medicine Reports

Oncology Reports

Experimental and Therapeutic Medicine

Oncology Letters

Biomedical Reports

Molecular and Clinical Oncology

World Academy of Sciences Journal

International Journal of Functional Nutrition

International Journal of Epigenetics

Medicine International

Combination of CT‑guided hookwire localization and video‑assisted thoracoscopic surgery for pulmonary nodular lesions: Analysis of 103 patients

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