Skip to main content

Advertisement

SpringerLink
Log in

Simultaneous Multiple Preoperative Localizations of Small Pulmonary Lesions Using a Short Hook Wire and Suture System

  • Clinical Investigation
  • Published:
CardioVascular and Interventional Radiology Aims and scope Submit manuscript

Abstract

Purpose

The aim of the study was to retrospectively evaluate simultaneous multiple hook wire placement outcomes before video-assisted thoracoscopic surgery (VATS).

Materials and Methods

Thirty-eight procedures were performed on 35 patients (13 men and 22 women; mean age, 59.9 years) with 80 lung lesions (mean diameter 7.9 mm) who underwent simultaneous multiple hook wire placements for preoperative localizations. The primary endpoints were technical success, complications, procedure duration, and VATS outcome; secondary endpoints included comparisons between technical success rates, complication rates, and procedure durations of the 238 single-placement procedures performed. Complications were also evaluated.

Results

In 35 procedures including 74 lesions, multiple hook wire placements were technically successful; in the remaining three procedures, the second target placement was aborted because of massive pneumothorax after the first placement. Although complications occurred in 34 procedures, no grade 3 or above adverse event was observed. The mean procedure duration was 36.4 ± 11.8 min. Three hook wires dislodged during patient transport to the surgical suite. Seventy-four successfully marked lesions were resected. Six lesions without hook wires were successfully resected after detection by palpation with an additional mini-thoracotomy or using subtle pleural changes as a guide. The complication rates and procedure durations of multiple-placement procedures were significantly higher (P = 0.04) and longer (P < 0.001) than those in the single-placement group, respectively, while the technical success rate was not significantly different (P = 0.051).

Conclusions

Simultaneous multiple hook wire placements before VATS were clinically feasible, but increased the complication rate and lengthened the procedure time.

This is a preview of subscription content, log in via an institution to check access.

Access this article

Log in via an institution

Price excludes VAT (USA)
Tax calculation will be finalised during checkout.

Instant access to the full article PDF.

Institutional subscriptions

Fig. 1
Fig. 2

Similar content being viewed by others

References

  1. Suzuki K, Nagai K, Yoshida J et al (1999) Video-assisted thoracoscopic surgery for small indeterminate pulmonary nodules: indications for preoperative marking. Chest 115(2):563–568. PMID: 22011783

  2. Saito H, Minamiya Y, Matsuzaki I et al (2002) Indication for preoperative localization of small peripheral pulmonary nodules in thoracoscopic surgery. J Thorac Cardiovasc Surg 124(6):1198–1202. PMID: 12447187

  3. Kanazawa S, Ando A, Yasui K, Tanaka A, Hiraki Y (1995) Localization of small pulmonary nodules for thoracoscopic resection: use of a newly developed hookwire system. Cardiovasc Intervent Radiol 18(2):122–124. PMID: 7773995

  4. Miyoshi K, Toyooka S, Gobara H et al (2009) Clinical outcomes of short hook wire and suture marking system in thoracoscopic resection for pulmonary nodules. Eur J Cardiothorac Surg 36(2):378–382. Epub 2009 May 2. PMID: 19414272

  5. Dendo S, Kanazawa S, Ando A et al (2002) Preoperative localization of small pulmonary lesions with a short hook wire and suture system: experience with 168 producers. Radiology 225(2):511–518. PMID: 12409589

  6. Kanazawa S, Ando A, Yasui K et al (1998) Localization of pulmonary nodules for thoracoscopic resection: experience with a system using a short hookwire and suture. AJR Am J Roentgenol 170(2):332–334. PMID: 9456940

  7. Ichinose J, Kohno T, Fujimori S, Harano T, Suzuki S (2013) Efficacy and complications of computed tomography-guided hook wire localization. Ann Thorac Surg 96(4):1203–1208. Epub 2013 Jul 26. PMID: 23895891

  8. Yoshida Y, Inoh S, Murakawa T, Ota S, Fukayama M, Nakajima J (2011) Preoperative localization of small peripheral pulmonary nodules by percutaneous marking under computed tomography guidance. Interact Cardiovasc Thorac Surg 13(1):25–28. Epub 2011 Apr 11. PMID: 21486758

  9. Nakashima S, Watanabe A, Obama T, Yamada G, Takahashi H, Higami T (2010) Need for preoperative computed tomography-guided localization in video-assisted thoracoscopic surgery pulmonary resections of metastatic pulmonary nodules. Ann Thorac Surg 89(1):212–218. PMID: 20103238

  10. Iguchi T, Hiraki T, Gobara H et al (2014) Transfissural route used for preoperative localization of small pulmonary lesions with a short hook wire and suture system. Cardiovasc Intervent Radiol. [Epub ahead of print]

  11. Seo JM, Lee HY, Kim HK et al (2012) Factors determining successful computed tomography-guided localization of lung nodules. J Thorac Cardiovasc Surg 143(4):809–814. Epub 2011 Nov 20. PMID: 22104686

  12. Ciriaco P, Negri G, Puglisi A, Nicoletti R, Del Maschio A, Zannini P (2004) Video-assisted thoracoscopic surgery for pulmonary nodules: rationale for preoperative computed tomography-guided hookwire localization. Eur J Cardiothorac Surg 25(3):429–433. PMID: 15019673

  13. Chen S, Zhou J, Zhang J et al (2011) Video-assisted thoracoscopic solitary pulmonary nodule resection after CT-guided hookwire localization: 43 cases report and literature review. Surg Endosc 25(6):1723–1729. Epub 2010 Dec 22. PMID: 21181200

  14. Huang W, Ye H, Wu Y et al (2014) Hook wire localization of pulmonary pure ground-glass opacities for video-assisted thoracoscopic surgery. Thorac Cardiovasc Surg 62(2):174–178. Epub 2013 Jan 23. PMID: 23344771

  15. Gonfiotti A, Davini F, Vaggelli L et al (2007) Thoracoscopic localization techniques for patients with solitary pulmonary nodule: hookwire versus radio-guided surgery. Eur J Cardiothorac Surg 32(6):843–847. Epub 2007 Oct 3. PMID: 17913505

  16. Santambrogio R, Montorsi M, Bianchi P, Mantovani A, Ghelma F, Mezzetti M (1999) Intraoperative ultrasound during thoracoscopic procedures for solitary pulmonary nodules. Ann Thorac Surg 68(1):218–222. PMID: 10421144

  17. Matsumoto S, Hirata T, Ogawa E et al (2004) Ultrasonographic evaluation of small nodules in the peripheral lung during video-assisted thoracic surgery (VATS). Eur J Cardiothorac Surg 26(3):469–473. PMID: 15302036

Download references

Conflict of interest

Toshihiro Iguchi, Takao Hiraki, Hideo Gobara, Hiroyasu Fujiwara, Yusuke Matsui, Seiichiro Sugimoto, Shinichi Toyooka, Takahiro Oto, Shinichiro Miyoshi, and Susumu Kanazawa have no conflicts of interest to declare.

Informed Consent

Informed consent was obtained from all individual participants included in the study.

Ethical Approval

All procedures performed in studies involving human participants were in accordance with the ethical standards of the institutional and/or national research committee and with the 1964 Helsinki declaration and its later amendments or comparable ethical standards. For this type of study, formal consent is not required.

Author information

Authors and Affiliations

  1. Department of Radiology, Okayama University Medical School, 2-5-1 Shikata-cho kita-ku, Okayama, 700-8558, Japan

    Toshihiro Iguchi, Takao Hiraki, Hideo Gobara, Hiroyasu Fujiwara, Yusuke Matsui & Susumu Kanazawa

  2. Department of General Thoracic Surgery, Okayama University Medical School, 2-5-1 Shikata-cho kita-ku, Okayama, 700-8558, Japan

    Seiichiro Sugimoto, Shinichi Toyooka, Takahiro Oto & Shinichiro Miyoshi

  3. Department of Clinical Genomic Medicine, Okayama University Medical School, 2-5-1 Shikata-cho kita-ku, Okayama, 700-8558, Japan

    Shinichi Toyooka

Authors
  1. Toshihiro Iguchi
    View author publications

    You can also search for this author in PubMed Google Scholar

  2. Takao Hiraki
    View author publications

    You can also search for this author in PubMed Google Scholar

  3. Hideo Gobara
    View author publications

    You can also search for this author in PubMed Google Scholar

  4. Hiroyasu Fujiwara
    View author publications

    You can also search for this author in PubMed Google Scholar

  5. Yusuke Matsui
    View author publications

    You can also search for this author in PubMed Google Scholar

  6. Seiichiro Sugimoto
    View author publications

    You can also search for this author in PubMed Google Scholar

  7. Shinichi Toyooka
    View author publications

    You can also search for this author in PubMed Google Scholar

  8. Takahiro Oto
    View author publications

    You can also search for this author in PubMed Google Scholar

  9. Shinichiro Miyoshi
    View author publications

    You can also search for this author in PubMed Google Scholar

  10. Susumu Kanazawa
    View author publications

    You can also search for this author in PubMed Google Scholar

Corresponding author

Correspondence to Toshihiro Iguchi.

Rights and permissions

Reprints and permissions

About this article

Check for updates. Verify currency and authenticity via CrossMark

Cite this article

Iguchi, T., Hiraki, T., Gobara, H. et al. Simultaneous Multiple Preoperative Localizations of Small Pulmonary Lesions Using a Short Hook Wire and Suture System. Cardiovasc Intervent Radiol 38, 971–976 (2015). https://doi.org/10.1007/s00270-014-1028-5

Download citation

  • Received:

  • Accepted:

  • Published:

  • Issue Date:

  • DOI: https://doi.org/10.1007/s00270-014-1028-5

Keywords

Search

Navigation