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Preoperative localization of indeterminate pulmonary nodules before videothoracoscopic resection

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Abstract

Background: The management of a solitary pulmonary nodule is the subject of debate and minimally invasive diagnostic approaches have low sensitivity for small peripheral nodules. We discuss the role of video-assisted thoracoscopic surgery (VATS) in the management of solitary pulmonary nodules (SPNs) ?1 cm performed with a preoperatory computed tomography-guided wire localization. Methods: Thirty-five selected patients underwent VATS resection for SPN, with localization by guide wire before surgery. Results: Seven patients, after VATS exploration, underwent thoracotomy because of pleuropulmonary adhesions, depth or dimensions. Histological diagnosis was obtained in all procedures; there was no postoperative morbility or morbidity. Conclusion: Preoperative computed tomography hook-wire localization is a suitable strategy for peripheral nodules ?1 cm in diameter.

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Authors and Affiliations

  1. First Department of Surgery, Division of Thoracic Surgery, Santa Maria Nuova Hospital, viale Risorgimento 80, 42100 Reggio Emilia, Italy, Italy

    M. Paci, V. Annessi, G. Ferrari, S. De Franco & G. Sgarbi

  2. First Division of Radiology, Santa Maria Nuova Hospital, viale Risorgimento 80, 42100 Reggio Emilia, Italy, Italy

    F. Giovanardi

  3. Division of Thoracic Surgery, University of Modena and Reggio Emilia, Na Del Pozzo 71, 41100 Modena, Italy, Italy

    C. Casali

Authors
  1. M. Paci
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  2. V. Annessi
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  3. F. Giovanardi
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  4. G. Ferrari
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  5. S. De Franco
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  6. C. Casali
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  7. G. Sgarbi
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Paci, M., Annessi, V., Giovanardi, F. et al. Preoperative localization of indeterminate pulmonary nodules before videothoracoscopic resection. Surg Endosc 16, 509–511 (2002). https://doi.org/10.1007/s00464-001-9014-9

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  • DOI: https://doi.org/10.1007/s00464-001-9014-9

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