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Surgical Endoscopy
Published in: Surgical Endoscopy 10/2007

01-10-2007 | Technique

Using an image-guided navigation system for localization of small pulmonary nodules before thoracoscopic surgery

A feasibility study

Authors: W. Chen, L. Chen, G. Qiang, Z. Chen, J. Jing, S. Xiong

Published in: Surgical Endoscopy | Issue 10/2007

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Abstract

Background

Video-assisted thoracic surgery (VATS) provides a minimally invasive means to resect small pulmonary nodules (SPN). However, thoracoscopy has limits in the detection of small nodules, which are invisible and/or impalpable during surgery. Methods to localize such lesions, including methylene blue injection or the introduction of a hookwire under the guidance of computed tomography (CT), have some limitations. We are developing a new technique using image-guided navigation system for localization of small pulmonary nodules before thoracoscopic surgery.

Methods

Four pigs underwent spiral-computed tomography (CT) scanning after they were given percutaneously created pulmonary lesions. The CT data were transmitted to a StealthStation navigation system, and with the help of the probe the lesions were located and resected under thoracoscopy.

Results

A total of 20 lesions were created. Nodules were located at an average distance of 15.6 mm from the pleural surface. All the lesions were successfully localized, and biopsy specimens revealed successful resection of target material.

Conclusion

This method can provide appropriate guidance to small pulmonary nodules and prove effective in immediately facilitating subsequent thoracoscopic resection.
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Metadata
Title
Using an image-guided navigation system for localization of small pulmonary nodules before thoracoscopic surgery
A feasibility study
Authors
W. Chen
L. Chen
G. Qiang
Z. Chen
J. Jing
S. Xiong
Publication date
01-10-2007
Publisher
Springer-Verlag
Published in
Surgical Endoscopy / Issue 10/2007
Print ISSN: 0930-2794
Electronic ISSN: 1432-2218
DOI
https://doi.org/10.1007/s00464-007-9198-8

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