Trans-scapular approach coil localization for scapular-blocked pulmonary nodules: a retrospective study
Abstract Background Preoperative computed tomography (CT)-guided coil localization (CL) is commonly used to facilitate video-assisted thoracoscopic surgery (VATS)-guided diagnostic wedge resection (WR) of pulmonary nodules (PNs). When a scapular-blocked PN (SBPN) is localized, the trans-scapular CL...
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doaj-b8324a064889475b9fda2d2e5bbcfa402021-03-28T11:07:55ZengBMCJournal of Cardiothoracic Surgery1749-80902021-03-011611510.1186/s13019-021-01446-6Trans-scapular approach coil localization for scapular-blocked pulmonary nodules: a retrospective studyJuan Wu0Min-Ge Zhang1Jin Chen2Wen-Bin Ji3Department of Radiology, Taizhou Hospital of Zhejiang Province affiliated to Wenzhou Medical UniversityDepartment of Radiology, Taizhou Hospital of Zhejiang Province affiliated to Wenzhou Medical UniversityDepartment of Radiology, Taizhou Hospital of Zhejiang Province affiliated to Wenzhou Medical UniversityDepartment of Radiology, Taizhou Hospital of Zhejiang Province affiliated to Wenzhou Medical UniversityAbstract Background Preoperative computed tomography (CT)-guided coil localization (CL) is commonly used to facilitate video-assisted thoracoscopic surgery (VATS)-guided diagnostic wedge resection (WR) of pulmonary nodules (PNs). When a scapular-blocked PN (SBPN) is localized, the trans-scapular CL (TSCL) is commonly performed. In this study, we investigated the safety, feasibility, and clinical efficacy of preoperative CT-guided TSCL for SBPNs. Materials and methods From January 2014 to September 2020, a total of 152 patients with PNs underwent CT-guided CL prior to VATS-guided WR. Of these patients, 14 had SBPNs and underwent the TSCL procedure. Results A total of 14 SBPNs were localized in the 14 patients. The mean diameter of the 14 SBPNs was 7.4 ± 2.4 mm. The technical success rate of the scapula puncture was 100%. No complications occurred near the scapula. The technical success rate of CL was 92.9%. One coil dropped off when performing the VATS procedure. The mean duration of the TSCL was 14.2 ± 2.7 min. Two patients (14.3%) developed asymptomatic pneumothorax after TSCL. The technical success rate of VATS-guided WR was 92.9%. The patient who experienced technical failure of TSCL directly underwent lobectomy. The mean duration of the VATS was 90.0 ± 42.4 min and the mean blood loss was 62.9 ± 37.2 ml. The final diagnoses of the 14 SBPNs included invasive adenocarcinoma (n = 4), adenocarcinoma in situ (n = 9), and benign disease (n = 1). Conclusions Preoperative CT-guided TSCL is a safe and simple procedure that can facilitate high success rates of VATS-guided WR of SBPNs.https://doi.org/10.1186/s13019-021-01446-6Computed tomographyScapularCoilPulmonary nodule |
collection |
DOAJ |
language |
English |
format |
Article |
sources |
DOAJ |
author |
Juan Wu Min-Ge Zhang Jin Chen Wen-Bin Ji |
spellingShingle |
Juan Wu Min-Ge Zhang Jin Chen Wen-Bin Ji Trans-scapular approach coil localization for scapular-blocked pulmonary nodules: a retrospective study Journal of Cardiothoracic Surgery Computed tomography Scapular Coil Pulmonary nodule |
author_facet |
Juan Wu Min-Ge Zhang Jin Chen Wen-Bin Ji |
author_sort |
Juan Wu |
title |
Trans-scapular approach coil localization for scapular-blocked pulmonary nodules: a retrospective study |
title_short |
Trans-scapular approach coil localization for scapular-blocked pulmonary nodules: a retrospective study |
title_full |
Trans-scapular approach coil localization for scapular-blocked pulmonary nodules: a retrospective study |
title_fullStr |
Trans-scapular approach coil localization for scapular-blocked pulmonary nodules: a retrospective study |
title_full_unstemmed |
Trans-scapular approach coil localization for scapular-blocked pulmonary nodules: a retrospective study |
title_sort |
trans-scapular approach coil localization for scapular-blocked pulmonary nodules: a retrospective study |
publisher |
BMC |
series |
Journal of Cardiothoracic Surgery |
issn |
1749-8090 |
publishDate |
2021-03-01 |
description |
Abstract Background Preoperative computed tomography (CT)-guided coil localization (CL) is commonly used to facilitate video-assisted thoracoscopic surgery (VATS)-guided diagnostic wedge resection (WR) of pulmonary nodules (PNs). When a scapular-blocked PN (SBPN) is localized, the trans-scapular CL (TSCL) is commonly performed. In this study, we investigated the safety, feasibility, and clinical efficacy of preoperative CT-guided TSCL for SBPNs. Materials and methods From January 2014 to September 2020, a total of 152 patients with PNs underwent CT-guided CL prior to VATS-guided WR. Of these patients, 14 had SBPNs and underwent the TSCL procedure. Results A total of 14 SBPNs were localized in the 14 patients. The mean diameter of the 14 SBPNs was 7.4 ± 2.4 mm. The technical success rate of the scapula puncture was 100%. No complications occurred near the scapula. The technical success rate of CL was 92.9%. One coil dropped off when performing the VATS procedure. The mean duration of the TSCL was 14.2 ± 2.7 min. Two patients (14.3%) developed asymptomatic pneumothorax after TSCL. The technical success rate of VATS-guided WR was 92.9%. The patient who experienced technical failure of TSCL directly underwent lobectomy. The mean duration of the VATS was 90.0 ± 42.4 min and the mean blood loss was 62.9 ± 37.2 ml. The final diagnoses of the 14 SBPNs included invasive adenocarcinoma (n = 4), adenocarcinoma in situ (n = 9), and benign disease (n = 1). Conclusions Preoperative CT-guided TSCL is a safe and simple procedure that can facilitate high success rates of VATS-guided WR of SBPNs. |
topic |
Computed tomography Scapular Coil Pulmonary nodule |
url |
https://doi.org/10.1186/s13019-021-01446-6 |
work_keys_str_mv |
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