Case series reporting localisation techniques for surgical resection of pulmonary nodules
| Authors | Localisation technique | Patient population | Efficacy | Complications |
|---|---|---|---|---|
| Dendo et al240 | CT-guided hookwire | 150 Patients undergoing VATS resection of 168 nodules | 97.6% Hookwire placed successfully | 32.1% Pneumothorax (chest tube in 1.2%) 14.9% Pulmonary haemorrhage |
| Ciriaco et al241 | CT-guided hookwire | 53 Patients undergoing VATS nodule resection | 92.5% Hookwire remained in situ facilitating VATS in 58%. | 7.5% Pneumothorax |
| Saito et al242 | CT-guided hookwire | 61 Patients undergoing VATS nodule resection | 85% Hookwire facilitated VATS | None reported |
| Miyoshi et al243 | CT-guided hookwire | 108 Patients undergoing VATS nodule resection | 93.6% Successful resection 4% Nodule not in resection specimen, 2.4% Hookwire left in situ | 3.7% of patients, chest drain for pneumothorax |
| Yoshida et al244 | CT-guided hookwire | 57 Patients undergoing VATS nodule resection | One hookwire dislodged by time of surgery. Successful surgery for all cases | 49.1% Pneumothorax (no chest drain) 29.8% Pulmonary haemorrhage 7% Pain |
| Koyama et al246 | CT-guided point marker system | 52 Patients undergoing VATS nodule resection | Successful placement in 98% cases (one dislodged) and resection | 19% Asymptomatic pneumothorax 10% Pulmonary haemorrhage |
| Mayo et al245 | CT-guided microcoil wire | 69 Patients undergoing VATS resection of 75 nodules | Successful placement in all cases, but dislodged in 3%. 97% of nodules removed | 3% Pneumothorax requiring drain 1% Asymptomatic haemothorax |
| Watanabe et al247 | Lipiodol marking | 150 Patients undergoing VATS nodule resection | All nodules successfully resected | 11% Pain requiring analgesia 17% Pneumothorax (6% drain) 0.6% Haemopneumothorax (emergency operation) |
| Kawanaka et al248 | Lipiodol marking | 65 Patients undergoing VATS resection of 107 nodules | All nodules successfully marked and resected | 31% Pneumothorax (5% drain) 15% Pulmonary haemorrhage |
| Kim et al249 | Lipiodol marking | 67 patients undergoing VATS resection of 68 nodules | Marking successful in 98% | 29% Pneumothorax 7% Pulmonary haemorrhage |
| Vandoni et al250 | Methylene blue marking | 51 Patients undergoing VATS resection of 54 nodules | Successful thoracoscopic resection in 91% of patients | 25.4% Pneumothorax (no drain) |
| Grogan et al255 | Radiotracer injection | 81 Patients undergoing VATS nodule resection | Successful localisation and excision in 95.1% of cases | 10% Pneumothorax with drain |
| Ambrogi et al252 | Radiotracer injection | 211 Patients undergoing VATS nodule resection | Successful localisation and resection in 99% of cases | 10.4% Pneumothorax no drain |
| Mattioli et al253 | Transthoracic ultrasound | 54 Patients undergoing VATS resection of 65 nodules | Successful identification of 15/16 non-visible or palpable nodules (94%) | None |
| Gonfiotti et al254 | Hookwire vs radiotracer | 50 Patients randomised to each procedure for VATS resection | Successful localisation: 84% hookwire 96% for radiotracer (not significant) | 24% Pneumothorax no drain hookwire 4% Pneumothorax radiotracer. 4% (n=1) Hookwire displacement |
VATS, video-assisted thoracoscopic surgery.