A new method for accurately localizing and resecting pulmonary nodules

Gongming Wang, Yongyong Lin, Lie Zheng, Yin Liang, Lei Zhao, Yinsheng Wen, Rusi Zhang, Zirui Huang, Longjun Yang, Dechang Zhao, Samy Lachkar, Jean Marc Baste, Naofumi Shinagawa, Calvin S.H. Ng, Masaaki Sato, Min P. Kim, Lanjun Zhang

Research output: Contribution to journalArticle

Abstract

With the use of low-dose CT for early screening of lung cancer, more and more early lung cancers are found. At the same time, patients with small lung nodules have also increased, it is a great challenge for surgeons to resect pulmonary nodules with small volume, deep position and no solid components under video-assisted thoracoscopic surgery. Many studies have reported preoperative and intraoperative methods for localizing lung nodules before minimally invasive resection. Methods for preoperative localization include CT-guided hook-wire positioning, coil positioning, or dye injection and radionuclide location Methods for intraoperative localization include intraoperative ultrasound localization and tactile pressure-sensing localization. After the localization of pulmonary nodules under the guidance of CT patients need to restrict their activities; otherwise, it is easy for the nodules to move, causing the operation to fail, and may also cause complications such as pneumothorax, puncture site pain, and pulmonary parenchymal bleeding. In the past, we injected melamine dye under the guidance of electromagnetic navigation bronchoscope to locate lung nodules. The purpose of this case is introducing a new method for accurately localizing and resecting pulmonary nodules by injecting indocyanine green (ICG) under the guidance of electromagnetic navigation bronchoscope and the resection of small pulmonary nodules under the fluoroscope.

Original languageEnglish (US)
Pages (from-to)4973-4984
Number of pages12
JournalJournal of Thoracic Disease
Volume12
Issue number9
DOIs
StatePublished - Sep 1 2020

Keywords

  • Electromagnetic navigation bronchoscope
  • Fluoroscope
  • Indocyanine green (ICG)
  • Pulmonary nodules

ASJC Scopus subject areas

  • Pulmonary and Respiratory Medicine

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