Image-guided thoracoscopic surgery with dye localization in a hybrid operating room
Journal
Journal of Thoracic Disease
Journal Volume
8
Pages
S681-S689
Date Issued
2016
Abstract
Background: The rate of detection of small pulmonary nodules (SPNs) has increased. Thoracoscopic resection following image-guided localization had been a reliable alternative in their treatment. We present our experience with image-guided dye localization using robotic C-arm computed tomography (CT) followed by immediate video-assisted thoracoscopic surgery (VATS) for SPNs in a hybrid operating room (OR). Methods: From July 2015 to July 2016, 25 consecutive patients with SPNs smaller than 2 cm underwent robotic C-arm CT-guided blue dye tattooing followed by immediate VATS in a hybrid OR. Their medical records were retrospectively reviewed to evaluate the feasibility and safety of this novel procedure. Results: Robotic C-arm CT-guided dye localization was successfully performed in 23 patients (92%). Wound extension was required for nodule identification in the remaining two patients. The median size of the nodules was 1.0 cm (range, 0.6-2.0 cm). The median needle localization time and surgery time were 46 and 109 min, respectively. All 25 patients had successful resection of their lesions. The pathological diagnoses were primary lung adenocarcinoma in 18 (72%), benign tumors in 5 (20%), and metastatic lesions in 2 (8%). There was no operative mortality. The median length of the postoperative stay was 3 days (range, 2-8 days). Complications were noted in two patients (8%). One patient had a penetrating injury of the diaphragm during needle localization. The other had pneumonia postoperatively. Both patients were managed conservatively. Conclusions: Our experience showed that robotic C-arm CT-guided dye localization followed by immediate thoracoscopic surgery in a hybrid OR is safe and feasible. It may become an effective and attractive alternative in managing SPNs. ? Journal of Thoracic Disease. All rights reserved.
SDGs
Other Subjects
dye; adult; aged; Article; cancer mortality; clinical article; computer assisted tomography; conservative treatment; diaphragm injury; feasibility study; female; histopathology; human; human tissue; length of stay; lung adenocarcinoma; lung nodule; lung tumor; male; metastasis potential; operating room; operation duration; patient safety; penetrating trauma; pneumonia; postoperative complication; postoperative period; retrospective study; robotic C arm computed tomography guided dye localization; robotic surgical procedure; surgical equipment; surgical wound; tumor volume; video assisted thoracoscopic surgery
Publisher
AME Publishing Company
Type
journal article