Computed tomography-guided coil injection and thoracoscopic pulmonary resection under roentgenographic fluoroscopy

Hisao Asamura, Haruhiko Kondo, Tsuguo Naruke, Ryosuke Tsuchiya, Fumihiko Wakao, Masahiro Kaneko, Keiichi Suemasu

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Abstract

To remove a small, chest roentgenogram-negative, computed tomogram-positive nodule, we developed a novel technique of thoracoscopic pulmonary resection. This technique consists of the computed tomography-guided coil injection of a metallic coil and subsequent thoracoscopic resection under roentgenographic fluoroscopy. During the thoracoscopic resection, the fluoroscopic image was a valuable aid in determining the location of the nodule and in ensuring that the stapler was applied with a sufficient distance from the coil. Because this technique helps to determine the exact location of the nodule regardless of its depth from the pleural surface, even a minithoracotomy for direct palpation can be avoided.

Original languageEnglish
Pages (from-to)1542-1544
Number of pages3
JournalThe Annals of Thoracic Surgery
Volume58
Issue number5
DOIs
Publication statusPublished - 1994 Nov

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ASJC Scopus subject areas

  • Surgery
  • Pulmonary and Respiratory Medicine
  • Cardiology and Cardiovascular Medicine

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