E-ISSN: 1305-3612
    A novel CT-guided technique using medical adhesive for localization of small pulmonary ground-glass nodules and mixed ground-glass nodules (≤20 mm) before video-assisted thoracoscopic surgery
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    Interventional Radiology - Original Article
    VOLUME: 24 ISSUE: 4
    P: 209-212
    July 2018

    A novel CT-guided technique using medical adhesive for localization of small pulmonary ground-glass nodules and mixed ground-glass nodules (≤20 mm) before video-assisted thoracoscopic surgery

    Diagn Interv Radiol 2018;24(4):209-212
    DOI: 10.5152/dir.2018.17315
    Gu Tao 1
    Yu Jingying 2
    Guo Tan 2
    Deng Xiaotao 2
    Chen Min 2
    1. From the Department of Radiology, Beijing Hospital, National Center of Gerontology, Beijing, China
    2. Department of Radiology, Beijing Hospital, National Center of Gerontology, Beijing, China
    No information available.
    No information available
    Received Date: 16.08.2017
    Accepted Date: 06.03.2018
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    ABSTRACT

    PURPOSE:

    We aimed to evaluate the success rate and complication occurrence of CT-guided localization of small pure ground-glass nodules (pGGNs) and mixed ground-glass nodules (mGGNs) with medical adhesive injection before video-assisted thoracoscopic surgery (VATS).

    METHODS:

    From March 2015 to May 2017, 41 patients with 44 small pGGNs and mGGNs underwent CT-guided percutaneous localization with medical adhesive prior to wedge resection by VATS.

    RESULTS:

    Localization with medical adhesive was successful in all patients (100%). The nodules (13 pGGNs, 31 mGGNs) had a mean maximal long-axis diameter of 9±4 mm and a mean distance of 10±7 mm from the most superficial edge of the nodule to the visceral pleura. The localization time was 16±8 minutes. There was a moderate inverse relationship between localization time and the nodule diameter (r= -0.42, P = 0.005). Thirty-three nodules with primary lung cancer were pathologically confirmed. There were 3 cases of pneumothorax (7%), 3 cases of parenchyma hemorrhage (7%) and 2 cases of irritable cough (5%), respectively. No conversion to thoracotomy was necessary in any patient.

    CONCLUSION:

    CT-guided percutaneous localization with medical adhesive can label small pGGNs and mGGNs prior to VATS, with high success and low complication rates.

    References

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