New technique of percutaneous CT fluoroscopy-guided marking before video-assisted thoracoscopic surgery for small lung lesions: feasibility of using a 25-gauge needle without local anaesthesia

To retrospectively evaluate the feasibility of CT fluoroscopy-guided percutaneous marking using a 25-gauge needle and indigo carmine before video-assisted thoracoscopic surgery (VATS) for small lung lesions. 21 patients, 14 males and 7 females, with a median age of 69 years (range, 40-79), underwent...

Full description

Saved in:
Bibliographic Details
Published in:British journal of radiology 2018-01, Vol.91 (1083), p.20170692-20170692
Main Authors: Shimamura, Yasuteru, Sasaki, Shigeru, Shimohira, Masashi, Ogino, Hiroyuki, Yuki, Daisuke, Nakamae, Katsumi, Hara, Masaki, Shibamoto, Yuta
Format: Article
Language:English
Subjects:
Adenocarcinoma - surgery
Adult
Aged
Coloring Agents
Diagnostic Radiology
Feasibility Studies
Female
Fluoroscopy
Humans
Indigo Carmine
Interventional radiology
Lung Neoplasms - surgery
Male
Middle Aged
Needles
Oncology
RADIODIAGNOSIS - Respiratory tract
Radiography, Interventional - methods
Retrospective Studies
Thoracic Surgery, Video-Assisted
Tomography, X-Ray Computed - methods
Treatment Outcome
Citations: Items that this one cites
Items that cite this one
Online Access:Get full text
Tags: Add Tag
No Tags, Be the first to tag this record!
Description
Summary:To retrospectively evaluate the feasibility of CT fluoroscopy-guided percutaneous marking using a 25-gauge needle and indigo carmine before video-assisted thoracoscopic surgery (VATS) for small lung lesions. 21 patients, 14 males and 7 females, with a median age of 69 years (range, 40-79), underwent CT fluoroscopy-guided percutaneous VATS marking using a 25-gauge, 70-mm needle and 1.5-ml indigo carmine. The mean diameter of the lung lesions was 14 mm (range, 6-27). We evaluated the technical success rate, surgical success rate and complications related to this procedure by reviewing medical records and images. Technical success was defined as completion of this procedure. Surgical success was defined as resection of the target lesion with negative margins on pathological examination after VATS. Complications that required advanced levels of care were classified as major complications, and the remaining complications were considered minor. The technical success rate was 100%. In all cases, VATS was successfully performed as planned, and the target lesion was resected with negative margins on pathological examination after VATS. Thus, the surgical success rate was 100%. Mild pneumothorax was found in two cases, but further treatment was not required. The minor complication rate was 9.5% (2/21), and major complication rate was 0%. Only two patients (9.5%) complained of slight pain upon puncture, but local anaesthesia was not required. Percutaneous CT fluoroscopy-guided VATS marking using a 25-gauge needle without local anaesthesia appears feasible and safe. Advances in knowledge: This technique expands a possibility of the CT-guided marking.
ISSN:0007-1285
1748-880X
DOI:10.1259/bjr.20170692