Computed tomography-guided coil injection and thoracoscopic pulmonary resection under roentgenographic fluoroscopy.
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.
Department of Diagnostic Radiology, National Cancer Center Hospital, Tokyo, Japan.
H
H
Asamura
H
H
Kondo
T
T
Naruke
R
R
Tsuchiya
F
F
Wakao
M
M
Kaneko
K
K
Suemasu
D000230:Adenocarcinoma / Q000000981:diagnostic imaging / Q000601:surgery*; D000328:Adult; D005471:Fluoroscopy; D006801:Humans; D008175:Lung Neoplasms / Q000000981:diagnostic imaging / Q000601:surgery*; D008297:Male; D015641:Radiography, Interventional; D013906:Thoracoscopy; D014057:Tomography, X-Ray Computed