Hybrid DynaCT scan-guided localization single-port lobectomy. [corrected].
Small pulmonary lesions can be difficult to locate intraoperatively. Preoperative CT scan-guided localization, for example with hookwire, is a popular method to help localize such lesions. However, the delay between CT scan localization with hookwire and surgery can lead to risks of pneumothorax and wire dislodgement. We describe a 56-year-old woman who underwent DynaCT-guided hookwire localization of a ground-glass opacity in the hybrid operating room followed immediately by single-port video-assisted thoracic surgery lobectomy. The advantages, disadvantages, and special considerations in adopting this approach are discussed.
Department of Surgery, Prince of Wales Hospital, The Chinese University of Hong Kong, Hong Kong SAR. Electronic address: calvinng@surgery.cuhk.edu.hk.
Calvin S H
CSH
Ng
Department of Imaging and Interventional Radiology, The Chinese University of Hong Kong, Hong Kong SAR.
Cheuk
C
Man Chu
Department of Surgery, Prince of Wales Hospital, The Chinese University of Hong Kong, Hong Kong SAR.
Micky W T
MWT
Kwok
Department of Surgery, Prince of Wales Hospital, The Chinese University of Hong Kong, Hong Kong SAR.
Anthony P C
APC
Yim
Department of Surgery, Prince of Wales Hospital, The Chinese University of Hong Kong, Hong Kong SAR.
Randolph H L
RHL
Wong
D000230:Adenocarcinoma / Q000000981:diagnostic imaging / Q000601:surgery*; D005260:Female; D006801:Humans; D008175:Lung Neoplasms / Q000000981:diagnostic imaging / Q000601:surgery*; D008875:Middle Aged; D011013:Pneumonectomy / Q000379:methods*; D014057:Tomography, X-Ray Computed / Q000379:methods*; D016896:Treatment Outcome