eISSN: 1897-4252
ISSN: 1731-5530
Kardiochirurgia i Torakochirurgia Polska/Polish Journal of Thoracic and Cardiovascular Surgery
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1/2008
vol. 5
 
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abstract:


Torakochirurgia
Computed tomography-guided hookwire localization of solid lung tumours before videothoracoscopic surgery

Jan Głowacki
,
Tomasz Legaszewski
,
Józef Dzielicki
,
Wojciech Korlacki
,
Irena Janicka
,
Wojciech Zajęcki
,
Sylwia Trzeszkowska-Rotkegel
,
Hanna Borowiak

Kardiochirurgia i Torakochirurgia Polska 2008; 5 (1): 43–46
Online publish date: 2008/03/20
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Background:
Presence of a single, peripherally located change in the pulmonary parenchyma is a complex diagnostic and therapeutic problem. The introduction of videothoracoscopy allowed the diagnostic stage to be connected with the therapeutic one. However, it requires earlier localization of the change.

Aim:
To present the possibility of localization of pulmonary changes with a transthoracic hookwire under the control of CT before their removal by thoracoscopy.

Material and methods:
Twenty-three patients underwent computed tomography (CT) -guided hookwire localization of solid lung tumour with diameter range 0.5-5.5 cm (in 22 patients – single nodule). All of them underwent videothoracoscopic
resection of the localized tumour.

Results:
16 benign and 7 malignant lesions, including 2 primary and 5 metastatic, were recognized. No complications occurred during or after thoracoscopic surgery.

Conclusions:
In selected cases it may be a valuable diagnostic-therapeutic method with minimal invasiveness.
keywords:

videothoracoscopy, hookwire, lung tumour
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