Percutaneous Electromagnetic Transthoracic Nodule Localization for Ground Glass Nodules

Background: A recent increase in the incidental detection of ground glass nodules (GGNs) has created a need for improved diagnostic accuracy in screening for malignancies. However, surgical diagnosis remains challenging, especially via video-assisted thoracoscopic surgery (VATS). Herein, we prese...

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Autores principales:	Seung Hwan Song, Hyun Soo Lee, Duk Hwan Moon, Sungsoo Lee
Formato:	article
Lenguaje:	EN
Publicado:	Korean Society for Thoracic & Cardiovascular Surgery 2021
Materias:	ground glass nodule percutaneous localization electromagnetic bronchoscopy transthoracic localization Medicine (General) R5-920
Acceso en línea:	https://doaj.org/article/cccbca143fe84ed9821d2d1ec30a617c
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spelling	oai:doaj.org-article:cccbca143fe84ed9821d2d1ec30a617c2021-12-03T01:35:05ZPercutaneous Electromagnetic Transthoracic Nodule Localization for Ground Glass Nodules10.5090/jcs.21.0352765-16062765-1614https://doaj.org/article/cccbca143fe84ed9821d2d1ec30a617c2021-12-01T00:00:00Zhttps://doaj.org/toc/2765-1606https://doaj.org/toc/2765-1614Background: A recent increase in the incidental detection of ground glass nodules (GGNs) has created a need for improved diagnostic accuracy in screening for malignancies. However, surgical diagnosis remains challenging, especially via video-assisted thoracoscopic surgery (VATS). Herein, we present the efficacy of a novel electrical navigation system for perioperative percutaneous transthoracic nodule localization. Methods: Eighteen patients with GGNs who underwent electromagnetic navigated percutaneous transthoracic needle localization (ETTNL), followed by 1-stage diagnostic wedge resections via VATS between January and December 2020, were included in the analysis. Data on patient characteristics, nodules, procedures, and pathological diagnoses were collected and retrospectively reviewed. Results: Of the 18 nodules, 17 were successfully localized. Nine nodules were pure GGNs, and the remaining 9 were part-solid GGNs. The median nodule size was 9.0 mm (range, 4.0–20.0 mm); and the median depth from the visceral pleura was 5.2 mm (range, 0.0–14.4 mm). The median procedure time was 10 minutes (range, 7–20 minutes). The final pathologic results showed benign lesions in 3 cases and malignant lesions in 15 cases. Conclusion: Perioperative ETTNL appears to be an effective method for the localization of GGNs, providing guidance for a 1-stage VATS procedure.Seung Hwan SongHyun Soo LeeDuk Hwan MoonSungsoo LeeKorean Society for Thoracic & Cardiovascular Surgeryarticleground glass nodulepercutaneous localizationelectromagnetic bronchoscopytransthoracic localizationMedicine (General)R5-920ENJournal of Chest Surgery, Vol 54, Iss 6, Pp 494-499 (2021)
institution	DOAJ
collection	DOAJ
language	EN
topic	ground glass nodule percutaneous localization electromagnetic bronchoscopy transthoracic localization Medicine (General) R5-920
spellingShingle	ground glass nodule percutaneous localization electromagnetic bronchoscopy transthoracic localization Medicine (General) R5-920 Seung Hwan Song Hyun Soo Lee Duk Hwan Moon Sungsoo Lee Percutaneous Electromagnetic Transthoracic Nodule Localization for Ground Glass Nodules
description	Background: A recent increase in the incidental detection of ground glass nodules (GGNs) has created a need for improved diagnostic accuracy in screening for malignancies. However, surgical diagnosis remains challenging, especially via video-assisted thoracoscopic surgery (VATS). Herein, we present the efficacy of a novel electrical navigation system for perioperative percutaneous transthoracic nodule localization. Methods: Eighteen patients with GGNs who underwent electromagnetic navigated percutaneous transthoracic needle localization (ETTNL), followed by 1-stage diagnostic wedge resections via VATS between January and December 2020, were included in the analysis. Data on patient characteristics, nodules, procedures, and pathological diagnoses were collected and retrospectively reviewed. Results: Of the 18 nodules, 17 were successfully localized. Nine nodules were pure GGNs, and the remaining 9 were part-solid GGNs. The median nodule size was 9.0 mm (range, 4.0–20.0 mm); and the median depth from the visceral pleura was 5.2 mm (range, 0.0–14.4 mm). The median procedure time was 10 minutes (range, 7–20 minutes). The final pathologic results showed benign lesions in 3 cases and malignant lesions in 15 cases. Conclusion: Perioperative ETTNL appears to be an effective method for the localization of GGNs, providing guidance for a 1-stage VATS procedure.
format	article
author	Seung Hwan Song Hyun Soo Lee Duk Hwan Moon Sungsoo Lee
author_facet	Seung Hwan Song Hyun Soo Lee Duk Hwan Moon Sungsoo Lee
author_sort	Seung Hwan Song
title	Percutaneous Electromagnetic Transthoracic Nodule Localization for Ground Glass Nodules
title_short	Percutaneous Electromagnetic Transthoracic Nodule Localization for Ground Glass Nodules
title_full	Percutaneous Electromagnetic Transthoracic Nodule Localization for Ground Glass Nodules
title_fullStr	Percutaneous Electromagnetic Transthoracic Nodule Localization for Ground Glass Nodules
title_full_unstemmed	Percutaneous Electromagnetic Transthoracic Nodule Localization for Ground Glass Nodules
title_sort	percutaneous electromagnetic transthoracic nodule localization for ground glass nodules
publisher	Korean Society for Thoracic & Cardiovascular Surgery
publishDate	2021
url	https://doaj.org/article/cccbca143fe84ed9821d2d1ec30a617c
work_keys_str_mv	AT seunghwansong percutaneouselectromagnetictransthoracicnodulelocalizationforgroundglassnodules AT hyunsoolee percutaneouselectromagnetictransthoracicnodulelocalizationforgroundglassnodules AT dukhwanmoon percutaneouselectromagnetictransthoracicnodulelocalizationforgroundglassnodules AT sungsoolee percutaneouselectromagnetictransthoracicnodulelocalizationforgroundglassnodules
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Percutaneous Electromagnetic Transthoracic Nodule Localization for Ground Glass Nodules

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