Your browser doesn't support javascript.
loading
Lung nodule localization in hybrid room before minimally invasive thoracic surgery: series of 20 cases and literature review
Gilberto, Guilherme Moratti; Falsarella, Priscila Mina; Andrade, Juliano Ribeiro de; Schmid, Bruno Pagnin; Mariotti, Guilherme Cayres; Terra, Ricardo Mingarini; Campos, Jose Ribas Milanez de; Succi, Jose Ernesto; Garcia, Rodrigo Gobbo.
  • Gilberto, Guilherme Moratti; Hospital Israelita Albert Einstein. São Paulo. BR
  • Falsarella, Priscila Mina; Hospital Israelita Albert Einstein. São Paulo. BR
  • Andrade, Juliano Ribeiro de; Hospital Israelita Albert Einstein. São Paulo. BR
  • Schmid, Bruno Pagnin; Hospital Israelita Albert Einstein. São Paulo. BR
  • Mariotti, Guilherme Cayres; Hospital Israelita Albert Einstein. São Paulo. BR
  • Terra, Ricardo Mingarini; Hospital Israelita Albert Einstein. São Paulo. BR
  • Campos, Jose Ribas Milanez de; Hospital Israelita Albert Einstein. São Paulo. BR
  • Succi, Jose Ernesto; Hospital Israelita Albert Einstein. São Paulo. BR
  • Garcia, Rodrigo Gobbo; Hospital Israelita Albert Einstein. São Paulo. BR
Einstein (Säo Paulo) ; 20: eAO6665, 2022. tab, graf
Article in English | LILACS-Express | LILACS | ID: biblio-1375331
ABSTRACT
ABSTRACT Objective To describe an experience in the preoperative localization of small pulmonary nodules and ground-glass lesions to guide minimally invasive thoracic surgery; in addition, a literature review was conducted, including the main advantages and disadvantages of the different agents used, and site marking in a hybrid operating room. Methods A retrospective search was conducted in a Interventional Radiology Department database, between March 2015 and May 2019, to identify patients undergoing preoperative percutaneous marking of lung injuries measuring up to 25mm. Results A total of 20 patients were included and submitted to descriptive analysis. All patients were marked in a hybrid room, at the same surgical-anesthetic time. Most often used markers were guidewire, Lipiodol® and microcoils. Despite one case of coil displacement, two cases of pneumothorax, and one case of hypotension after marking, all lesions were identified and resected accordingly from all patients. Conclusion Preoperative percutaneous localization of lung injuries in hybrid room is an effective and a safe technique, which can have decisive impact on surgical resection. The choice of marker and of the operating room scenario should be based on availability and experience of service. Multidisciplinary discussions with surgical teams, pathologists, and interventional radiologists are crucial to improve outcome of patients.


Full text: Available Index: LILACS (Americas) Type of study: Qualitative research / Systematic reviews Language: English Journal: Einstein (Säo Paulo) Journal subject: Medicine Year: 2022 Type: Article Affiliation country: Brazil Institution/Affiliation country: Hospital Israelita Albert Einstein/BR

Similar

MEDLINE

...
LILACS

LIS


Full text: Available Index: LILACS (Americas) Type of study: Qualitative research / Systematic reviews Language: English Journal: Einstein (Säo Paulo) Journal subject: Medicine Year: 2022 Type: Article Affiliation country: Brazil Institution/Affiliation country: Hospital Israelita Albert Einstein/BR