Videothorascopic evaluation of the undeterminate pulmonary nodule: analysis of 47 operated cases
South am. j. thorac. surg
;
3(1): 21-4, Jan.-Apr. 1995. tab
Article
in English
| LILACS
| ID: lil-205099
ABSTRACT
Between June 1992 and July 1993, 47 patients (13 female, 34 male) with diagnosis of Indeterminate Pulmonary Nodule (IPN) were operated on by VATS (Video-Assisted Thoracic Surgery). In all cases, the histopathologic diagnosis was obtained. In 19 patients we found solitary benign nodules, in 20 solitary malignant nodules, and in 8 multiple malignant nodules. An utility minithoracotomy (conversion) was necessary in 3/19 (15.7 percent) of the benign nodules due to difficulties in its localization, and in all (n=20) the malignant nodules in order to accomplish a complete resection, and in none of the multiple nodules (n=8). Six patients presented minor complications (morbidity = 10.6 percent) and one postoperative death was registered (mortality = 2.1 percent). We concluded that resection of the IPN by VATS is an oligotraumatic diagnostic procedure with a sensitivity and specificity of 100 percent, and with low mordibity and acceptable mortality, however it requires careful indication in patients with a high operative risk.
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Index:
LILACS (Americas)
Main subject:
Thoracoscopy
/
Solitary Pulmonary Nodule
Limits:
Adult
/
Female
/
Humans
/
Male
Language:
English
Journal:
South am. j. thorac. surg
Journal subject:
General Surgery
Year:
1995
Type:
Article
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