Original articleGeneral thoracicPercutaneous Fiducial Localization for Thoracoscopic Wedge Resection of Small Pulmonary Nodules
Section snippets
Patients and Methods
This study was performed as a retrospective review of our thoracic surgical database and was approved by our Institutional Review Board. Owing to the retrospective nature of this study and lack of patient-specific identifiers, individual patient consent was waived. From April 2011 to May 2013, 58 patients (22 female) underwent thoracoscopic resection of 65 pulmonary nodules with fiducial localization at Emory University Hospital.
Results
Sixty-five nodules were removed in 58 patients, 22 of whom were female (44%). The mean patient age was 55 years (range, 24 to 80), and the average body mass index was 29.6 ± 6.9 kg/m2 (range, 20 to 50 kg/m2). Forty-six (79%) of the patients presented with a history of cancer.
Three pneumothoraces (5%) were found immediately after the fiducial placement and treated with a pleural drain without complications. Fiducial marker and adjacent nodule removal was successful in 57 patients (98%). In 1
Comment
Increased utilization of high-resolution computed tomography and the implementation of lung cancer screening programs have led to a significant rise in the prevalence of indeterminate lung nodules 1, 2. Thoracoscopy has been progressively defined as an efficient means to provide pathologic diagnosis of these nodules, with possible concurrent definitive resection. Unfortunately, these nodules can often be subcentimeter in size, deep in the pulmonary parenchyma, and varied in texture, thus
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