Thoracoscopic localization of intraparenchymal pulmonary nodules using direct intracavitary thoracoscopic ultrasonography prevents conversion of VATS.

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Presentation transcript:

Thoracoscopic localization of intraparenchymal pulmonary nodules using direct intracavitary thoracoscopic ultrasonography prevents conversion of VATS procedures to thoracotomy in selected patients Mohamed Khereba, MD, Pasquale Ferraro, MD, Andre Duranceau, MD, Jocelyne Martin, MD, MSc, Eric Goudie, Vicky Thiffault, BScN, Moishe Liberman, MD, PhD The Journal of Thoracic and Cardiovascular Surgery Volume 144, Issue 5, Pages 1160-1166 (November 2012) DOI: 10.1016/j.jtcvs.2012.08.034 Copyright © 2012 The American Association for Thoracic Surgery Terms and Conditions

Figure 1 Intracavitary, 10-mm video-assisted thoracoscopic surgery ultrasonography, 5- to 10-MHz linear probe with a flexible angulating tip (Aloka UST-5536-7.5). The Journal of Thoracic and Cardiovascular Surgery 2012 144, 1160-1166DOI: (10.1016/j.jtcvs.2012.08.034) Copyright © 2012 The American Association for Thoracic Surgery Terms and Conditions

Figure 2 A, Small, 10-mm pulmonary nodule (arrow) located in the right lower lobe on preoperative computed tomography image. B, Corresponding video-assisted thoracoscopic surgery ultrasound in vivo image of the nodule. The Journal of Thoracic and Cardiovascular Surgery 2012 144, 1160-1166DOI: (10.1016/j.jtcvs.2012.08.034) Copyright © 2012 The American Association for Thoracic Surgery Terms and Conditions

Figure 3 A, Preoperative computed tomography image of small, irregular, left upper lobe ground glass opacity with solitary components (arrow). B, Corresponding video-assisted thoracoscopic surgery ultrasound in vivo image of the nodule. The Journal of Thoracic and Cardiovascular Surgery 2012 144, 1160-1166DOI: (10.1016/j.jtcvs.2012.08.034) Copyright © 2012 The American Association for Thoracic Surgery Terms and Conditions

Figure 4 Comparison of video-assisted thoracoscopic surgery localization technique's ability to identify nodules of interest. The Journal of Thoracic and Cardiovascular Surgery 2012 144, 1160-1166DOI: (10.1016/j.jtcvs.2012.08.034) Copyright © 2012 The American Association for Thoracic Surgery Terms and Conditions