Indication for preoperative localization of small peripheral pulmonary nodules in thoracoscopic surgery Hajime Saito, MDa, Yoshihiro Minamiya, MDa, Ikuo.

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Presentation transcript:

Indication for preoperative localization of small peripheral pulmonary nodules in thoracoscopic surgery Hajime Saito, MDa, Yoshihiro Minamiya, MDa, Ikuo Matsuzaki, MDa, Kasumi Tozawa, MDa, Kousei Taguchi, MDa, Taku Nakagawa, MDa, Manabu Hashimoto, MDb, Yoshinori Hirano, MDb, Jun-ichi Ogawa, MDa The Journal of Thoracic and Cardiovascular Surgery Volume 124, Issue 6, Pages 1198-1202 (December 2002) DOI: 10.1067/mtc.2002.127331 Copyright © 2002 American Association for Thoracic Surgery Terms and Conditions

Fig. 1 Fifty-two of 61 nodules marked by preoperative hookwire localization could not have been identified without the preoperative marking (filled circles). Nine patients did not require hookwire localization to identify the wedge resection (open circles). Of 59 thoracoscopic lung resections without hookwire localization, 52 nodules could be identified by means of thoracoscopy alone (open triangles). In 7 patients the procedure was converted to thoracotomy because of the inability to locate the nodules (filled triangles). Factors such as size and depth were mapped in each group. All 120 patients were classified into detectable or undetectable groups. By means of discriminant analysis, nodules were evaluated with respect to size and depth from the pleural surface. The results indicate that a linear function (ie, depth = 0.836 × size − 2.811) can be used to reliably separate detectable and undetectable groups. HW, Hookwire. The Journal of Thoracic and Cardiovascular Surgery 2002 124, 1198-1202DOI: (10.1067/mtc.2002.127331) Copyright © 2002 American Association for Thoracic Surgery Terms and Conditions