Fluoroscopy-aided thoracoscopic resection of pulmonary nodule localized with contrast media Seok-Whan Moon, MD, Young-Pil Wang, MD, Keon-Hyon Jo, MD,

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Presentation transcript:

Fluoroscopy-aided thoracoscopic resection of pulmonary nodule localized with contrast media Seok-Whan Moon, MD, Young-Pil Wang, MD, Keon-Hyon Jo, MD, Moon-Sub Kwack, MD, Se-Wha Kim, MD, Ou-Kyoung Kwon, MD, Hye-Suk Jang, MD The Annals of Thoracic Surgery Volume 68, Issue 5, Pages 1815-1820 (November 1999) DOI: 10.1016/S0003-4975(99)00764-X

Fig 1 Thoracic computed tomogram (CT) in a patient after injection with contrast media (barium sulfate) into the nodule under CT guidance. A solitary nodule (18 mm in diameter and 16 mm apart from the nearest visceral pleura) in the right lower lobe, and was localized by injecting 1 mL of barium sulfate into the nodule under CT guidance (arrow indicates radioopacity of contrast media). The Annals of Thoracic Surgery 1999 68, 1815-1820DOI: (10.1016/S0003-4975(99)00764-X)

Fig 2 Intraoperative fluoroscopic imaging of the radiopaque nodule. The nodule localized with contrast media was easily seen on portable fluoroscopic monitor and was targeted between the endoscopic instruments at the time of thoracoscopy (T = thoracoscope; arrow = radioopacity of the nodule localized with contrast media). The Annals of Thoracic Surgery 1999 68, 1815-1820DOI: (10.1016/S0003-4975(99)00764-X)

Fig 3 Placement of endostapler for resection of the radiopaque nodule under portable fluoroscopic imaging during thoracoscopy. The radioopacity of the nodule on fluoroscopic imaging gave us planning and guiding the placement of endostapler (E = endostapler; T = thoracoscope; arrow = the nodule to be marked with contrast media). The Annals of Thoracic Surgery 1999 68, 1815-1820DOI: (10.1016/S0003-4975(99)00764-X)

Fig 4 Cut section of the whole nodule. This specimen showed a whitish and eccentric barium stained area (arrow head) within the nodule and revealed a metastasis on frozen section analysis and permanent examination (uterine cervix cancer). The Annals of Thoracic Surgery 1999 68, 1815-1820DOI: (10.1016/S0003-4975(99)00764-X)