ArticleSurgical endoscopy2019
Image-guided thoracoscopic lung resection using a dual-marker localization technique in a hybrid operating room.
Article in Surgical endoscopy, 2019. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 15 papers, 1 of them a synthesis that pooled it.
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Who cites it
15 citing papers in PubMed, 1 synthesis or guideline pooled it, 21 citations in OpenAlex.
- A systematic review on the application of the hybrid operating room in surgery: experiences and challenges.Updates in surgery · 2022Pooled it
- A novel localization technique for margin distance assessment of deep-seated small pulmonary nodules in thoracoscopic wedge resection: a retrospective study.Quantitative imaging in medicine and surgery · 2025Article
- Intraoperative transbronchial metallic coil marking guided by mobile 3D C-arm for resection of a small peripheral lung lesion.Journal of thoracic disease · 2024Article
- Image-guided video-assisted thoracoscopic surgery (iVATS): a single center experience and review.Journal of thoracic disease · 2023Review
- Efficacy and safety of intraoperative cone-beam CT-guided localization of small pulmonary nodules.Interactive cardiovascular and thoracic surgery · 2022Article
- Computed Tomography-Guided Localization and Extended Segmentectomy for Non-Small Cell Lung Cancer.Diagnostics (Basel, Switzerland) · 2022Article
- A pilot study of intraoperative localization of peripheral small pulmonary tumors by cone-beam computed tomography: sandwich marking technique.Journal of thoracic disease · 2022Article
- Comparison of extended segmentectomy with traditional segmentectomy for stage I lung cancer.Journal of cardiothoracic surgery · 2022Article
- Fluorescence-guided lung nodule identification during minimally invasive lung resections.Frontiers in surgery · 2022Review
- Intraoperative imaging and localization techniques for part-solid nodules.JTCVS techniques · 2021Article
- Single-step localization and excision of small pulmonary nodules using a mobile 3D C-arm.Interactive cardiovascular and thoracic surgery · 2021Article
- A hybrid, image-based and biomechanics-based registration approach to markerless intraoperative nodule localization during video-assisted thoracoscopic surgery.Medical image analysis · 2021Article
- Bilateral lung nodules resection by image-guided video-assisted thoracoscopic surgery: a case series.Journal of cardiothoracic surgery · 2020Article
- Comparison of CT-guided localization using hook wire or coil before thoracoscopic surgery for ground glass nodules.The British journal of radiology · 2020Article
- The Utility of Near-Infrared Fluorescence and Indocyanine Green During Robotic Pulmonary Resection.Frontiers in surgery · 2019Review
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Authors and funding
4 authors at 1 institution in 1 country.
Funding
No grant is acknowledged in the PubMed record.
Abstract
backgroundWe sought to describe the feasibility and safety of a dual-marker technique-based on a combination of near-infrared (NIR) marking and microcoil localization-before image-guided video-assisted thoracoscopic surgery (iVATS) of small and/or deep pulmonary lesions in a hybrid operating room (HOR).
methodsWe retrospectively reviewed the clinical records of consecutive patients who underwent iVATS resection in a HOR using the proposed dual-marker localization technique. Patients were initially imaged with cone-beam CT, and the needle trajectory was subsequently planned with the Syngo iGuide Needle Guidance software. Using a coaxial needle technique, a microcoil was initially deployed either in the immediate proximity or within the lesion of interest followed by injection of diluted indocyanine green (ICG; quantity: 0.3-0.5 mL; dye concentration: 0.125 mg/mL) at the pleural surface. A NIR thoracoscopic camera and a C-arm portable fluoroscopic system were used to guide the subsequent resection.
resultsA total of 11 patients were examined. The median lesion size was 6 mm, with a median distance from the pleural surface of 4 mm. Three nodules were solid, whereas the remaining eight were GGOs. All lesions were identifiable on intraoperative cone-beam CT images. The median time required for localization was 19 min. No conversion to thoracotomy or a multi-port approach was required, and there were no clinically significant adverse events after ICG injection or microcoil placement.
conclusionsOur study indicates that iVATS with a dual-marking approach (NIR marking and microcoil localization) is safe and useful to localize difficult-to-identify pulmonary nodules.
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