ArticleJournal of cardiothoracic surgery2021
Preoperative non-invasive visual localization of synchronous multiple lung cancers using three-dimensional computed tomography lung reconstruction.
Article in Journal of cardiothoracic surgery, 2021. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 12 papers, 1 of them a synthesis that pooled it.
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12 citing papers in PubMed, 1 synthesis or guideline pooled it.
- Perioperative Outcomes of Complex Versus Simple Segmentectomy Via Uniportal Video-Assisted Thoracoscopic Surgery for Lung Lesions: A Systematic Review and Meta-Analysis.Interdisciplinary cardiovascular and thoracic surgery · 2026Pooled it
- Initial experience with the EndoFusion 3D system for noninvasive intraoperative localization of pulmonary nodules.Journal of thoracic disease · 2026Article
- The unified front: a multidisciplinary approach in the Era of uniportal thoracic surgery.Frontiers in surgery · 2026Review
- Precise localization techniques for small pulmonary nodules: what is next?Journal of thoracic disease · 2025Review
- Intraoperative patient radiation dose from cone-beam computed tomography in thoracic surgery.Journal of cardiothoracic surgery · 2024Article
- Indocyanine green localization for preoperative CT-guided localization of multiple pulmonary nodules.Thoracic cancer · 2024Article
- Clinical application of CT-assisted body surface localization combined with intraoperative stereotactic anatomical localization in thoracoscopic lung nodule resection: a single-centre retrospective study.Journal of cardiothoracic surgery · 2024Article
- Preoperative computed tomography-guided transscapular sens-cure needle localization for pulmonary nodule located behind the scapula.Journal of cardiothoracic surgery · 2023Article
- The well-matched interaction between virtuality and reality for intraoperative localization of nonpalpable pulmonary nodules.JTCVS techniques · 2023Article
- Computed tomography-guided localization of pulmonary nodules prior to thoracoscopic surgery.Thoracic cancer · 2023Review
- State of the Art in Lung Nodule Localization.Journal of clinical medicine · 2022Review
- 3D localization based on anatomical LANDmarks in the treatment of pulmonary nodules.Journal of thoracic disease · 2022Article
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7 authors.
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Abstract
backgroundSynchronous multiple primary lung cancers are becoming more common with increasing use of computed tomography for screening. Intraoperative localization and resection of ill-defined pulmonary ground-glass opacities during thoracoscopic resection is challenging. This study aimed to determine the clinical feasibility of non-invasive visual localization of these nodules by three-dimensional computed tomography lung reconstruction before sublobar resection.
methodsForty-four patients with synchronous multiple primary lung cancers underwent thoracoscopic pulmonary resection at our institution between June 2017 and August 2019. Preadmission computed tomography images were downloaded and reconstructed into a three-dimensional model. Small nodules (< 15 mm) were localized non-invasively by three-dimensional computed tomography lung reconstruction before surgery. Patient demographics, nodule characteristics, procedural details, pathological data, and outcomes were obtained from the medical records.
resultsOne hundred and twenty-one pulmonary nodules from the 44 patients were scheduled for video-assisted thoracic surgery; 54 (44.6%) were pure ground-glass opacities and 57 (47.1%) were mixed ground-glass opacities. One hundred and seventeen nodules were localized preoperatively. The mean nodule diameter was 7.67 ± 3.87 mm. The mean distance from the nodule to the pleura was 14.84 ± 14.43 mm. All nodules were removed successfully by wedge resection (27 patients), lobectomy (26 patients), or segmentectomy (25 patients). Most lesions (85.1%) were malignant. Paraffin pathology revealed 12 cases of atypical adenomatous hyperplasia (9.92%), 13 of adenocarcinoma in situ (10.74%), 16 of minimally invasive adenocarcinoma (13.22%), and 73 of invasive adenocarcinoma (60.33%).
conclusionsThree-dimensional computed tomography lung reconstruction is a feasible and alternative method of visual localization for small lung nodules before sublobar resection in some suitable patients.
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