ArticleInteractive cardiovascular and thoracic surgery2022
Ultrasound location of ground-glass opacity during thoracoscopic surgery.
Article in Interactive cardiovascular and thoracic surgery, 2022. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 10 papers, 1 of them a synthesis that pooled it.
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10 citing papers in PubMed, 1 synthesis or guideline pooled it, 9 citations in OpenAlex.
- Comparative outcomes of video-assisted thoracic surgery versus open thoracic surgery in pediatric pulmonary metastasectomy: a systematic review and meta-analysis.Pediatric surgery international · 2024Pooled it
- Comparison of learning curves between electromagnetic navigation bronchoscopy and Ion robotic bronchoscopy for preoperative localization.Journal of thoracic disease · 2026Article
- Bridging the sensory gap: intraoperative lung ultrasound for deep pulmonary nodule localization in totally endoscopic robotic thoracic surgery.Updates in surgery · 2026Article
- Lung nodule detection by intraoperative ultrasound during robotic surgery.JTCVS techniques · 2025Article
- Advanced Intra-Thoracic Ultrasound-Guided Thoracoscopic Lung Resection: A Case Report.Surgical case reports · 2025Article
- Role of VATS-US in identifying and characterizing pulmonary nodules: a narrative review.Frontiers in surgery · 2025Review
- The value of thoracoscopic ultrasound for the localization of ground-glass opacities with incomplete lung collapse in video-assisted thoracoscopic surgery.Quantitative imaging in medicine and surgery · 2024Article
- Current Status and Future Perspectives of Preoperative and Intraoperative Marking in Thoracic Surgery.Cancers · 2024Review
- Ultrasound for Intra-Operative Detection of Peri-Centimetric Pulmonary Nodules in Uniportal Video-Assisted Thoracic Surgery (VATS): A Comparison with Conventional Techniques in Multiportal VATS.Journal of clinical medicine · 2024Article
- 'Now you can see me, now you don't': seeking the invisible lung nodule.Interdisciplinary cardiovascular and thoracic surgery · 2023Article
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13 authors at 2 institutions in 1 country.
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No grant is acknowledged in the PubMed record.
Abstract
objectivesApplication of video-assisted thoracoscopy brought lung surgery into the minimally invasive era; the lack of tactile feedback using VATS, remains a disadvantage because surgeons are unable to locate lesions with a finger or device. This study aimed to investigate the effectiveness, the applicability and the utility of intraoperative ultrasound (IU), for the localization of small ground-glass opacity (GGO) lesions in the parenchyma, as a guide in finding their margins in a deflated lung. MATERIALS AND
methodsWe included 15 consecutive patients undergoing diagnostic resection of GGOs via VATS in the Thoracic Surgery Unit of the University of 'Luigi Vanvitelli' of Naples from November 2019 to December 2021. They were under general anaesthesia, when the lung had been collapsed, the probe was placed in the region where the target lesion was thought to reside on the basis of low-dose computed tomography scanning. GGO could be identified their sizes, echo levels and posterior echo was recorded by IU when the lung was completely deflated.
resultsWe conducted a retrospective single-centre study. All GGOs were identified by IU. The mean size and depth were 14.1 ± 0.5 and 4.8 ± 0.3 mm, respectively. Six (40%) lesions had hyperechoic patterns, 9 (60%) had mixed echogenicity where the hyperechoic patterns were irregularly mixed with hypoechoic patterns. The final diagnoses included 2 (15%) atypical adenomatous hyperplasia; 2 (15%) adenocarcinomas in situ; 3 (23%) minimally invasive adenocarcinomas and 6 (46%) invasive adenocarcinomas.
conclusionsThe results of our study showed that IU could safely and effectively detect GGOs.
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