Application of CT-guided localization with medical glue injection in treatment of ground-glass opacity and pulmonary nodules with video-assisted thoracoscope surgery

doi:10.3969/j.issn.1006-7795.2015.04.003

Journal of Capital Medical University ›› 2015, Vol. 36 ›› Issue (4): 529-532.doi: 10.3969/j.issn.1006-7795.2015.04.003

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Application of CT-guided localization with medical glue injection in treatment of ground-glass opacity and pulmonary nodules with video-assisted thoracoscope surgery

Qian Kun¹, Zhi Xiuyi¹, Zhang Yi¹, Li Yan², Hu Mu¹, Li Jingkai², Shen Chong²

1. Department of Thoracic Surgery, Xuanwu Hospital, Diagnostic and Treatment Centers of Lung Cancer, Capital Medical University, Beijing 100053, China;
2. Department of Radiology, Xuanwu Hospital, Capital Medical University, Beijing 100053, China

Received:2015-05-28 Online:2015-08-21 Published:2015-07-17
Supported by:
This study was supported by Beijing Municipal Science and Technology Committee(D14110700020000).

Abstract

Abstract:

Objective To evaluate the clinical value of CT-guided localization with medical glue injection in treatment of ground-glass opacity(GGO) and pulmonary nodules with video-assisted thoracoscope surgery(VATS). Methods From December 2013 to November 2014, 10 patients with pure ground-glass opacity(pGGO) and 15 patients with solitary pulmonary nodule(SPN) underwent wedge resection or segmentectomy by VATS. All the patients were injected with medical glue by CT-guided localization before operation. Results CT-guided localization with medical glue was successful in all patients(100%). The time of puncturing was (17.1±6.1)min. There were 1 case of pneumothorax(4%), 5 cases of chest pain(20%) and 6 cases of cough(24%) respectively. The time of operation was (23.1±5.6)min in 10 patients with pGGO, 7 cases with adenocarcinoma were pathologically confirmed, 2 cases of atypical adenomatous hyperplasia, and 1 cases of adenomyosis. The time of operation was (20.4±5.9)min in 15 patients with SPN, 9 cases of adenocarcinoma, 1 case of carcinoma metastaticum, and 5 cases of nonmalignant disease. No conversion to thoracotomy was necessary in any patients and no VATS postoperative major complications occurred. Conclusion There are many advantages of the application, such as safety, simple and accuracy. It is a viable technique for pGGO and SPN localization.

Key words: pure ground-glass opacity, solitary pulmonary nodule, computed tomography(CT), medical glue, video-assisted thoracoscope surgery

CLC Number:

R734.2

Qian Kun, Zhi Xiuyi, Zhang Yi, Li Yan, Hu Mu, Li Jingkai, Shen Chong. Application of CT-guided localization with medical glue injection in treatment of ground-glass opacity and pulmonary nodules with video-assisted thoracoscope surgery[J]. Journal of Capital Medical University, 2015, 36(4): 529-532.

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Application of CT-guided localization with medical glue injection in treatment of ground-glass opacity and pulmonary nodules with video-assisted thoracoscope surgery

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