Table of Contents
Diagnostic and Therapeutic Endoscopy
Volume 1, Issue 1, Pages 25-28

Video Assisted Thoracic Surgery for Indeterminate Pulmonary Nodules

1University of Nevada School of Medicine, Department of Surgery, Kansas city, Kansas, USA
2Department of Surgery, University of Nevada School of Medicine, 2040 West Charleston Boulevard, Suite 601, Las Vegas, Nevada 89102, USA

Received 18 October 1993; Accepted 31 January 1994

Copyright © 1994 Hindawi Publishing Corporation. This is an open access article distributed under the Creative Commons Attribution License, which permits unrestricted use, distribution, and reproduction in any medium, provided the original work is properly cited.


The approach to patients with indeterminate pulmonary nodules is poorly defined. Should every pulmonary nodule be biopsied, is needle biopsy adequate, and other questions are challenges. Video assisted thoracic surgery or thoracoscopy has added a new diagnostic possibility which is evaluated in this paper. Fifty-five patients underwent thoracoscopy for diagnosis of a solitary pulmonary nodule. There were few complications and mortality was zero. A definitive diagnosis was obtained in all patients, although one required a second thoracoscopic wedge resection and 10 required conversion to an open thoracotomy.

As discussed in the paper, thoracoscopy provides the opportunity for safely establishing a definitive diagnosis in all patients with solitary nodules and the authors believe will become a standard part of the evaluation of these patients.