Table of Contents
Lung Cancer International
Volume 2015 (2015), Article ID 235720, 3 pages
http://dx.doi.org/10.1155/2015/235720
Research Article

A Simple and Safe Technique for CT Guided Lung Nodule Marking prior to Video Assisted Thoracoscopic Surgical Resection Revisited

1Department of Radiology, Glenfield General Hospital, University Hospitals of Leicester, Groby Road, Leicester LE3 9QP, UK
2Department of Thoracic Surgery, Glenfield General Hospital, University Hospitals of Leicester, Groby Road, Leicester LE3 9QP, UK

Received 16 August 2015; Accepted 12 October 2015

Academic Editor: Elisabeth Quoix

Copyright © 2015 James A. Stephenson et al. 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.

Abstract

Aim. We describe our experience of a simple, safe, and reproducible technique for lung nodule marking prethoracoscopic metastasectomy. Thoracoscopic lung nodule resection reduces patient discomfort, complications, higher level of care, hospital stay, and cost; however, small deeply placed lung nodules are difficult to locate and resect thoracoscopically. Materials and Methods. We describe and review the success of our novel technique, where nodules are identified on a low dose CT and marked with methylene blue using CT fluoroscopy guidance immediately prior to surgery. Results. 30 nodules were marked with a mean size of 8 mm (4–18 mm) located at a mean depth of 17 mm, distributed through both lungs. Dye was detected at the pleural surface in 97% of the patients and at the nodule in 93%. There were no major complications. Thoracoscopic resection was possible in 90%. Conclusion. This is a simple and safe method of lung nodule marking to facilitate thoracoscopic resection in cases where this may not be technically possible due to nodule location.