Open AccessSingle-stage nonintubated uniportal thoracoscopic resection of synchronous bilateral pulmonary nodules after coil labeling
Author(s) -
Miao Zhang,
Tao Wang,
Youwei Zhang,
Wenbin Wu,
Heng Wang,
Ru Xu
Publication year - 2017
Publication title -
medicine
Language(s) - English
Resource type - Journals
SCImago Journal Rank - 0.59
H-Index - 148
eISSN - 1536-5964
pISSN - 0025-7974
DOI - 10.1097/md.0000000000006453
Subject(s) - medicine , atypical adenomatous hyperplasia , wedge resection , video assisted thoracoscopic surgery , pulmonary function testing , pathological , radiology , lung , stage (stratigraphy) , segmental resection , hyperplasia , surgery , resection , cancer , adenocarcinoma , paleontology , biology
Rationale: Preoperative localization of small pulmonary nodules is essential for precise resection, besides, the optimal treatment for pulmonary nodules is controversial and the prognosis without surgery is uncertain. Patient concerns: Herein we present a patient with compromised pulmonary function harboring synchronous triple ground-glass nodules located separately in different pulmonary lobes. Diagnoses: The pathological diagnosis of the nodules were chronic inflammation, inflammatory pseudotumor and atypical adenomatous hyperplasia, respectively. Interventions: The patient underwent single-stage, non-intubated thoracoscopic pulmonary wedge resection after computed tomography-guided coil labeling of the nodules. Outcomes: The postoperative recovery was encouragingly fast without obvious complications. Lessons: Non-intubated thoracoscopic pulmonary wedge resection is feasible for patients with compromised lung function, meanwhile, preoperative coil labeling of small nodules is reliable.