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Efficacy of CT‐guided localization followed by video‐assisted thoracoscopic surgery in children with tiny pulmonary nodules
Author(s) -
Nara Keigo,
Oue Takaharu,
Uehara Shuichiro,
Ueno Takehisa,
Ibuka Souji,
Nakahata Kengo,
Zenitani Masahiro,
Umeda Satoshi,
Yamamichi Taku,
Honda Osamu,
Okuyama Hiroomi
Publication year - 2016
Publication title -
asian journal of endoscopic surgery
Language(s) - English
Resource type - Journals
SCImago Journal Rank - 0.372
H-Index - 18
eISSN - 1758-5910
pISSN - 1758-5902
DOI - 10.1111/ases.12297
Subject(s) - medicine , hepatoblastoma , video assisted thoracoscopic surgery , osteosarcoma , radiology , surgery , pathology
CT‐guided localization followed by video‐assisted thoracoscopic surgery was performed in three children with pulmonary nodules less than 5 mm in diameter. The patients' respective primary diagnoses were Wilms tumor, hepatoblastoma, and osteosarcoma of the femur. The pulmonary nodules were marked preoperatively by a percutaneously placed hook‐wire or dye under CT guidance. Although none of the nodules was grossly detected during the operation, they were correctly resected under the guidance of the hook‐wire wound or dye. A histological assessment revealed viable metastatic lesions in the case of hepatoblastoma, completely necrotic lesions in the case of Wilms tumor, and inflammatory nodules in the case of osteosarcoma. CT‐guided localization followed by video‐assisted thoracoscopic surgery appears to be a beneficial procedure in children with tiny pulmonary nodules.