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Ann Thorac Surg 1994;58:1542-1544
© 1994 The Society of Thoracic Surgeons

Articles

Computed tomography-guided coil injection and thoracoscopic pulmonary resection under roentgenographic fluoroscopy

Hisao Asamura, MD*, Haruhiko Kondo, MD, Tsuguo Naruke, MD, Ryosuke Tsuchiya, MD, Fumihiko Wakao, MD, Masahiro Kaneko, MD, Keiichi Suemasu, MD

Division of Thoracic Surgery, Department of Diagnostic Radiology, and Department of Endoscopy, National Cancer Center Hospital, Tokyo Japan

Accepted for publication March 17, 1994.

* Address reprint requests to Dr Asamura, Division of Thoracic Surgery, National Cancer Center Hospital, 1-1, Tsukiji 5-chome, Chuo-ku, Tokyo 104, Japan.

To remove a small, chest roentgenogram-negative, computed tomogram-positive nodule, we developed a novel technique of thoracoscopic pulmonary resection. This technique consists of the computed tomography-guided coil injection of a metallic coil and subsequent thoracoscopic resection under roentgenographic fluoroscopy. During the thoracoscopic resection, the fluoroscopic image was a valuable aid in determining the location of the nodule and in ensuring that the stapler was applied with a sufficient distance from the coil. Because this technique helps to determine the exact location of the nodule regardless of its depth from the pleural surface, even a minithoracotomy for direct palpation can be avoided.




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