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The Annals of Thoracic Surgery, Vol 58, 1542-1544, Copyright © 1994 by The Society of Thoracic Surgeons

ARTICLES

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

H Asamura, H Kondo, T Naruke, R Tsuchiya, F Wakao, M Kaneko and K Suemasu
Department of Diagnostic Radiology, National Cancer Center Hospital, Tokyo, 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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