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Ann Thorac Surg 2003;75:1611-1612
© 2003 The Society of Thoracic Surgeons
a School of Medicine Division of Cardiothoracic Surgery, 801 N. Rutledge, Room D319P.O. Box 19638Southern Illinois University, Springfield, IL 62794-9638, USA
e-mail: shazelrigg@siumed.edu
| The first 20% of the full text of this article appears below. |
Solitary pulmonary nodules (SPN) are identified in over 150,000 patients annually in the United States alone, and their management has been the topic of much debate and consternation. While video-assisted thoracoscopic resection (VATS) has largely replaced open procedures for wedge resection of peripheral nodules, the use of modalities such as percutaneous needle biopsy (PNB) and ever improving scanners must assist us in diagnosis. Our ultimate goal is to minimize any delay in the diagnosis and management of malignant lesions while avoiding both false negative results and the resection of benign nodules.
This manuscript represents a fairly large series of VATS resections for SPNs. The results, with regard to complications, are excellent and add to the evidence that VATS can be performed safely in most situations. The number of benign
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