論文

査読有り
2015年8月

Simultaneous Multiple Preoperative Localizations of Small Pulmonary Lesions Using a Short Hook Wire and Suture System

CARDIOVASCULAR AND INTERVENTIONAL RADIOLOGY
  • Toshihiro Iguchi
  • ,
  • Takao Hiraki
  • ,
  • Hideo Gobara
  • ,
  • Hiroyasu Fujiwara
  • ,
  • Yusuke Matsui
  • ,
  • Seiichiro Sugimoto
  • ,
  • Shinichi Toyooka
  • ,
  • Takahiro Oto
  • ,
  • Shinichiro Miyoshi
  • ,
  • Susumu Kanazawa

38
4
開始ページ
971
終了ページ
976
記述言語
英語
掲載種別
研究論文(学術雑誌)
DOI
10.1007/s00270-014-1028-5
出版者・発行元
SPRINGER

The aim of the study was to retrospectively evaluate simultaneous multiple hook wire placement outcomes before video-assisted thoracoscopic surgery (VATS).
Thirty-eight procedures were performed on 35 patients (13 men and 22 women; mean age, 59.9 years) with 80 lung lesions (mean diameter 7.9 mm) who underwent simultaneous multiple hook wire placements for preoperative localizations. The primary endpoints were technical success, complications, procedure duration, and VATS outcome; secondary endpoints included comparisons between technical success rates, complication rates, and procedure durations of the 238 single-placement procedures performed. Complications were also evaluated.
In 35 procedures including 74 lesions, multiple hook wire placements were technically successful; in the remaining three procedures, the second target placement was aborted because of massive pneumothorax after the first placement. Although complications occurred in 34 procedures, no grade 3 or above adverse event was observed. The mean procedure duration was 36.4 +/- A 11.8 min. Three hook wires dislodged during patient transport to the surgical suite. Seventy-four successfully marked lesions were resected. Six lesions without hook wires were successfully resected after detection by palpation with an additional mini-thoracotomy or using subtle pleural changes as a guide. The complication rates and procedure durations of multiple-placement procedures were significantly higher (P = 0.04) and longer (P < 0.001) than those in the single-placement group, respectively, while the technical success rate was not significantly different (P = 0.051).
Simultaneous multiple hook wire placements before VATS were clinically feasible, but increased the complication rate and lengthened the procedure time.

Web of Science ® 被引用回数 : 18

リンク情報
DOI
https://doi.org/10.1007/s00270-014-1028-5
PubMed
https://www.ncbi.nlm.nih.gov/pubmed/25465062
Web of Science
https://gateway.webofknowledge.com/gateway/Gateway.cgi?GWVersion=2&SrcAuth=JSTA_CEL&SrcApp=J_Gate_JST&DestLinkType=FullRecord&KeyUT=WOS:000358177900023&DestApp=WOS_CPL
ID情報
  • DOI : 10.1007/s00270-014-1028-5
  • ISSN : 0174-1551
  • eISSN : 1432-086X
  • PubMed ID : 25465062
  • Web of Science ID : WOS:000358177900023

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