A study offered a 5-year update on the tertiary-level institution’s experience with CT-guided platinum microcoil lung surgery. Researchers carried out a cross-sectional retrospective investigation. All patients admitted to the Vancouver General Hospital’s Thoracic Service for computed tomography-guided micro coil lung surgery were included in a study. The key outcome factors were the success of nodule localization and the severity of adverse events associated with placement. Nodule features on preoperative computed tomography chest and nodule surgical pathology were secondary outcomes. Counts were given as proportions n, and continuous variables were presented as mean (standard deviation). In 92 patients, a total of 97 lung nodules were removed. The mean age was 65.3 (±10.6) years, and 59 (61%) were female. All 97 nodules (100%) were correctly located using video-assisted thoracic surgery wedge resection. There were 59 cases (60.8%) of placement-related events noted on computed tomography of the chest. Pneumothorax 45 (46.4%), lung hematoma 18 (18.6%), dislodgement 4 (4.1%), and hemoptysis 2 were all small and self-limited and did not require treatment (2.1%). The average diameter of the nodules was 13.2 mm (6.7). In 27 (27.8%), the density was nonsolid, and in 27 (27.8%), the density was semi-solid (27.8%). One occurrence with a positive surgical margin, and four patients (4.1%) underwent complete lobectomy. In 66 nodules, non–small lung cancer was discovered. Platinum micro coils lung surgery guided by computed tomography is safe and has a low rate of clinical side events, making it a good option for high-risk patients. As evidenced by the 5-year update, the procedure is effective, which showed 100 % diagnostic localization. It does away with the necessity for a thoracotomy and palpation to locate potentially dangerous subpleural small nodules. It’s ideal for treating altering nodules in the early stages of lung cancer, as well as diagnosing small ambiguous lung nodules or metastases.
Reference:www.jtcvs.org/article/S0022-5223(19)30797-4/fulltext
