Localization Technique Using Mixture of Indigo Carmine and Lipiodol of Pulmonary Nodule via Bronchoscopic Navigation
<i>Background and Objectives</i>: As the number of minimally invasive surgeries, including video-assisted thoracoscopic surgery, increases, small, deeply located lung nodules are difficult to visualize or palpate; therefore, localization is important. We studied the use of a mixture of i...
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| Format: | Article |
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MDPI AG
2022-09-01
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| Series: | Medicina |
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| Online Access: | https://www.mdpi.com/1648-9144/58/9/1235 |
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| author | Na-Hyeon Lee Hyun-Sung Chung Jeong-Su Cho Yeong-Dae Kim Jung-Seop Eom Hyo-Yeong Ahn |
| author_facet | Na-Hyeon Lee Hyun-Sung Chung Jeong-Su Cho Yeong-Dae Kim Jung-Seop Eom Hyo-Yeong Ahn |
| author_sort | Na-Hyeon Lee |
| collection | DOAJ |
| description | <i>Background and Objectives</i>: As the number of minimally invasive surgeries, including video-assisted thoracoscopic surgery, increases, small, deeply located lung nodules are difficult to visualize or palpate; therefore, localization is important. We studied the use of a mixture of indigo—carmine and lipiodol, coupled with a transbronchial approach—to achieve accurate localization and minimize patient discomfort and complications. <i>Materials and Methods</i>: A total of 60 patients were enrolled from May 2019 to April 2022, and surgery was performed after the bronchoscopy procedure. Wedge resection or segmentectomy was performed, depending on the location and size of the lesion. <i>Results</i>: In 58/60 (96.7%) patients, the localization of the nodules was successful after localization, and 2/60 required c-arm assistance. None of the patients complained of discomfort during the procedure; in all cases, margins were found to be free from carcinoma, as determined by the final pathology results. <i>Conclusions</i>: We recommend this localization technique using mixture of indigo carmine and lipiodol, in concert with the transbronchial approach, because the procedure time is short, patient’s discomfort is low, and success rate is high. |
| first_indexed | 2024-03-09T23:13:42Z |
| format | Article |
| id | doaj.art-7656c57272954897b39fabed5e0e45f6 |
| institution | Directory Open Access Journal |
| issn | 1010-660X 1648-9144 |
| language | English |
| last_indexed | 2024-03-09T23:13:42Z |
| publishDate | 2022-09-01 |
| publisher | MDPI AG |
| record_format | Article |
| series | Medicina |
| spelling | doaj.art-7656c57272954897b39fabed5e0e45f62023-11-23T17:40:09ZengMDPI AGMedicina1010-660X1648-91442022-09-01589123510.3390/medicina58091235Localization Technique Using Mixture of Indigo Carmine and Lipiodol of Pulmonary Nodule via Bronchoscopic NavigationNa-Hyeon Lee0Hyun-Sung Chung1Jeong-Su Cho2Yeong-Dae Kim3Jung-Seop Eom4Hyo-Yeong Ahn5Department of Trauma Surgery, Biomedical Research Institute, Pusan National University Hospital, Busan 49241, KoreaDivision of Pulmonology, Center for Lung Cancer, National Cancer Center, Goyang 10408, KoreaDepartment of Thoracic and Cardiovascular Surgery, Biomedical Research Institute, Pusan National University Hospital, Busan 49241, KoreaDepartment of Thoracic and Cardiovascular Surgery, Biomedical Research Institute, Pusan National University Hospital, Busan 49241, KoreaDepartment of Internal Medicine, Biomedical Research Institute, Pusan National University Hospital, Busan 49241, KoreaDepartment of Thoracic and Cardiovascular Surgery, Biomedical Research Institute, Pusan National University Hospital, Busan 49241, Korea<i>Background and Objectives</i>: As the number of minimally invasive surgeries, including video-assisted thoracoscopic surgery, increases, small, deeply located lung nodules are difficult to visualize or palpate; therefore, localization is important. We studied the use of a mixture of indigo—carmine and lipiodol, coupled with a transbronchial approach—to achieve accurate localization and minimize patient discomfort and complications. <i>Materials and Methods</i>: A total of 60 patients were enrolled from May 2019 to April 2022, and surgery was performed after the bronchoscopy procedure. Wedge resection or segmentectomy was performed, depending on the location and size of the lesion. <i>Results</i>: In 58/60 (96.7%) patients, the localization of the nodules was successful after localization, and 2/60 required c-arm assistance. None of the patients complained of discomfort during the procedure; in all cases, margins were found to be free from carcinoma, as determined by the final pathology results. <i>Conclusions</i>: We recommend this localization technique using mixture of indigo carmine and lipiodol, in concert with the transbronchial approach, because the procedure time is short, patient’s discomfort is low, and success rate is high.https://www.mdpi.com/1648-9144/58/9/1235localizationpulmonary nodulebronchoscopyindigo carminelipiodolvideo-assisted thoracoscopic surgery |
| spellingShingle | Na-Hyeon Lee Hyun-Sung Chung Jeong-Su Cho Yeong-Dae Kim Jung-Seop Eom Hyo-Yeong Ahn Localization Technique Using Mixture of Indigo Carmine and Lipiodol of Pulmonary Nodule via Bronchoscopic Navigation Medicina localization pulmonary nodule bronchoscopy indigo carmine lipiodol video-assisted thoracoscopic surgery |
| title | Localization Technique Using Mixture of Indigo Carmine and Lipiodol of Pulmonary Nodule via Bronchoscopic Navigation |
| title_full | Localization Technique Using Mixture of Indigo Carmine and Lipiodol of Pulmonary Nodule via Bronchoscopic Navigation |
| title_fullStr | Localization Technique Using Mixture of Indigo Carmine and Lipiodol of Pulmonary Nodule via Bronchoscopic Navigation |
| title_full_unstemmed | Localization Technique Using Mixture of Indigo Carmine and Lipiodol of Pulmonary Nodule via Bronchoscopic Navigation |
| title_short | Localization Technique Using Mixture of Indigo Carmine and Lipiodol of Pulmonary Nodule via Bronchoscopic Navigation |
| title_sort | localization technique using mixture of indigo carmine and lipiodol of pulmonary nodule via bronchoscopic navigation |
| topic | localization pulmonary nodule bronchoscopy indigo carmine lipiodol video-assisted thoracoscopic surgery |
| url | https://www.mdpi.com/1648-9144/58/9/1235 |
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