Intraoperative Lung Ultrasound (ILU) for the Assessment of Pulmonary Nodules.

Autor: Taurchini M; Unit of Thoracic Surgery, IRCCS Fondazione 'Casa Sollievo della Sofferenza', 71013 San Giovanni Rotondo, Italy., Quarato CMI; Department of Medical and Surgical Sciences, Institute of Respiratory Diseases, Policlinico Universitario 'Riuniti' di Foggia, University of Foggia, 71122 Foggia, Italy., Frongillo EM; Unit of Thoracic Surgery, Cliniche Humanitas Gavazzeni, 24125 Bergamo, Italy., Ferretti GM; Unit of Thoracic Surgery, IRCCS Fondazione 'Casa Sollievo della Sofferenza', 71013 San Giovanni Rotondo, Italy., Cipriani C; Department of Internal Medicine and Medical Disciplines, Sapienza University, 00161 Rome, Italy., Bizzarri M; Unit of Thoracic Surgery, IRCCS Fondazione 'Casa Sollievo della Sofferenza', 71013 San Giovanni Rotondo, Italy., Foschino Barbaro MP; Department of Medical and Surgical Sciences, Institute of Respiratory Diseases, Policlinico Universitario 'Riuniti' di Foggia, University of Foggia, 71122 Foggia, Italy., Lacedonia D; Department of Medical and Surgical Sciences, Institute of Respiratory Diseases, Policlinico Universitario 'Riuniti' di Foggia, University of Foggia, 71122 Foggia, Italy., Simeone A; Unit of Radiology, IRCCS Fondazione 'Casa Sollievo della Sofferenza', 71013 San Giovanni Rotondo, Italy., Graziano P; Unit of Pathology, IRCCS Fondazione 'Casa Sollievo della Sofferenza', 71013 San Giovanni Rotondo, Italy., Dimitri L; Unit of Pathology, IRCCS Fondazione 'Casa Sollievo della Sofferenza', 71013 San Giovanni Rotondo, Italy., Maiello E; Unit of Oncology, IRCCS Fondazione 'Casa Sollievo della Sofferenza', 71013 San Giovanni Rotondo, Italy., Cavaliere L; Unit of Reanimation and Anesthesiology, IRCCS Fondazione 'Casa Sollievo della Sofferenza', 71013 San Giovanni Rotondo, Italy., De Cosmo S; Department of Internal Medicine, IRCCS Fondazione 'Casa Sollievo della Sofferenza', 71013 San Giovanni Rotondo, Italy., Sperandeo M; Unit of Interventional and Diagnostic Ultrasound of Internal Medicine, IRCCS Fondazione 'Casa Sollievo della Sofferenza', 71013 San Giovanni Rotondo, Italy.
Jazyk: angličtina
Zdroj: Diagnostics (Basel, Switzerland) [Diagnostics (Basel)] 2021 Sep 16; Vol. 11 (9). Date of Electronic Publication: 2021 Sep 16.
DOI: 10.3390/diagnostics11091691
Abstrakt: Background: The primary aim of this study was to confirm the validity of intraoperative lung ultrasound (ILU) as a safe and effective method of localization for difficult to visualize pulmonary nodules during Video-Assisted Thoracoscopic Surgery (VATS) and open thoracotomy. The secondary aim was to enhance knowledge on the morphological patterns of presentation of pulmonary nodules on direct ultrasound examination.
Materials and Methods: 131 patients with lung nodule and indication for surgery were enrolled. All patients underwent pre-operative imaging of the chest, including Chest Computed Tomography (CT) and Transthoracic Ultrasound (TUS), and surgical procedures for histological assessment of pulmonary nodules (VATS or open thoracotomy).
Results: The identification of 100.00% of lung nodules was allowed by ILU, while the detection rate of digital palpation was 94.66%. It was not possible to associate any specific ILU echostructural pattern to both benign or malignant lesions. However, the actual histological margins of the lesions in the operating samples were corresponding to those visualized at ILU in 125/131 (95.42%) cases. No complications have been reported with ILU employment.
Conclusions: In our experience, ILU performed during both open surgery and VATS demonstrated to be a reliable and safe method for visualization and localization of pulmonary nodules non previously assessed on digital palpation. In addition, ILU showed to allow a clear nodule's margins' definition matching, in most cases, with the actual histological margins.
Databáze: MEDLINE
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