Drahtmarkierung der pulmonalen Rundherde

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With the increasing use of multi-slice computed tomography (MSCT) pulmonary nodules are more often detected. The propose of our study was to evaluate use of the computed tomography guided spiral-wire localization before video-assisted thoracoscopic surgery (VATS). 54 patients with pulmonary nodules underwent ct-guided application of a spiralwire lung localization-set (Somatom, Berlin, Germany). The average age was 58 years, the mean distance between the nodule and the visceral pleura was 7,9 mm and the mean diameter was 13,1 mm. Following this procedure, the patients underwent a VATS resection. In all patients the placement of the spiral-wire was succesful without any dislocation. The major complications were: Asymtomatic pneumothorax, local bleeding and in 3 patients a combination of local bleeding and a minor pneumothorax. In conclusion wire localization of peripheral pulmonary nodules is a safe and effective procedure to assist VATS resection.