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Hybrid DynaCT Scan-Guided Localization Single-Port LobectomyHybrid DynaCT Scan Localization Lobectomy

Calvin S. H. Ng, MD, FCCP; Cheuk Man Chu, MBChB; Micky W. T. Kwok, MBChB; Anthony P. C. Yim, DM, FCCP; Randolph H. L. Wong, MBChB, FCCP
Author and Funding Information

From the Department of Surgery (Drs Ng, Kwok, Yim, and Wong), and the Department of Imaging and Interventional Radiology (Dr Man Chu), Prince of Wales Hospital, The Chinese University of Hong Kong, Hong Kong SAR.

CORRESPONDENCE TO: Calvin S. H. Ng, MD, FCCP, Division of Cardiothoracic Surgery, The Chinese University of Hong Kong, Prince of Wales Hospital, Shatin, N.T. Hong Kong, SAR, China; e-mail: calvinng@surgery.cuhk.edu.hk


Reproduction of this article is prohibited without written permission from the American College of Chest Physicians. See online for more details.


Chest. 2015;147(3):e76-e78. doi:10.1378/chest.14-1503
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Small pulmonary lesions can be difficult to locate intraoperatively. Preoperative CT scan-guided localization, for example with hookwire, is a popular method to help localize such lesions. However, the delay between CT scan localization with hookwire and surgery can lead to risks of pneumothorax and wire dislodgement. We describe a 56-year-old woman who underwent DynaCT-guided hookwire localization of a ground-glass opacity in the hybrid operating room followed immediately by single-port video-assisted thoracic surgery lobectomy. The advantages, disadvantages, and special considerations in adopting this approach are discussed.

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lobectomy

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