Skin marking with computed tomography at functional residual capacity to predict lung nodule site

Interact Cardiovasc Thorac Surg. 2020 Jan 1;30(1):36-38. doi: 10.1093/icvts/ivz232.

Abstract

Various marking techniques for lung nodules may be complex and can cause serious complications. In this study, we aimed to describe and evaluate the feasibility of CTFRC marking, a novel preoperative skin marking technique guided by computed tomography (CT) at functional residual capacity (FRC). This simple and non-invasive marking technique only requires a preoperative CT scan without any anaesthesia. We retrospectively reviewed CTFRC markings performed for 109 lung nodules in 108 patients. The mean nodule size was 11.4 ± 5.0 mm. The mean distance from the nodule to the lung marking point was 3.8 ± 7.3 mm. We found no procedure-associated complications. CTFRC marking is a simple, safe and non-invasive method to predict the precise location of lung nodules during thoracoscopic surgery.

Keywords: Computed tomography; Functional residual capacity; Lung; Marking; Video-assisted thoracoscopic surgery.

MeSH terms

  • Aged
  • Female
  • Functional Residual Capacity
  • Humans
  • Male
  • Middle Aged
  • Preoperative Care*
  • Respiratory Function Tests
  • Retrospective Studies
  • Solitary Pulmonary Nodule / diagnostic imaging*
  • Solitary Pulmonary Nodule / physiopathology
  • Solitary Pulmonary Nodule / surgery*
  • Thoracic Surgery, Video-Assisted*
  • Tomography, X-Ray Computed*