Hybrid DynaCT scan-guided localization single-port lobectomy. [corrected]

Chest. 2015 Mar;147(3):e76-e78. doi: 10.1378/chest.14-1503.


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.

Publication types

  • Case Reports

MeSH terms

  • Adenocarcinoma / diagnostic imaging
  • Adenocarcinoma / surgery*
  • Female
  • Humans
  • Lung Neoplasms / diagnostic imaging
  • Lung Neoplasms / surgery*
  • Middle Aged
  • Pneumonectomy / methods*
  • Tomography, X-Ray Computed / methods*
  • Treatment Outcome