Single-anesthesia event for lung nodule marking and minimally invasive sublobar resection

Authors

Noah Gordon, Advocate Health - MidwestFollow
Mae Leef, Advocate Health - MidwestFollow
Richard Irving, Advocate Health - MidwestFollow
Nikolina Madjer, Advocate Health - MidwestFollow
Christopher Bentsen, Advocate Health - MidwestFollow
Daniel Elikman, Department of Kinesiology, Nutrition, and Health, Miami University Oxford Campus, Oxford, OH 45056, USA.
Alex Cedeno-Rodriguez, Centro Cardiovascular de Puerto Rico y el Caribe Thoracic Surgery, San Juan 00936, Puerto Rico.
Abdul Hamid Alraiyes, Advocate Health - MidwestFollow

Recommended Citation

Gordon N, Leef M, Irving R, et al. Single-Anesthesia Event for Lung Nodule Marking and Minimally Invasive Sublobar Resection. J Clin Med. 2025;14(9):3149. Published 2025 May 1. doi:10.3390/jcm14093149

Affiliations

Advocate Lutheran General

Abstract

Background: Non-small cell lung cancer (NSCLC) accounts for a significant number of new lung cancer diagnoses each year, which, if identified early, may be surgically removed with curative intent. It is also the most common indication for a sublobar resection due to its equal efficacy in carefully selected patients. From the time of diagnosis to surgery, however, traditionally, there are three separate anesthesia-dependent events: (1) diagnostic bronchoscopy plus lymph node staging, (2) lung nodule marking, and (3) surgical resection. This study evaluated the viability of performing a pulmonary nodule marking and sublobar resection under a single-anesthesia-dependent event at a large community hospital.

Methods:

The study group was a single-center retrospective cohort of patients, scheduled for same-day marking and sublobar resection and admitted to a large community hospital between 6 January 2023 and 23 May 2023. Prior to arrival, patients had received cardiac surgical clearance, pulmonary function testing, and positron emission tomography to ensure their appropriateness for surgical intervention. Data regarding procedural time, anesthesia time, and hospital length of stay was collected retroactively though the electronic medical record.

Results: A total of 12 patients with 16 pulmonary nodules were included. Results demonstrated a mean turnover time of 33 min between completing pulmonary fiducial marking and starting the sublobar resection. The estimated mean total time saved was 231 min. The average hospital length of stay was 1.83 days.

Conclusions: Combining pulmonary fiducial marking and sublobar resection within a single-anesthesia-dependent event offers an opportunity to decrease total perioperative time and the time from diagnosis to curative intervention.

Type

Article

PubMed ID

40364178