CT-guided hook-wire localization of malignant pulmonary nodules for video assisted thoracoscopic surgery.

Tytuł:: CT-guided hook-wire localization of malignant pulmonary nodules for video assisted thoracoscopic surgery.
Autorzy:: Zhang H; Department of Cardiothoracic Surgery, Huashan Hospital of Fudan University, Shanghai, 200040, China. .
Li Y; Department of Thoracic Surgery, Shanghai Pulmonary Hospital, Tongji University School of Medicine, Shanghai, China.
Yimin N; Department of Cardiothoracic Surgery, Huashan Hospital of Fudan University, Shanghai, 200040, China.
He Z; Department of Radiation Oncology, The First Affiliated Hospital of Bengbu Medical College, Bengbu, 233000, China. .
Chen X; Department of Cardiothoracic Surgery, Huashan Hospital of Fudan University, Shanghai, 200040, China. .
Źródło:: Journal of cardiothoracic surgery [J Cardiothorac Surg] 2020 Oct 09; Vol. 15 (1), pp. 307. Date of Electronic Publication: 2020 Oct 09.
Typ publikacji:: Journal Article
Język:: English
Imprint Name(s):: Original Publication: [London] : BioMed Central, 2006-
MeSH Terms:: Thoracic Surgery, Video-Assisted*
Lung Neoplasms/*surgery
Multiple Pulmonary Nodules/*surgery
Solitary Pulmonary Nodule/*surgery
Adult ; Aged ; Aged, 80 and over ; Female ; Humans ; Lung/surgery ; Male ; Middle Aged ; Operative Time ; Pleura/pathology ; Pneumothorax/surgery ; Retrospective Studies ; Thoracotomy ; Tomography, X-Ray Computed
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Grant Information:: 81602545 National Natural Science Foundation of China; 2016Q018 Scientific Research Project of Huashan Hospital, Fudan University; 2015115 Scientific Research Project of Huashan North Hospital
Contributed Indexing:: Keywords: Hook-wire localization; Malignant pulmonary nodules; Video assisted thoracoscopic surgery
Entry Date(s):: Date Created: 20201010 Date Completed: 20210301 Latest Revision: 20210301
Update Code:: 20240105
PubMed Central ID:: PMC7545541
DOI:: 10.1186/s13019-020-01279-9
PMID:: 33036640
: Czasopismo naukowe

Pełny tekst

Objectives: Video assisted thoracoscopic surgery (VATS) can currently be used to diagnose and treat pulmonary nodules. However, intraoperative location of pulmonary nodules in VATS is challenging due to their small diameter and deep location in the pulmonary parenchyma. The purpose of this study was to report the clinical safety and effectiveness of CT-guided hook-wire for preoperative localization of malignant pulmonary nodules smaller than 1 cm in diameter.
Methods: From February 2017 to January 2018, we collected the data of 80 patients with malignant pulmonary nodules less than 1 cm in diameter who underwent CT-guided hook-wire preoperative localization and VATS surgery. The effectiveness of preoperative localization was evaluated based on surgical duration, success rate of VATS surgery, and localization-related complications.
Results: The diameter of pulmonary nodules were 0.85 ± 0.17 mm with a distance to the pleural surface of 19.66 ± 14.10 mm. The length of the hook-wire in the lung parenchyma was 29.17 ± 13.14 mm and hook-wire dislodgement occurred in 2 patients. Complications included 27 cases of minor pneumothorax and 18 cases of mild parenchymal hemorrhage. A significant correlation was observed between the length of the hook-wire in the lung parenchyma and mild parenchymal hemorrhage (P = 0.044). The average time of hook-wire localization was 9.0 ± 2.6 min and the average operation time for VATS was 89.02 ± 23.35 min without conversion thoracotomy.
Conclusions: CT-guided hook-wire localization of the lesion during VATS resection is safe for malignant pulmonary nodules with diameter less than 1 cm.

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