Preoperative computed tomography-guided localization for multiple pulmonary nodules: comparison of methylene blue and coil
Abstract Background Preoperative computed tomography (CT)-guided localization has been used to guide the video-assisted thoracoscopic surgery (VATS) sublobar (wedge or segmental) resection for pulmonary nodules (PNs). We aimed to assess the relative efficacy and safety of CT-guided methylene blue (M...
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| Format: | Article |
| Language: | English |
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BMC
2022-08-01
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| Series: | Journal of Cardiothoracic Surgery |
| Subjects: | |
| Online Access: | https://doi.org/10.1186/s13019-022-01941-4 |
| _version_ | 1811340240786292736 |
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| author | Sheng-Feng Zhang Hai-Ri Liu Ai-Li Ma Er-Liang Li |
| author_facet | Sheng-Feng Zhang Hai-Ri Liu Ai-Li Ma Er-Liang Li |
| author_sort | Sheng-Feng Zhang |
| collection | DOAJ |
| description | Abstract Background Preoperative computed tomography (CT)-guided localization has been used to guide the video-assisted thoracoscopic surgery (VATS) sublobar (wedge or segmental) resection for pulmonary nodules (PNs). We aimed to assess the relative efficacy and safety of CT-guided methylene blue (MB)- and coil-based approaches to the preoperative localization of multiple PNs (MPNs). Methods Between January 2015 and December 2020, 31 total cases suffering from MPNs at our hospital underwent CT-guided localization and subsequent VATS resection in our hospital, of whom 15 and 16 respectively underwent MB localization (MBL) and coil localization (CL). The clinical effectiveness and complication rates were compared between 2 groups. Results The PN- and patient-based technical success rates in the MBL group were both 100%, whereas in the CL group they were 97.2% (35/36) and 93.8% (15/16), respectively, with no substantial discrepancies between groups. Patients in the MBL group illustrated a substantially shorter CT-guided localization duration compared with the CL group (18 min vs. 29.5 min, P < 0.001). Pneumothorax rates (P = 1.000) and lung hemorrhage (P = 1.000) were comparable in both groups. In the MBL and CL groups, the median interval between localization and VATS was 1 h and 15.5 h, respectively (P < 0.001). One-stage VATS sublobar resection of the target nodules was successfully performed in all patients from both groups. Conclusion Both CT-guided MBL and CL can be readily and safely utilized for preoperative localization in individuals who had MPNs, with MBL being correlated with a shorter localization duration compared with CL. |
| first_indexed | 2024-04-13T18:39:06Z |
| format | Article |
| id | doaj.art-8ceb3046042f406f8c09ac05f44f85cc |
| institution | Directory Open Access Journal |
| issn | 1749-8090 |
| language | English |
| last_indexed | 2024-04-13T18:39:06Z |
| publishDate | 2022-08-01 |
| publisher | BMC |
| record_format | Article |
| series | Journal of Cardiothoracic Surgery |
| spelling | doaj.art-8ceb3046042f406f8c09ac05f44f85cc2022-12-22T02:34:47ZengBMCJournal of Cardiothoracic Surgery1749-80902022-08-011711710.1186/s13019-022-01941-4Preoperative computed tomography-guided localization for multiple pulmonary nodules: comparison of methylene blue and coilSheng-Feng Zhang0Hai-Ri Liu1Ai-Li Ma2Er-Liang Li3Department of Radiology, The Fourth People’s Hospital of TaizhouDepartment of Radiology, The Fourth People’s Hospital of TaizhouDepartment of Radiology, Xuzhou Central HospitalDepartment of Radiology, Xuzhou Central HospitalAbstract Background Preoperative computed tomography (CT)-guided localization has been used to guide the video-assisted thoracoscopic surgery (VATS) sublobar (wedge or segmental) resection for pulmonary nodules (PNs). We aimed to assess the relative efficacy and safety of CT-guided methylene blue (MB)- and coil-based approaches to the preoperative localization of multiple PNs (MPNs). Methods Between January 2015 and December 2020, 31 total cases suffering from MPNs at our hospital underwent CT-guided localization and subsequent VATS resection in our hospital, of whom 15 and 16 respectively underwent MB localization (MBL) and coil localization (CL). The clinical effectiveness and complication rates were compared between 2 groups. Results The PN- and patient-based technical success rates in the MBL group were both 100%, whereas in the CL group they were 97.2% (35/36) and 93.8% (15/16), respectively, with no substantial discrepancies between groups. Patients in the MBL group illustrated a substantially shorter CT-guided localization duration compared with the CL group (18 min vs. 29.5 min, P < 0.001). Pneumothorax rates (P = 1.000) and lung hemorrhage (P = 1.000) were comparable in both groups. In the MBL and CL groups, the median interval between localization and VATS was 1 h and 15.5 h, respectively (P < 0.001). One-stage VATS sublobar resection of the target nodules was successfully performed in all patients from both groups. Conclusion Both CT-guided MBL and CL can be readily and safely utilized for preoperative localization in individuals who had MPNs, with MBL being correlated with a shorter localization duration compared with CL.https://doi.org/10.1186/s13019-022-01941-4Computed tomographyCoilMethylene blueMultiple pulmonary nodules |
| spellingShingle | Sheng-Feng Zhang Hai-Ri Liu Ai-Li Ma Er-Liang Li Preoperative computed tomography-guided localization for multiple pulmonary nodules: comparison of methylene blue and coil Journal of Cardiothoracic Surgery Computed tomography Coil Methylene blue Multiple pulmonary nodules |
| title | Preoperative computed tomography-guided localization for multiple pulmonary nodules: comparison of methylene blue and coil |
| title_full | Preoperative computed tomography-guided localization for multiple pulmonary nodules: comparison of methylene blue and coil |
| title_fullStr | Preoperative computed tomography-guided localization for multiple pulmonary nodules: comparison of methylene blue and coil |
| title_full_unstemmed | Preoperative computed tomography-guided localization for multiple pulmonary nodules: comparison of methylene blue and coil |
| title_short | Preoperative computed tomography-guided localization for multiple pulmonary nodules: comparison of methylene blue and coil |
| title_sort | preoperative computed tomography guided localization for multiple pulmonary nodules comparison of methylene blue and coil |
| topic | Computed tomography Coil Methylene blue Multiple pulmonary nodules |
| url | https://doi.org/10.1186/s13019-022-01941-4 |
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