CT-guided hook-wire localization of malignant pulmonary nodules for video assisted thoracoscopic surgery
Abstract 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 s...
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| Format: | Article |
| Language: | English |
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BMC
2020-10-01
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| Series: | Journal of Cardiothoracic Surgery |
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| Online Access: | http://link.springer.com/article/10.1186/s13019-020-01279-9 |
| _version_ | 1819210280817655808 |
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| author | Huijun Zhang Ying Li Nadier Yimin Zelai He Xiaofeng Chen |
| author_facet | Huijun Zhang Ying Li Nadier Yimin Zelai He Xiaofeng Chen |
| author_sort | Huijun Zhang |
| collection | DOAJ |
| description | Abstract 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. |
| first_indexed | 2024-12-23T06:08:40Z |
| format | Article |
| id | doaj.art-e3291b19f9764612b252c0cfe190b594 |
| institution | Directory Open Access Journal |
| issn | 1749-8090 |
| language | English |
| last_indexed | 2024-12-23T06:08:40Z |
| publishDate | 2020-10-01 |
| publisher | BMC |
| record_format | Article |
| series | Journal of Cardiothoracic Surgery |
| spelling | doaj.art-e3291b19f9764612b252c0cfe190b5942022-12-21T17:57:31ZengBMCJournal of Cardiothoracic Surgery1749-80902020-10-011511710.1186/s13019-020-01279-9CT-guided hook-wire localization of malignant pulmonary nodules for video assisted thoracoscopic surgeryHuijun Zhang0Ying Li1Nadier Yimin2Zelai He3Xiaofeng Chen4Department of Cardiothoracic Surgery, Huashan Hospital of Fudan UniversityDepartment of Thoracic Surgery, Shanghai Pulmonary Hospital, Tongji University School of MedicineDepartment of Cardiothoracic Surgery, Huashan Hospital of Fudan UniversityDepartment of Radiation Oncology, The First Affiliated Hospital of Bengbu Medical CollegeDepartment of Cardiothoracic Surgery, Huashan Hospital of Fudan UniversityAbstract 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.http://link.springer.com/article/10.1186/s13019-020-01279-9Malignant pulmonary nodulesHook-wire localizationVideo assisted thoracoscopic surgery |
| spellingShingle | Huijun Zhang Ying Li Nadier Yimin Zelai He Xiaofeng Chen CT-guided hook-wire localization of malignant pulmonary nodules for video assisted thoracoscopic surgery Journal of Cardiothoracic Surgery Malignant pulmonary nodules Hook-wire localization Video assisted thoracoscopic surgery |
| title | CT-guided hook-wire localization of malignant pulmonary nodules for video assisted thoracoscopic surgery |
| title_full | CT-guided hook-wire localization of malignant pulmonary nodules for video assisted thoracoscopic surgery |
| title_fullStr | CT-guided hook-wire localization of malignant pulmonary nodules for video assisted thoracoscopic surgery |
| title_full_unstemmed | CT-guided hook-wire localization of malignant pulmonary nodules for video assisted thoracoscopic surgery |
| title_short | CT-guided hook-wire localization of malignant pulmonary nodules for video assisted thoracoscopic surgery |
| title_sort | ct guided hook wire localization of malignant pulmonary nodules for video assisted thoracoscopic surgery |
| topic | Malignant pulmonary nodules Hook-wire localization Video assisted thoracoscopic surgery |
| url | http://link.springer.com/article/10.1186/s13019-020-01279-9 |
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