Preoperative localization for pulmonary nodules: a meta-analysis of coil and liquid materials.

IF 1.7 4区医学 Q2 SURGERY

Minimally Invasive Therapy & Allied Technologies Pub Date : 2024-10-01 Epub Date: 2024-04-04 DOI:10.1080/13645706.2024.2337073

Zhen-Hua Sun, Hui Cheng, Jie Su, Qing-Lan Sun

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引用次数: 0

Abstract

Purpose: This study was designed to conduct pooled comparisons of the relative clinical efficacy and safety of computed tomography (CT)-guided localization for pulmonary nodules (PNs) using either coil- or liquid material-based approaches.

Material and methods: Relevant articles published as of July 2023 were identified in the Web of Science, PubMed, and Wanfang databases, and pooled analyses of relevant endpoints were then conducted.

Results: Six articles that enrolled 287 patients (341 PNs) and 247 patients (301 PNs) that had respectively undergone CT-guided localization procedures using coil- and liquid material-based approaches prior to video-assisted thoracic surgery (VATS) were included in this meta-analysis. The liquid material group exhibited a significantly higher pooled successful localization rate as compared to the coil group (p = 0.01), together with significantly lower pooled total complication rates (p = 0.0008) and pneumothorax rates (p = 0.01). Both groups exhibited similar rates of pulmonary hemorrhage (p = 0.44) and successful wedge resection (p = 0.26). Liquid-based localization was also associated with significant reductions in pooled localization and VATS procedure durations (p = 0.004 and 0.007).

Conclusions: These data are consistent with CT-guided localization procedures performed using liquid materials being safer and more efficacious than coil-based localization in patients with PNs prior to VATS resection.

查看原文本刊更多论文

肺结节的术前定位：线圈和液体材料的荟萃分析。

目的：本研究旨在对计算机断层扫描（CT）引导下使用基于线圈或液体材料的方法定位肺结节（PNs）的相对临床疗效和安全性进行汇总比较：在Web of Science、PubMed和万方数据库中查找截至2023年7月发表的相关文章，然后对相关终点进行汇总分析：本荟萃分析共纳入了六篇文章，分别对视频辅助胸腔镜手术（VATS）前使用线圈和液体材料方法进行CT引导定位的287例患者（341个PN）和247例患者（301个PN）进行了研究。与线圈组相比，液体材料组的总定位成功率明显更高（p = 0.01），总并发症发生率（p = 0.0008）和气胸发生率（p = 0.01）也明显更低。两组的肺出血率（p = 0.44）和楔形切除成功率（p = 0.26）相似。基于液体的定位也与集中定位和 VATS 手术时间的显著缩短有关（p = 0.004 和 0.007）：这些数据表明，对于 VATS 切除术前的 PN 患者，使用液体材料进行的 CT 引导定位程序比基于线圈的定位程序更安全、更有效。

本文章由计算机程序翻译，如有差异，请以英文原文为准。

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来源期刊

Minimally Invasive Therapy & Allied Technologies 医学-外科

CiteScore

3.80

自引率

5.90%

发文量

审稿时长

6-12 weeks

期刊介绍： Minimally Invasive Therapy and Allied Technologies (MITAT) is an international forum for endoscopic surgeons, interventional radiologists and industrial instrument manufacturers. It is the official journal of the Society for Medical Innovation and Technology (SMIT) whose membership includes representatives from a broad spectrum of medical specialities, instrument manufacturing and research. The journal brings the latest developments and innovations in minimally invasive therapy to its readers. What makes Minimally Invasive Therapy and Allied Technologies unique is that we publish one or two special issues each year, which are devoted to a specific theme. Key topics covered by the journal include: interventional radiology, endoscopic surgery, imaging technology, manipulators and robotics for surgery and education and training for MIS.