Clinical application of mobile CT combined with procedural sedation and analgesia in the preoperative localization of multiple pulmonary nodules.

IF 2.1 3区医学 Q2 SURGERY

Langenbeck's Archives of Surgery Pub Date : 2024-12-03 DOI:10.1007/s00423-024-03561-z

Siyang Jiao, Feng Shao, Qiang Zhang, Yun-Gang Sun

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引用次数: 0

Abstract

Objective: To evaluate the safety and efficacy of mobile CT combined with procedural sedation and analgesia for the preoperative localization of multiple nodules.

Methods: The clinical data of 200 patients who underwent CT-guided localization before single-port thoracoscopic pulmonary lobe surgery at our hospital from July 2023 to September 2023 were retrospectively analyzed. The patients were divided into two groups according to the localization method: Group A consisted of 100 patients who were localized under local anesthesia, and Group B consisted of 100 patients who were localized under procedural sedation and analgesia combined with local anesthesia. The general clinical data and localization data of the two groups were compared and analyzed.

Results: The incidence of localization complications in Group B was significantly lower than that in Group A (4% vs. 13%, P = 0.04). The localization success rate in Group B was significantly greater than that in Group A (98% vs. 92%, P = 0.04). The localization time in Group B was significantly shorter than that in Group A (15.23 ± 5.96 min vs. 19.90 ± 8.66 min, P<0.01), and the pain score in Group B was significantly lower than that in Group A (2.01 ± 2.09 min vs. 3.29 ± 2.54 min, P<0.01).

Conclusion: Mobile CT combined with procedural sedation and analgesia for preoperative puncture localization of multiple pulmonary nodules is safe and effective, with significant clinical application value.

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来源期刊

Langenbeck's Archives of Surgery 医学-外科

CiteScore

3.30

自引率

8.70%

发文量

342

审稿时长

4-8 weeks

期刊介绍： Langenbeck''s Archives of Surgery aims to publish the best results in the field of clinical surgery and basic surgical research. The main focus is on providing the highest level of clinical research and clinically relevant basic research. The journal, published exclusively in English, will provide an international discussion forum for the controlled results of clinical surgery. The majority of published contributions will be original articles reporting on clinical data from general and visceral surgery, while endocrine surgery will also be covered. Papers on basic surgical principles from the fields of traumatology, vascular and thoracic surgery are also welcome. Evidence-based medicine is an important criterion for the acceptance of papers.