Computed tomography-guided simultaneous coil localization of multiple pulmonary nodules before video-assisted thoracoscopic surgery

IF 1.6 4区医学 Q2 SURGERY

Videosurgery and Other Miniinvasive Techniques Pub Date : 2021-04-26 DOI:10.5114/wiitm.2021.105683

Mininkova Ai, Jian Xu

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引用次数: 5

Abstract

Introduction Currently, different methods and materials are used to localize pulmonary nodules (PNs) but most are used only to locate a single pulmonary nodule (PN). Aim To evaluate the feasibility and safety of simultaneously localizing multiple PNs with a coil under computed tomography (CT) guidance before video-assisted thoracoscopic surgery (VATS). Material and methods A total of 166 patients underwent VATS preoperative-assisted localization of pulmonary nodules in our hospital in the period from January 2, 2020 to July 7, 2020, namely 40 patients in the multiple-PN-simultaneous-localization group (A) and 126 patients in the single-PN-localization group (B). We compared the epidemiology, localization procedure, and complications between the two groups. Results The technical success rates in group A and Group B were 96.5% and 97.6%, respectively, with no statistical difference (p = 0.623). In group A, the success rate of the first nodule localization was 100%, and the subsequent nodule localization success rate was 93.3%; 3 patients had one nodule localization failure owing to pneumothorax after the first nodule localization. The number of pleural punctures was higher in group A than in group B (p < 0.001), and the localization procedure time was longer than in group B (p < 0.001). Regarding complications, the pneumothorax rate in group A was higher than that in group B (p < 0.001), and the bleeding rate was higher than that in group B (p < 0.001). However, pneumothorax and bleeding in group A did not require special treatment. Conclusions The incidence of pneumothorax and pulmonary hemorrhage with simultaneous coil localization of multiple PNs was higher than that with localization of a single PN, but this method was safe and feasible.

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电视胸腔镜手术前计算机断层扫描引导下多肺结节的同步线圈定位

引言目前，不同的方法和材料用于定位肺结节，但大多数方法和材料仅用于定位单个肺结节。目的评价在计算机断层扫描（CT）引导下，在电视胸腔镜手术（VATS）前用线圈同时定位多个PNs的可行性和安全性。材料与方法2020年1月2日至2020年7月7日，我院共有166例患者接受了VATS术前辅助肺结节定位，即多个PN同时定位组（A）40例，单个PN定位组（B）126例。我们比较了两组患者的流行病学、定位程序和并发症。结果A组和B组的技术成功率分别为96.5%和97.6%，差异无统计学意义（p=0.623），A组首次结节定位成功率为100%，后续结节定位的成功率为93.3%；3例患者在第一次结节定位后，有一次结节定位失败。A组胸膜穿刺次数高于B组（p＜0.001），定位手术时间长于B组（p＜0.001）。在并发症方面，A组的肺气肿发生率高于B组，出血率高于B队（p＜0.01）。然而，A组无需特殊治疗。结论多个PNs同时线圈定位的发生率高于单个PNs定位，但这种方法是安全可行的。

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

Videosurgery and Other Miniinvasive Techniques 医学-外科

CiteScore

2.80

自引率

23.50%

发文量

审稿时长

12 weeks

期刊介绍： Videosurgery and other miniinvasive techniques serves as a forum for exchange of multidisciplinary experiences in fields such as: surgery, gynaecology, urology, gastroenterology, neurosurgery, ENT surgery, cardiac surgery, anaesthesiology and radiology, as well as other branches of medicine dealing with miniinvasive techniques.