Comparison between preoperative hook-wire and liquid material localization for pulmonary nodules: a meta-analysis.

IF 1.6 4区医学 Q2 SURGERY

Videosurgery and Other Miniinvasive Techniques Pub Date : 2023-09-01 Epub Date: 2023-08-04 DOI:10.5114/wiitm.2023.130330

Si-Jia Wang, Xing-Xing Gao, Hui Hui, Na Li, Yun Zhou, Hai-Tao Yin

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引用次数: 0

Abstract

Introduction: Computed tomography (CT)-guided liquid material (LM) and hook-wire (HW) are usually localized for pulmonary nodules (PNs) before video-assisted thoracic surgery (VATS) resection, but the relative advantages of these 2 techniques remain uncertain.

Aim: This meta-analysis was conceived to juxtapose the efficacy and safety of HW localization (HWL) and LM localization (LML), both guided by CT, for the preoperative localization of PNs.

Material and methods: The PubMed, Web of Science, and Wanfang databases were searched to identify relevant studies published as of March 2023, after which pooled analyses of study outcomes were conducted.

Results: A total of 7 studies were included in this meta-analysis from 142 relevant studies. These 7 studies included 551 patients (583 PNs) with CT-guided HWL and 551 patients (612 PNs) with LML. The successful localization rate was significantly higher in the LM group (LMG) than in the HW group (HWG) (p = 0.002). The LMG also exhibited significantly lower pooled total complication and lung haemorrhage rates than the HWG (p = 0.007 and 0.00001, respectively). Pooled localization duration, pneumothorax rates, and VATS procedure duration were comparable in both groups (p = 0.45, 0.15, and 0.74, respectively). Furthermore, the pooled postoperative hospital stay was significantly shorter in the LMG than in the HWG (p = 0.009). Significant heterogeneity was detected in the endpoints of localization duration and pneumothorax rate (I² = 93% and 66%, respectively).

Conclusions: CT-guided LML is safer and more successful than HWL for patients with PNs before VATS resection.

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肺结节术前钩丝和液体材料定位的比较：一项荟萃分析。

引言：计算机断层扫描（CT）引导的液体材料（LM）和钩丝（HW）通常在电视胸腔镜手术（VATS）切除前定位肺结节（PNs），但这两种技术的相对优势仍不确定。目的：本荟萃分析旨在将CT引导下的HW定位（HWL）和LM定位（LML）在PNs术前定位中的有效性和安全性并置。材料和方法：检索PubMed、Web of Science和Wanfang数据库，以确定截至2023年3月发表的相关研究，然后对研究结果进行汇总分析。结果：本荟萃分析共纳入142项相关研究中的7项研究。这7项研究包括551名CT引导的HWL患者（583名PNs）和551名LML患者（612名PNs）。LM组（LMG）的定位成功率显著高于HW组（HWG）（p=0.002）。LMG的合并总并发症和肺出血率也显著低于HWG（分别为p=0.007和0.00001）。两组患者的合并定位持续时间、肺气肿发生率和VATS手术持续时间具有可比性（分别为0.45、0.15和0.74）。此外，LMG的合并术后住院时间明显短于HWG（p=0.009）。定位持续时间和肺气肿发生率的终点存在显著的异质性（I2分别为93%和66%）。结论：对于VATS切除前的PNs患者，CT引导的LML比HWL更安全、更成功。

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.