Preoperative pulmonary nodule localization: A comparison of hook wire and Lung-pro-guided surgical markers

IF 1.9 4区医学 Q3 RESPIRATORY SYSTEM Clinical Respiratory Journal Pub Date : 2023-12-20 DOI:10.1111/crj.13726

Rui He, Chao Ming, Yujie Lei, Wanling Chen, Lianhua Ye, Guangjian Li, Xiangwu Zhang, Boyi Jiang, Teng Zeng, Yunchao Huang, Guangqiang Zhao

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Abstract

In minimally invasive thoracoscopic surgery, for solitary pulmonary nodules (SPNs) far from the pleura, it is difficult to resected by only relying on imaging data, and effective preoperative localization can significantly improve the success rate of surgery. Therefore, preoperative localization is particularly important for accurate resection. Here, we compare the value of a novel Lung-pro-guided localization technique with Hook-wire localization in video-assisted thoracoscopic surgery.

Method

In this study, 70 patients who underwent CT-guided Hook-wire localization and Lung-pro guided surgical marker localization before VATS-based SPNs resection between May 2020 and March 2021 were analyzed, and the clinical efficacy and complication rate of the two groups were compared.

Result

Thirty-five patients underwent Lung-pro guided surgical marker localization, and 35 patients underwent CT-guided Hook-wire localization. The localization success rates were 94.3% and 88.6%, respectively (p = 0.673). Compared with the puncture group, the locating time in the Lung-pro group was significantly shorter (p = 0.000), and the wedge resection time was slightly shorter than that in the puncture group (P = 0.035). There were no significant differences in the success rate of localization, localization complications, intraoperative blood loss, postoperative hospital stay, and the number of staplers used.

Conclusion

The above studies show that the Lung-pro guided surgical marker localization and the CT-guided Hook-wire localization have shown good safety and effectiveness. However, the Lung-pro guided surgical marker localization may show more safety than the Hook-wire and can improve the patient's perioperative experience.

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术前肺结节定位：钩丝和肺引导手术标记的比较。

在胸腔镜微创手术中，对于远离胸膜的单发肺结节（SPN），仅靠影像学数据很难进行切除，而有效的术前定位可以显著提高手术的成功率。因此，术前定位对准确切除尤为重要。在此，我们比较了新型肺引导定位技术与钩丝定位技术在视频辅助胸腔镜手术中的价值：方法：本研究分析了 2020 年 5 月至 2021 年 3 月期间，在基于 VATS 的 SPNs 切除术前接受 CT 引导下钩丝定位和 Lung-pro 引导下手术标记定位的 70 例患者，并比较了两组患者的临床疗效和并发症发生率：35例患者在Lung-pro引导下进行了手术标记定位，35例患者在CT引导下进行了钩丝定位。定位成功率分别为 94.3% 和 88.6%（P = 0.673）。与穿刺组相比，Lung-pro 组的定位时间明显缩短（P = 0.000），楔形切除时间略短于穿刺组（P = 0.035）。在定位成功率、定位并发症、术中失血量、术后住院时间和使用的订书机数量方面均无明显差异：上述研究表明，Lung-pro 引导下的手术标记定位和 CT 引导下的钩丝定位具有良好的安全性和有效性。然而，Lung-pro 引导下的手术标记定位可能比钩状线定位更安全，并能改善患者的围手术期体验。

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

Clinical Respiratory Journal 医学-呼吸系统

CiteScore

3.70

自引率

0.00%

发文量

104

审稿时长

>12 weeks

期刊介绍： Overview Effective with the 2016 volume, this journal will be published in an online-only format. Aims and Scope The Clinical Respiratory Journal (CRJ) provides a forum for clinical research in all areas of respiratory medicine from clinical lung disease to basic research relevant to the clinic. We publish original research, review articles, case studies, editorials and book reviews in all areas of clinical lung disease including: Asthma Allergy COPD Non-invasive ventilation Sleep related breathing disorders Interstitial lung diseases Lung cancer Clinical genetics Rhinitis Airway and lung infection Epidemiology Pediatrics CRJ provides a fast-track service for selected Phase II and Phase III trial studies. Keywords Clinical Respiratory Journal, respiratory, pulmonary, medicine, clinical, lung disease, Abstracting and Indexing Information Academic Search (EBSCO Publishing) Academic Search Alumni Edition (EBSCO Publishing) Embase (Elsevier) Health & Medical Collection (ProQuest) Health Research Premium Collection (ProQuest) HEED: Health Economic Evaluations Database (Wiley-Blackwell) Hospital Premium Collection (ProQuest) Journal Citation Reports/Science Edition (Clarivate Analytics) MEDLINE/PubMed (NLM) ProQuest Central (ProQuest) Science Citation Index Expanded (Clarivate Analytics) SCOPUS (Elsevier)