Comparative Effectiveness and Safety of Preoperative Lung Localization for Pulmonary Nodules
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| Názov: | Comparative Effectiveness and Safety of Preoperative Lung Localization for Pulmonary Nodules |
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| Autori: | Jin Hur, Tae Hoon Kim, Ji Won Lee, Kyunghwa Han, Jae Seung Seo, Byoung Wook Choi, Kye Ho Lee, Chul Hwan Park, Woocheol Kwon, Sang Min Lee, Sung Ho Hwang |
| Prispievatelia: | College of Medicine, Dept. of Radiology, Chul Hwan Park, Kyunghwa Han, Jin Hur, Sang Min Lee, Ji Won Lee, Sung Ho Hwang, Jae Seung Seo, Kye Ho Lee, Woocheol Kwon, Tae Hoon Kim, Byoung Wook Choi, Kim, Tae Hoon, Park, Chul Hwan, Choi, Byoung Wook, Hur, Jin |
| Zdroj: | Chest. 151:316-328 |
| Informácie o vydavateľovi: | Elsevier BV, 2017. |
| Rok vydania: | 2017 |
| Predmety: | Postoperative Complications/epidemiology, Video-Assisted/methods, Pneumothorax/epidemiology, Contrast Media, lipiodol, lung nodule, Postoperative Hemorrhage, localization, 03 medical and health sciences, Computer-Assisted, Ethiodized Oil, Postoperative Complications, 0302 clinical medicine, Solitary Pulmonary Nodule/pathology, Humans, Tomography, Postoperative Hemorrhage/epidemiology, microcoil, Thoracic Surgery, Video-Assisted, Solitary Pulmonary Nodule/surgery, Thoracic Surgery, Pneumothorax, Solitary Pulmonary Nodule, Surgical Instruments, X-Ray Computed, 3. Good health, Solitary Pulmonary Nodule/diagnostic imaging, Surgery, Computer-Assisted, Surgery, hook-wire, Tomography, X-Ray Computed |
| Popis: | An optimal method of preoperative localization for pulmonary nodules has yet to be established. This systematic review and meta-analysis aimed to compare the success and complication rates associated with three pulmonary nodule localization methods for video-assisted thoracoscopic surgery (VATS): hook-wire localization, microcoil localization, and lipiodol localization.We searched the PubMed, MEDLINE, and EMBASE databases for prospective or retrospective English language studies of VATS localization in adult patients. A noncomparative, random effects model-based meta-analysis was performed to obtain pooled success and complication rates for the three localization methods.A total of 46 clinical studies were enrolled, including 30, 9, and 7 studies of hook-wire, microcoil, and lipiodol localization, respectively. The successful targeting rates for hook-wire, microcoil, and lipiodol localization were 0.98 (95% CI, 0.97-0.99), 0.98 (95% CI, 0.96-0.99), and 0.99 (95% CI, 0.98-1.00), respectively, with corresponding successful operative field targeting rates of 0.94 (95% CI, 0.91-0.96), 0.97 (95% CI, 0.95-0.98), and 0.99 (95% CI, 0.98-1.00), respectively. In addition, the successful VATS rates with hook-wire, microcoil, and lipiodol localization were 0.96 (95% CI, 0.94-0.97), 0.97 (95% CI, 0.94-0.99), and 0.99 (95% CI, 0.98-1.00), respectively. Regarding complications, hook-wire, microcoil, and lipiodol localization were associated with pneumothorax rates of 0.35 (95% CI, 0.28-0.43), 0.16 (95% CI, 0.07-0.34), and 0.31 (95% CI, 0.20-0.46), respectively and hemorrhage rates of 0.16 (95% CI, 0.11-0.23), 0.06 (95% CI, 0.03-0.11), and 0.12 (95% CI, 0.05-0.23), respectively.All three localization methods yielded similarly highly successful targeting rates. However, hook-wire localization had a relatively lower successful operative field targeting rate because of dislodgement or migration. Lipiodol localization had the highest overall success rate, and microcoil localization yielded the lowest complication rates. |
| Druh dokumentu: | Article |
| Jazyk: | English |
| ISSN: | 0012-3692 |
| DOI: | 10.1016/j.chest.2016.09.017 |
| Prístupová URL adresa: | https://pubmed.ncbi.nlm.nih.gov/27717643 https://journal.chestnet.org/article/S0012-3692(16)59310-6/pdf https://europepmc.org/article/MED/27717643 https://journal.publications.chestnet.org/article.aspx?articleid=2569353 https://www.sciencedirect.com/science/article/pii/S0012369216593106 https://pubmed.ncbi.nlm.nih.gov/27717643/ https://www.ncbi.nlm.nih.gov/pubmed/27717643 |
| Rights: | Elsevier TDM CC BY NC ND |
| Prístupové číslo: | edsair.doi.dedup.....3c114c0f3448a263eeead7554c01a5f0 |
| Databáza: | OpenAIRE |
Nájsť tento článok vo Web of Science | Abstrakt: | An optimal method of preoperative localization for pulmonary nodules has yet to be established. This systematic review and meta-analysis aimed to compare the success and complication rates associated with three pulmonary nodule localization methods for video-assisted thoracoscopic surgery (VATS): hook-wire localization, microcoil localization, and lipiodol localization.We searched the PubMed, MEDLINE, and EMBASE databases for prospective or retrospective English language studies of VATS localization in adult patients. A noncomparative, random effects model-based meta-analysis was performed to obtain pooled success and complication rates for the three localization methods.A total of 46 clinical studies were enrolled, including 30, 9, and 7 studies of hook-wire, microcoil, and lipiodol localization, respectively. The successful targeting rates for hook-wire, microcoil, and lipiodol localization were 0.98 (95% CI, 0.97-0.99), 0.98 (95% CI, 0.96-0.99), and 0.99 (95% CI, 0.98-1.00), respectively, with corresponding successful operative field targeting rates of 0.94 (95% CI, 0.91-0.96), 0.97 (95% CI, 0.95-0.98), and 0.99 (95% CI, 0.98-1.00), respectively. In addition, the successful VATS rates with hook-wire, microcoil, and lipiodol localization were 0.96 (95% CI, 0.94-0.97), 0.97 (95% CI, 0.94-0.99), and 0.99 (95% CI, 0.98-1.00), respectively. Regarding complications, hook-wire, microcoil, and lipiodol localization were associated with pneumothorax rates of 0.35 (95% CI, 0.28-0.43), 0.16 (95% CI, 0.07-0.34), and 0.31 (95% CI, 0.20-0.46), respectively and hemorrhage rates of 0.16 (95% CI, 0.11-0.23), 0.06 (95% CI, 0.03-0.11), and 0.12 (95% CI, 0.05-0.23), respectively.All three localization methods yielded similarly highly successful targeting rates. However, hook-wire localization had a relatively lower successful operative field targeting rate because of dislodgement or migration. Lipiodol localization had the highest overall success rate, and microcoil localization yielded the lowest complication rates. |
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| ISSN: | 00123692 |
| DOI: | 10.1016/j.chest.2016.09.017 |