Comparison of laser guidance and freehand hook-wire for CT-guided preoperative localization of pulmonary nodules

Purpose In VATS surgery, precise preoperative localization is particularly crucial when dealing with small-diameter pulmonary nodules located deep within the lung parenchyma. The purpose of this study was to compare the efficacy and safety of laser guidance and freehand hook-wire for CT-guided preop...

Celý popis

Uložené v:
Podrobná bibliografia
Vydané v:Journal of cardiothoracic surgery Ročník 19; číslo 1; s. 182 - 9
Hlavní autori: Li, Zijian, Zhou, Ziyue, Feng, Kunpeng, Song, Xinyu, Xu, Chun, Li, Chang, Zhao, Jun, Ye, Li, Shen, Ziqing, Ding, Cheng
Médium: Journal Article
Jazyk:English
Vydavateľské údaje: London BioMed Central 05.04.2024
BioMed Central Ltd
Springer Nature B.V
BMC
Predmet:
Body mass index
Cardiac Surgery
Comparative analysis
Computed tomography
CT imaging
Diagnostic imaging
Hemorrhage
Hook-wire localization
Laser guidance
Laser guidance technology
Lasers
Localization
Localization method
Lung cancer
Lung nodules
Medical equipment
Medical imaging
Medical research
Medicine
Medicine & Public Health
Medicine, Experimental
Metastasis
Nodules
Parenchyma
Pathology
Patients
Pneumothorax
Pulmonary arteries
Risk factors
Skin
Statistical analysis
Statistics
Thoracic Surgery
Uni-port video-assisted thoracic surgery (VATS)
Wire
Uni-port video-assisted thoracic surgery (VATS)
Hook-wire localization
Laser guidance technology
ISSN:1749-8090, 1749-8090
On-line prístup:Získať plný text
Tagy: Pridať tag
Žiadne tagy, Buďte prvý, kto otaguje tento záznam!
Popis
Shrnutí:Purpose In VATS surgery, precise preoperative localization is particularly crucial when dealing with small-diameter pulmonary nodules located deep within the lung parenchyma. The purpose of this study was to compare the efficacy and safety of laser guidance and freehand hook-wire for CT-guided preoperative localization of pulmonary nodules. Methods This retrospective study was conducted on 164 patients who received either laser guidance or freehand hook-wire localization prior to Uni-port VATS from September 1st, 2022 to September 30th, 2023 at The First Affiliated Hospital of Soochow University. Patients were divided into laser guidance group and freehand group based on which technology was used. Preoperative localization data from all patients were compiled. The localization success and complication rates associated with the two groups were compared. The risk factors for common complications were analyzed. Results The average time of the localization duration in the laser guidance group was shorter than the freehand group ( p <0.001), and the average CT scan times in the laser guidance group was less than that in the freehand group ( p <0.001). The hook-wire was closer to the nodule in the laser guidance group ( p <0.001). After the localization of pulmonary nodules, a CT scan showed 14 cases of minor pneumothorax (22.58%) in the laser guidance group and 21 cases (20.59%) in the freehand group, indicating no statistical difference between the two groups ( p =0.763). CT scans in the laser guidance group showed pulmonary minor hemorrhage in 8 cases (12.90%) and 6 cases (5.88%) in the freehand group, indicating no statistically significant difference between the two groups ( p =0.119). Three patients (4.84%) in the laser guidance group and six patients (5.88%) in the freehand group had hook-wire dislodgement, showing no statistical difference between the two groups ( p =0.776). Conclusion The laser guidance localization method possessed a greater precision and less localization duration and CT scan times compared to the freehand method. However, laser guidance group and freehand group do not differ in the appearance of complications such as pulmonary hemorrhage, pneumothorax and hook-wire dislodgement. 
Bibliografia:ObjectType-Article-1
SourceType-Scholarly Journals-1
ObjectType-Feature-2
content type line 14
content type line 23
ISSN:1749-8090
1749-8090
DOI:10.1186/s13019-024-02706-x