The utility of simultaneous CT-guided localization for multiple pulmonary nodules using microcoil before video-assisted thoracic surgery

Abstract Background To evaluate the feasibility and safety of microcoil in simultaneous localization for multiple pulmonary nodules before video-assisted thoracic surgery (VATS). Methods Twenty-eight consecutive patients (26 two-nodule, 2 three-nodule; 58 nodules in total; Group A) underwent simulta...

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Main Authors: Yanyan Xu, Lingchuan Ma, Hongliang Sun, Zhenguo Huang, Zhenrong Zhang, Fei Xiao, Qianli Ma, Jie Lin, Sheng Xie
Format: Article
Language:English
Published: BMC 2021-01-01
Series:BMC Pulmonary Medicine
Subjects:
Online Access:https://doi.org/10.1186/s12890-021-01393-x
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spelling doaj-5b57ed26fbd7470285c63ec9385b24de2021-01-31T16:15:28ZengBMCBMC Pulmonary Medicine1471-24662021-01-012111810.1186/s12890-021-01393-xThe utility of simultaneous CT-guided localization for multiple pulmonary nodules using microcoil before video-assisted thoracic surgeryYanyan Xu0Lingchuan Ma1Hongliang Sun2Zhenguo Huang3Zhenrong Zhang4Fei Xiao5Qianli Ma6Jie Lin7Sheng Xie8Department of Radiology, China-Japan Friendship HospitalDepartment of Radiology, The People’s Hospital of Wenshan PrefectureDepartment of Radiology, China-Japan Friendship HospitalDepartment of Radiology, China-Japan Friendship HospitalDepartment of Thoracic Surgery, China-Japan Friendship HospitalDepartment of Thoracic Surgery, China-Japan Friendship HospitalDepartment of Thoracic Surgery, China-Japan Friendship HospitalDepartment of Pathology, China-Japan Friendship HospitalDepartment of Radiology, China-Japan Friendship HospitalAbstract Background To evaluate the feasibility and safety of microcoil in simultaneous localization for multiple pulmonary nodules before video-assisted thoracic surgery (VATS). Methods Twenty-eight consecutive patients (26 two-nodule, 2 three-nodule; 58 nodules in total; Group A) underwent simultaneous CT-guided localization of multiple pulmonary nodules before VATS using microcoil. Successful targeting, localization, and VATS were defined as implantation of microcoil at the target site on CT image which was obtained immediately after the marking procedure, visualization of nodule location, and complete resection of the target nodule with adequate margin, respectively. Meanwhile, the clinical characteristics, localization procedure-related variables of the nodules and procedure-related complications in group A were also assessed and compared with those in a control group (221 single-localization procedures in 221 patients; Group B). Results Similar rates of successful targeting, localization and VATS were observed in group A and B (96.6% vs. 98.2%; 91.4% vs. 91.0%; 100% vs. 99.1%). Although the rate of overall complications (including localized pneumothorax and intrapulmonary hemorrhage) was a bit higher in group A than that in group B (32.8% vs. 30.8%, p = 0.771), only minor complications were observed in the subjects of the two groups with no need for further treatment. In addition, the duration of simultaneous localization procedures was significantly longer than that of single localization (24 ± 7.5 vs.13 ± 6 min, p < 0.001). Conclusions CT-guided simultaneous microcoil localization for multiple pulmonary nodules before VATS was clinically feasible and safe with acceptable increase in the procedure time. Compared with localization for a single pulmonary nodule, simultaneous microcoil localizations for multiple nodules were prone to pneumothorax and hemorrhage. However, no statistically significant differences were observed between the two groups.https://doi.org/10.1186/s12890-021-01393-xPulmonary noduleLocalizationVideo-assisted thoracoscopic surgery
collection DOAJ
language English
format Article
sources DOAJ
author Yanyan Xu
Lingchuan Ma
Hongliang Sun
Zhenguo Huang
Zhenrong Zhang
Fei Xiao
Qianli Ma
Jie Lin
Sheng Xie
spellingShingle Yanyan Xu
Lingchuan Ma
Hongliang Sun
Zhenguo Huang
Zhenrong Zhang
Fei Xiao
Qianli Ma
Jie Lin
Sheng Xie
The utility of simultaneous CT-guided localization for multiple pulmonary nodules using microcoil before video-assisted thoracic surgery
BMC Pulmonary Medicine
Pulmonary nodule
Localization
Video-assisted thoracoscopic surgery
author_facet Yanyan Xu
Lingchuan Ma
Hongliang Sun
Zhenguo Huang
Zhenrong Zhang
Fei Xiao
Qianli Ma
Jie Lin
Sheng Xie
author_sort Yanyan Xu
title The utility of simultaneous CT-guided localization for multiple pulmonary nodules using microcoil before video-assisted thoracic surgery
title_short The utility of simultaneous CT-guided localization for multiple pulmonary nodules using microcoil before video-assisted thoracic surgery
title_full The utility of simultaneous CT-guided localization for multiple pulmonary nodules using microcoil before video-assisted thoracic surgery
title_fullStr The utility of simultaneous CT-guided localization for multiple pulmonary nodules using microcoil before video-assisted thoracic surgery
title_full_unstemmed The utility of simultaneous CT-guided localization for multiple pulmonary nodules using microcoil before video-assisted thoracic surgery
title_sort utility of simultaneous ct-guided localization for multiple pulmonary nodules using microcoil before video-assisted thoracic surgery
publisher BMC
series BMC Pulmonary Medicine
issn 1471-2466
publishDate 2021-01-01
description Abstract Background To evaluate the feasibility and safety of microcoil in simultaneous localization for multiple pulmonary nodules before video-assisted thoracic surgery (VATS). Methods Twenty-eight consecutive patients (26 two-nodule, 2 three-nodule; 58 nodules in total; Group A) underwent simultaneous CT-guided localization of multiple pulmonary nodules before VATS using microcoil. Successful targeting, localization, and VATS were defined as implantation of microcoil at the target site on CT image which was obtained immediately after the marking procedure, visualization of nodule location, and complete resection of the target nodule with adequate margin, respectively. Meanwhile, the clinical characteristics, localization procedure-related variables of the nodules and procedure-related complications in group A were also assessed and compared with those in a control group (221 single-localization procedures in 221 patients; Group B). Results Similar rates of successful targeting, localization and VATS were observed in group A and B (96.6% vs. 98.2%; 91.4% vs. 91.0%; 100% vs. 99.1%). Although the rate of overall complications (including localized pneumothorax and intrapulmonary hemorrhage) was a bit higher in group A than that in group B (32.8% vs. 30.8%, p = 0.771), only minor complications were observed in the subjects of the two groups with no need for further treatment. In addition, the duration of simultaneous localization procedures was significantly longer than that of single localization (24 ± 7.5 vs.13 ± 6 min, p < 0.001). Conclusions CT-guided simultaneous microcoil localization for multiple pulmonary nodules before VATS was clinically feasible and safe with acceptable increase in the procedure time. Compared with localization for a single pulmonary nodule, simultaneous microcoil localizations for multiple nodules were prone to pneumothorax and hemorrhage. However, no statistically significant differences were observed between the two groups.
topic Pulmonary nodule
Localization
Video-assisted thoracoscopic surgery
url https://doi.org/10.1186/s12890-021-01393-x
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