Preoperative computed tomography-guided localization for multiple lung nodules: a Meta-analysis

Wang, Jianli; Ding, Bao-Zhong; Xia, Fang

doi:10.1080/13645706.2022.2133965

Cited by 4 publications

(3 citation statements)

References 25 publications

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“…Pneumothorax and lung hemorrhage were the most common complications after multiple LN localization with the incidences of 27.5–56.8% and 18.9–60% [ 16 – 18 ]. In this study, pneumothorax and lung hemorrhage rates in the multiple LN group were 32.3% and 20.6%, respectively, which were consistent with the previous studies.…”

Section: Discussionmentioning

confidence: 99%

Computed tomography-guided indocyanine green localization of multiple ipsilateral lung nodules.

Lin¹,

Wang²,

Wu³

et al. 2023

Videosurgery and Other Miniinvasive Techniques

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Introduction: Approximately 20% of lung nodule (LN) patients have more than one moderate-to-high malignant risk LNs. When performing one-stage video-assisted thoracoscopic surgery (VATS) in patients with multiple LNs, the ability to simultaneously localize all of these nodules is critical to operative success. Aim: To explore the efficacy and safety of computed tomography (CT)-guided indocyanine green (IG) localization for multiple ipsilateral LNs. Material and methods: This was a retrospective study of 278 LN patients who underwent CT-guided IG localization prior to VATS resection. Of these patients, 68 underwent localization of multiple ipsilateral LNs, whereas 210 underwent localization of a single LN.Results: In total, 160 LNs were localized in 68 patients in the multiple localization group, while one LN was localized for each of the 210 patients in the single localization group. A 100% technical success rate was achieved in both of these groups, and the mean respective localization durations in the multiple and single LN groups were 11.3 ±4.7 min and 6.3 ±2.7 min (p = 0.001). Of the patients in the multiple and single LN groups, 22 and 15, respectively, experienced pneumothorax (p = 0.001), while 14 and 20 experienced lung hemorrhage (p = 0.016). Wedge/segmental LN technical success rates in both of these groups were 100%. Conclusions: The CT-guided IG-mediated localization of multiple ipsilateral LNs is a safe and effective strategy, although it requires a longer operative duration and is associated with higher rates of adverse events as compared to single nodule localization.

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Section: Discussionmentioning

confidence: 99%

Computed tomography-guided indocyanine green localization of multiple ipsilateral lung nodules.

Lin¹,

Wang²,

Wu³

et al. 2023

Videosurgery and Other Miniinvasive Techniques

View full text Add to dashboard Cite

show abstract

“…This may be attributable to the limited sample size for patients with multiple PNs. Preoperative localization procedures for multiple PNs, however, are vital as they can enable the resection of multiple nodules in a one-stage VATS procedure [ 17 , 18 ].…”

Section: Discussionmentioning

confidence: 99%

Preoperative computed tomography-guided localization for pulmonary nodules: comparison between hook-wire and anchored needle localization

Zhou,

Chen,

Huang

et al. 2023

Videosurgery and Other Miniinvasive Techniques

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Introduction: Both hook-wire (HW) and anchored needle (AN) techniques can be used for preoperative computed tomography (CT)-guided localization for pulmonary nodules (PNs). But the outcomes associated with these two materials remain unclear.Aim: To assess the relative safety and efficacy of preoperative CT-guided HW and AN localization for PNs. Material and methods: This was a retrospective analysis of data collected from two institutions. Consecutive patients with PNs between January 2020 and December 2021 who underwent preoperative CT-guided HW or AN localization followed by video-assisted thoracoscopic surgery (VATS) procedures were included in these analyses, which compared the safety and clinical efficiency of these two localization strategies. Results: In total, 98 patients (105 PNs) and 93 patients (107 PNs) underwent CT-guided HW and AN localization procedures, respectively. The HW and AN groups exhibited similar rates of successful PN localization (95.2% vs. 99.1%, p = 0.117), but the dislodgement rate in the HW group was significantly higher than that for the AN group (4.8% vs. 0.0%, p = 0.029). The mean pain score of patients in the HW group was significantly higher than that for the AN group (p = 0.001). HW and AN localization strategies were associated with comparable pneumothorax (21.4% vs. 16.1%, p = 0.349) and pulmonary hemorrhage (29.6% vs. 23.7%, p = 0.354) rates. All patients other than 1 individual in the HW group successfully underwent VATS-guided limited resection. Conclusions: These data suggest that AN represents a safe, well-tolerated, feasible preoperative localization strategy for PNs that may offer value as a replacement for HW localization.

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“…Recently, a preoperative tumor localization followed by video-assisted thoracoscopic surgery (VATS) has become the choice in the workup of pulmonary indetermined nodules [1]. For non-small cell lung cancer (NSCLC) stage IA tumors, CT-guided microcoil localization is safe and effective in aiding VATS resection with adequate margins [2].…”

Section: Introductionmentioning

confidence: 99%

Risk and protective factors of higher-grade intrapulmonary hemorrhage in patients undergoing Percutaneous CT-guided microcoil localization before VATS

Li,

Xu,

Feng

et al. 2024

Preprint

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Background: Even though CT-guided microcoil localization before video-assisted thoracoscopic surgery (VATS) is considered as a safe and effective procedure, related complications are not rare and sometimes are severe. The purpose of this study was to investigate the associated factors of higher-grade intrapulmonary hemorrhage caused by CT-guided microcoil localization. Methods: Totally, 432 consecutive patients with solitary nodule who underwent CT-guided microcoil localization prior to VATS were enrolled in this study. According to CT images after procedure, all the nodules were divided into two groups: higher-grade and no or lower-grade intrapulmonary hemorrhage. The clinical characteristics and microcoil localization procedure-related variables of the nodules were analyzed by univariate analysis and multivariate logistic regression analysis to screen the independent factors associated with higher-grade intrapulmonary hemorrhage. P＜0.05 was considered to indicate a statistically significant difference. Results:Intrapulmonary hemorrhage occurred in 161 of the 432 CT-guided microcoil localizations (37.27%), and higher-grade hemorrhage occurred in 41 of all procedures (9.49%). The logistic regression revealed that repeat insertion (OR=9.712, P<0.001) was the only risk factor for higher-grade intrapulmonary hemorrhage, while procedure-related pneumothorax (OR=0.159, P=0.005), nodule size(>5∽10mm, OR=0.216, P=0.002; >10mm, OR=0.349, P=0.035), pleura-microcoil distance(>20∽30mm, OR=0.365, P=0.018), and lung radiodensity along the needle passage(-850HU∽-900HU, OR=0.426, P=0.032; -900HU or less, OR=0.273, P=0.009) were protective factors for higher-grade intrapulmonary hemorrhage. Conclusions: Repeat insertion was shown to be an independent risk factor for higher-grade hemorrhage in patients with CT-guided microcoil localization. Procedure-related pneumothorax, nodule size(>5mm), pleura-microcoil distance(>20∽30mm), and lung radiodensity along the needle passage(-850HU or less) were protective factors associated with higher-grade hemorrhage.

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Preoperative computed tomography-guided localization for multiple lung nodules: a Meta-analysis

Cited by 4 publications

References 25 publications

Computed tomography-guided indocyanine green localization of multiple ipsilateral lung nodules.

Computed tomography-guided indocyanine green localization of multiple ipsilateral lung nodules.

Preoperative computed tomography-guided localization for pulmonary nodules: comparison between hook-wire and anchored needle localization

Risk and protective factors of higher-grade intrapulmonary hemorrhage in patients undergoing Percutaneous CT-guided microcoil localization before VATS

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