Clinical application of basic anesthesia combined with local anesthesia in preoperative localization of multiple pulmonary nodules: A retrospective cohort study
- VernacularTitle:基础麻醉联合局部麻醉应用于多发肺结节术前定位的回顾性队列研究
- Author:
Siyang JIAO
1
;
Yungang SUN
1
;
Qiang ZHANG
1
;
Feng SHAO
1
Author Information
1. Department of Thoracic Surgery, Affiliated Brain Hospital of Nanjing Medical University, Nanjing, 210029, P. R. China
- Publication Type:Journal Article
- Keywords:
Mobile CT;
multiple pulmonary nodules;
basic anesthesia;
locating
- From:
Chinese Journal of Clinical Thoracic and Cardiovascular Surgery
2025;32(02):175-179
- CountryChina
- Language:Chinese
-
Abstract:
Objective To evaluate the safety and efficacy of basic anesthesia combined with local anesthesia in the preoperative localization of multiple pulmonary nodules. Methods The clinical data of patients who underwent preoperative localization for multiple pulmonary nodules resection under single-port thoracoscopy in Nanjing Brain Hospital from July 2023 to September 2023 were extracted. They were divided into a group A and a group B according to the localization method. The patients in the group A were localized under local anesthesia, and the patients in the group B were localized with basic anesthesia combined with local anesthesia. The basic clinical characteristics, localization success rate, incidence of localization complications, localization time, and pain score of the two groups were compared and analyzed. Results Finally, we included 200 patients with 100 patients in each group. There were 49 males and 51 females at age of 25-77 (50.94±14.29) years in the group A. There are 45 males and 55 females at age of 24-78 (48.25±14.04) years in the group B. The incidence of localization complications (4% vs. 13%, P=0.04), localization time [(19.90±8.66) min vs. (15.23±5.98) min, P<0.01], and pain score[ (2.01±2.09) vs. (3.29±2.54), P<0.01] in the group B were significantly lower than those in the group A, and the differences were statistically significant. The localization success rate of the group B was significantly higher than that of the group A (98% vs. 92%, P=0.04), and the difference was statistically significant.Conclusion Mobile CT combined with basic anesthesia for preoperative localization of multiple pulmonary nodules is highly safe, has a high success rate, and provides high patient comfort, making it a valuable approach for clinical promotion.
