Value of preoperative localization techniques for solitary pulmonary nodules in singleport thoracoscopic surgery.
10.12122/j.issn.1673-4254.2020.05.17
- Author:
Ming LIAO
1
;
Zhe HE
2
;
Enwu XU
2
;
Dehua WU
1
Author Information
1. Department of Radiation Oncology, Nanfang Hospital, Southern Medical University, Guangzhou 510515, China.
2. Department of Thoracic Surgery, General Hospital of Southern Theater Command, PLA, Guangzhou 510010, China.
- Publication Type:Journal Article
- Keywords:
Hook-wire;
methylene blue;
single-port thoracoscopic surgery;
solitary pulmonary nodule
- MeSH:
Humans;
Lung Neoplasms;
Preoperative Care;
Solitary Pulmonary Nodule;
Thoracic Surgery, Video-Assisted;
Tomography, X-Ray Computed
- From:
Journal of Southern Medical University
2020;40(5):718-722
- CountryChina
- Language:Chinese
-
Abstract:
To evaluate the value and clinical effect of different preoperative localization techniques for solitary pulmonary nodules (SPN) before single-port thoracoscopic surgery.From January 2018 to June 2019, 54 patients diagnosed with solitary pulmonary nodules received single-port thoracoscopic surgery in Thoracic Department of General Hospital of Southern Theater Command of PLA. Based on the location methods of the nodules, the patients were divided into group A (34 cases) with preoperative CT-guided Hook-wire (a common positioning needle usually using in mammary gland) positioning and group B (20 cases) with preoperative CT-guided methylene blue location.The success rate of localization in group A was 94.18% (32/34), significantly higher than that in group B [85% (17/20), < 0.05). No intraoperative conversion to thoracotomy occurred in group A, while the conversion rate was 10% (2/20) in group B ( < 0.05). The average positioning cost was significantly higher in group A than in group B (1715±109 1021±86 RMB yuan, < 0.05), but the total hospitalization cost was similar between the two groups (50 114±3788 47871±5902 RMB yuan, >0.05). The length of hospital stay was significantly shorter in group A than in group B (6.71±1.23 8.19±2.61 days, < 0.05).Compared with the traditional methylene blue localization method, Hook-wire localization positioning can significantly increase the success rate of localization, and can be used as the standard preoperative localization method in patients undergoing single-port thoracoscopic pulmonary nodule resection, especially in those with deep nodule location from the visceral pleura.
