Comparison between medical adhesive and hook-wire in pre-thoracoscopy localization of small pulmonary nodules
10.13929/j.1672-8475.201805002
- Author:
Yanan HUANG
1
Author Information
1. Department of Radiology, Shaoxing People's Hospital
- Publication Type:Journal Article
- Keywords:
Localization;
Lung;
Medical adhesive;
Nodule;
Thoracoscopy
- From:
Chinese Journal of Interventional Imaging and Therapy
2019;16(2):77-82
- CountryChina
- Language:Chinese
-
Abstract:
Objective: To compare the application value between medical adhesive and Hook-wire in pre-thoracoscopy localization of small pulmonary nodules (≤ 30 mm). Methods: Data of 107 patients with small pulmonary nodules who underwent thoracoscopic wedge resection, segmental or lobectomy were retrospectively analyzed. The patients were divided into medical adhesive group (88 cases with 90 nodules) and Hook-wire group (19 cases with 19 nodules) according to pre-thoracoscopy localization method. The location of lesion, nodule size, distance between nodule and pleura, nature of nodule(benign or malignant), surgery method and complications (including pneumothorax, pulmonary hemorrhage, pain and cough) were compared between the two groups. Binary Logistic regression analysis was performed to determine the complications' related risk factors. Results: There was no significant difference of the location of lesion, nodules size, distance between nodule and pleura, nature of nodule nor the method of thoracoscopic surgery between the two groups (all P>0.05). The pre-thoracoscopy localization success rate of both two groups were 100%. The overall complication rate and the incidence of pulmonary hemorrhage in medical adhesive group were significantly lower than those in Hook-wire group (both P<0.01). The localization method was an independent risk factor for complications after pre-thoracoscopy localization, pulmonary hemorrhage and chest pain, while the distance from the nodule to pleura was an independent risk factor for pulmonary hemorrhage. Conclusion: Medical adhesive can be used for pre-thoracoscopy localization of small pulmonary nodule with lower complication rate compared with Hook-wire.
