Marking ground glass nodules with pulmonary nodules localization needle prior to video-assisted thoracoscopic surgery

Li, Chuandong; Zhenguo, Huang; Sun, Hongzan; Wang, Litao; Wang, Yuli; Gao, Bao-xiang; Yang, Ming

doi:10.1007/s00330-022-08597-7

Cited by 10 publications

(11 citation statements)

References 28 publications

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“…According to the standard visual analog scale, the mean patient pain score in the four-hook needle group was 2.87 ± 0.67 in this study, which was similar to the report of 2.96 ± 1.43. Due to the good comfort of the four-hook needle, it was not necessary to perform the surgery immediately after applying the four-hook needle positioning, which made it easier to arrange the localization and operation time 21 .In the hook wire group, one patient had a severe pleural reaction due to pain after localization because after positioning, the patient immediately had chest tightness, dyspnea, a pale face, sweating, and decreased heart rate and blood pressure. The patient's pleural response symptoms gradually improved after emergency oxygen, uid rehydration and anti-shock treatment.…”

Section: Cryptococcus Infection 1 Discussionmentioning

confidence: 99%

Comparison of the safety and effectiveness of the four-hook needle and hook wire for the preoperative positioning of localization ground glass nodules

Wang,

Jing,

Liang

et al. 2024

Preprint

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Background With the implementation of lung cancer screening programs, an increasing number of pulmonary nodules have been detected.Video-assisted thoracoscopic surgery (VATS) could provide adequate tissue specimens for pathological analysis, and has few postoperative complications.However, locating the nodules intraoperatively by palpation can be difficult for thoracic surgeons. The preoperative pulmonary nodule localization technique is a very effective method.We compared the safety and effectiveness of two methods for the preoperative localization of pulmonary ground glass nodules. Methods From October 2020 to April 2021, 133 patients who underwent CT-guided single pulmonary nodule localization were retrospectively reviewed. All patients underwent video-assisted thoracoscopic surgery (VATS) after successful localization. Statistical analysis was used to evaluate the localization accuracy, safety, information related to surgery and postoperative pathology information. The aim of this study was to evaluate the clinical effects of the two localization needles. Results The mean maximal transverse nodule diameters in the four-hook needle and hook wire groups were 8.97 ± 3.85 mm and 9.00 ± 3.19 mm, respectively (P = 0.967). The localization times in the four-hook needle and hook wire groups were 20.58 ± 2.65 min and 21.43 ± 3.06 min, respectively (P = 0.09). The dislodgement rate was significantly higher in the hook wire group than in the four-hook needle group (7.46% vs. 0, P = 0.024). The mean patient pain scores based on the visual analog scale in the four-hook needle and hook wire groups were 2.87 ± 0.67 and 6.10 ± 2.39, respectively (P = 0.000). All ground glass nodules (GGNs) were successfully resected by VATS. Conclusions Preoperative pulmonary nodule localization with both a four-hook needle and hook wire is safe, convenient and effective.

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Section: Cryptococcus Infection 1 Discussionmentioning

confidence: 99%

Comparison of the safety and effectiveness of the four-hook needle and hook wire for the preoperative positioning of localization ground glass nodules

Wang,

Jing,

Liang

et al. 2024

Preprint

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“…The pain level of the anchor localization needles was approximately 2, which was significantly lower than that of the breast localization needles, which was approximately 5. Previous studies have reported that the pain level of the anchor localization needles was 2.96 ±1.43 [ 17 ].…”

Section: Discussionmentioning

confidence: 99%

Comparison of two methods for CT-guided pulmonary nodule location before thoracoscopic surgery.

Liu,

Zhang,

et al. 2023

Videosurgery and Other Miniinvasive Techniques

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Introduction Preoperative computed tomography (CT)-guided localization can shorten the time of video-assisted thoracoscopic surgery (VATS) and accurately aid in pulmonary nodule removal. Aim To discuss the application value and safety of 2 kinds of breast localization needles and anchor localization needles in clinical practice for pulmonary nodules under CT guidance before VATS. Material and methods We retrospectively studied 215 patients with 247 pulmonary nodules, who underwent CT-guided pulmonary nodule location before VATS. The 2 kinds of localization needles were randomly used, and we collected and analysed the clinical data. Results We used breast and anchor localization needles in 27.9% and 72.1% of cases, respectively. Differences were observed in puncture localization time, detachment rate, and visual analogue scale (VAS). The detachment rate (0%) and positioning time (median: 12 min) were less in the anchor than in the breast localization needle group (8.7% and median: 13 min, respectively). The median VAS was approximately 2 and 5 in the anchor and breast localization needle groups, respectively. Surgical pathology revealed that 155 (62.8%) pulmonary nodules were malignant while 92 (37.2%) were benign. The primary distinction in surgical procedures is the higher proportion of segmental resections in the middle and inner band group (19.3%) compared to the periphery band group (4.2%). Conclusions Unlike breast localization needles, anchor localization needles can reduce pain and discomfort after positioning, and they are not easy to decouple. These 2 needles are safe for CT-guided localization, which can shorten the time of VATS and accurately aid in pulmonary nodule removal.

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“…Various localization materials, such as hookwires, microcoils, color dyes (e.g., methylene blue), fluorescent agents (e.g., indocyanine green), and lipiodol, have been utilized. Despite its precision, percutaneous puncture carries inherent risks such as bleeding, pneumothorax, and other potential complications [ 28 , 29 ]. Bronchoscopy positioning: Bronchoscopy is adept at identifying nodules near or within airways.…”

Section: Introductionmentioning

confidence: 99%

Application of uniportal video-assisted thoracoscopic surgery for segmentectomy in early-stage non-small cell lung cancer: A narrative review

Wang,

Cao,

Feng

et al. 2024

Heliyon

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Marking ground glass nodules with pulmonary nodules localization needle prior to video-assisted thoracoscopic surgery

Cited by 10 publications

References 28 publications

Comparison of the safety and effectiveness of the four-hook needle and hook wire for the preoperative positioning of localization ground glass nodules

Comparison of the safety and effectiveness of the four-hook needle and hook wire for the preoperative positioning of localization ground glass nodules

Comparison of two methods for CT-guided pulmonary nodule location before thoracoscopic surgery.

Application of uniportal video-assisted thoracoscopic surgery for segmentectomy in early-stage non-small cell lung cancer: A narrative review

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