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

Wang, Jianli; Ding, Bao-Zhong; Xia, Fang; Li, Er-Liang

doi:10.37766/inplasy2022.4.0028

Cited by 1 publication

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“…In theory, simultaneous resection procedures should be superior to two-stage procedures as they should be able to better lower the odds of disease progression [12]. 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][17][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.…”

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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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