Ultrasound location of pulmonary nodules in video‐assisted thoracoscopic surgery for precise sublobectomy
Background We investigated the clinical value of accurate sublobectomy of pulmonary nodules using video‐assisted thoracoscopy (VATS). In June 2017 to June 2019, single lung nodule patients who accepted thoracoscopic resection were included. Palpation and intraoperative ultrasound (IU) were used to l...
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| Format: | Article |
| Language: | English |
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Wiley
2020-05-01
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| Series: | Thoracic Cancer |
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| Online Access: | https://doi.org/10.1111/1759-7714.13384 |
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| author | Yue‐Long Hou Yan‐Dong Wang Hong‐Qi Guo YuKun Zhang YongKuan Guo HongLi Han |
| author_facet | Yue‐Long Hou Yan‐Dong Wang Hong‐Qi Guo YuKun Zhang YongKuan Guo HongLi Han |
| author_sort | Yue‐Long Hou |
| collection | DOAJ |
| description | Background We investigated the clinical value of accurate sublobectomy of pulmonary nodules using video‐assisted thoracoscopy (VATS). In June 2017 to June 2019, single lung nodule patients who accepted thoracoscopic resection were included. Palpation and intraoperative ultrasound (IU) were used to localize lung nodules, and the success rate, location time and safety compared. Performance of lung nodule ultrasound was assessed. The success rate of IU localization of pulmonary nodules with different properties was studied. Results A total of 33 cases with single pulmonary nodules were included in the study, and 32 cases (97%) were successfully located by IU as opposed to 16 cases (48.5%) located by palpation (P < 0.05). Clear hypoechoic ultrasound images of nodules were obtained in all 32 cases, and the diameter of pulmonary nodules on ultrasound and CT were found to have a significant correlation (R = 0.860, P = 0.000). The average positioning time of IU was lower than that of the palpation group (P < 0.05). No complications occurred during ultrasound examination. The success rate of intraoperative ultrasonic localization between the pure ground‐glass opacity (p‐GGO) group and the mixed‐ground‐glass opacity (m‐GGO) group was 90%, 100% (P = 0.526). Conclusions In thoracoscopic surgery, IU can locate pulmonary nodules accurately, efficiently and safely, and also has a high degree of accuracy in locating different types of pulmonary nodules. |
| format | Article |
| id | doaj-art-72296c5fe8054bda8bb68f4f0ac38bb6 |
| institution | Kabale University |
| issn | 1759-7706 1759-7714 |
| language | English |
| publishDate | 2020-05-01 |
| publisher | Wiley |
| record_format | Article |
| series | Thoracic Cancer |
| spelling | doaj-art-72296c5fe8054bda8bb68f4f0ac38bb62025-08-26T10:24:35ZengWileyThoracic Cancer1759-77061759-77142020-05-011151354136010.1111/1759-7714.13384Ultrasound location of pulmonary nodules in video‐assisted thoracoscopic surgery for precise sublobectomyYue‐Long Hou0Yan‐Dong Wang1Hong‐Qi Guo2YuKun Zhang3YongKuan Guo4HongLi Han5Department of Thoracic Surgery Tianjin Third Central Hospital Tianjin ChinaTianjin Institute of Hepatobiliary Disease Tianjin ChinaDepartment of Thoracic Surgery Tianjin Third Central Hospital Tianjin ChinaDepartment of Thoracic Surgery Tianjin Third Central Hospital Tianjin ChinaDepartment of Thoracic Surgery Tianjin Third Central Hospital Tianjin ChinaDepartment of Thoracic Surgery Tianjin Third Central Hospital Tianjin ChinaBackground We investigated the clinical value of accurate sublobectomy of pulmonary nodules using video‐assisted thoracoscopy (VATS). In June 2017 to June 2019, single lung nodule patients who accepted thoracoscopic resection were included. Palpation and intraoperative ultrasound (IU) were used to localize lung nodules, and the success rate, location time and safety compared. Performance of lung nodule ultrasound was assessed. The success rate of IU localization of pulmonary nodules with different properties was studied. Results A total of 33 cases with single pulmonary nodules were included in the study, and 32 cases (97%) were successfully located by IU as opposed to 16 cases (48.5%) located by palpation (P < 0.05). Clear hypoechoic ultrasound images of nodules were obtained in all 32 cases, and the diameter of pulmonary nodules on ultrasound and CT were found to have a significant correlation (R = 0.860, P = 0.000). The average positioning time of IU was lower than that of the palpation group (P < 0.05). No complications occurred during ultrasound examination. The success rate of intraoperative ultrasonic localization between the pure ground‐glass opacity (p‐GGO) group and the mixed‐ground‐glass opacity (m‐GGO) group was 90%, 100% (P = 0.526). Conclusions In thoracoscopic surgery, IU can locate pulmonary nodules accurately, efficiently and safely, and also has a high degree of accuracy in locating different types of pulmonary nodules.https://doi.org/10.1111/1759-7714.13384Locationpulmonary nodulesublobectomyvideo‐assisted thoracoscopic ultrasound |
| spellingShingle | Yue‐Long Hou Yan‐Dong Wang Hong‐Qi Guo YuKun Zhang YongKuan Guo HongLi Han Ultrasound location of pulmonary nodules in video‐assisted thoracoscopic surgery for precise sublobectomy Thoracic Cancer Location pulmonary nodule sublobectomy video‐assisted thoracoscopic ultrasound |
| title | Ultrasound location of pulmonary nodules in video‐assisted thoracoscopic surgery for precise sublobectomy |
| title_full | Ultrasound location of pulmonary nodules in video‐assisted thoracoscopic surgery for precise sublobectomy |
| title_fullStr | Ultrasound location of pulmonary nodules in video‐assisted thoracoscopic surgery for precise sublobectomy |
| title_full_unstemmed | Ultrasound location of pulmonary nodules in video‐assisted thoracoscopic surgery for precise sublobectomy |
| title_short | Ultrasound location of pulmonary nodules in video‐assisted thoracoscopic surgery for precise sublobectomy |
| title_sort | ultrasound location of pulmonary nodules in video assisted thoracoscopic surgery for precise sublobectomy |
| topic | Location pulmonary nodule sublobectomy video‐assisted thoracoscopic ultrasound |
| url | https://doi.org/10.1111/1759-7714.13384 |
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