Preoperative computed tomography–guided localization of pulmonary ground‑glass nodules: a comparison of conventional and soft hook‑wires
Introduction: Hook-wire (HW) localization is the most frequently employed approach for preoperative localization of pulmonary ground-glass nodules (GGNs); however, the relative outcomes of conventional and soft HW localization of GGNs remain poorly understood. Aim: This study sought to compare th...
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| Language: | English |
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Termedia Publishing House
2024-11-01
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| Series: | Videosurgery and Other Miniinvasive Techniques |
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| Online Access: | https://www.mp.pl/videosurgery/issue/article/17910/ |
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| author | Sheng-Zhi Fan Yu-Yu Ma Yan Sun Hao Xu Wei Chen |
| author_facet | Sheng-Zhi Fan Yu-Yu Ma Yan Sun Hao Xu Wei Chen |
| author_sort | Sheng-Zhi Fan |
| collection | DOAJ |
| description | Introduction: Hook-wire (HW) localization is the most frequently employed approach for preoperative localization of pulmonary ground-glass nodules (GGNs); however, the relative outcomes of conventional and soft HW localization of GGNs remain poorly understood.
Aim: This study sought to compare the safety and efficacy of preoperative computed tomography–guided conventional and soft HW localization of pulmonary GGNs.
Materials and methods: Between January 2023 and June 2024, consecutive patients with pulmonary GGNs underwent conventional or soft HW localization prior to video-assisted thoracoscopic surgery. Safety and clinical efficacy of these 2 localization strategies were compared.
Results: In total, 88 patients underwent conventional HW localization of 95 GGNs, and 82 patients underwent soft HW localization of 88 GGNs. Technical success rates for the conventional and soft HW groups were 96.8% and 100%, respectively (P = 0.25), and the duration of localization was similar in both groups (mean [SD], 10.1 [4.5] vs 10 [5.9] min; P = 0.97). Complications were significantly more common in the conventional HW group than in the soft HW group (48.9% vs 32.9%, respectively; P = 0.04). Visual analog scale scores in the conventional HW group were significantly higher than those observed in the soft HW group (mean [SD], 4.6 [0.6] vs 3.4 [0.6]; P = 0.001). The rates of technical success for limited resection procedures were similar in both groups (96.8% vs 100% in the conventional and soft HW groups, respectively; P >0.99).
Conclusions: Conventional and soft HW strategies can both effectively facilitate preoperative pulmonary GGN localization, but the soft HW approach has a more favorable safety profile. |
| format | Article |
| id | doaj-art-da28931ce2394563b0ff4703ce009238 |
| institution | Kabale University |
| issn | 1895-4588 2299-0054 |
| language | English |
| publishDate | 2024-11-01 |
| publisher | Termedia Publishing House |
| record_format | Article |
| series | Videosurgery and Other Miniinvasive Techniques |
| spelling | doaj-art-da28931ce2394563b0ff4703ce0092382025-01-29T18:21:06ZengTermedia Publishing HouseVideosurgery and Other Miniinvasive Techniques1895-45882299-00542024-11-0119447047510.20452/wiitm.2024.17910Preoperative computed tomography–guided localization of pulmonary ground‑glass nodules: a comparison of conventional and soft hook‑wiresSheng-Zhi Fan0Yu-Yu Ma1Yan Sun2Hao Xu3Wei Chen4Department of Radiology, Xinyi People’s Hospital, Xinyi, ChinaDepartment of Radiology, Xuzhou Central Hospital, Xuzhou, ChinaDepartment of Radiology, Xinyi People’s Hospital, Xinyi, ChinaDepartment of Radiology, Xinyi People’s Hospital, Xinyi, ChinaDepartment of Radiology, Xinyi People’s Hospital, Xinyi, ChinaIntroduction: Hook-wire (HW) localization is the most frequently employed approach for preoperative localization of pulmonary ground-glass nodules (GGNs); however, the relative outcomes of conventional and soft HW localization of GGNs remain poorly understood. Aim: This study sought to compare the safety and efficacy of preoperative computed tomography–guided conventional and soft HW localization of pulmonary GGNs. Materials and methods: Between January 2023 and June 2024, consecutive patients with pulmonary GGNs underwent conventional or soft HW localization prior to video-assisted thoracoscopic surgery. Safety and clinical efficacy of these 2 localization strategies were compared. Results: In total, 88 patients underwent conventional HW localization of 95 GGNs, and 82 patients underwent soft HW localization of 88 GGNs. Technical success rates for the conventional and soft HW groups were 96.8% and 100%, respectively (P = 0.25), and the duration of localization was similar in both groups (mean [SD], 10.1 [4.5] vs 10 [5.9] min; P = 0.97). Complications were significantly more common in the conventional HW group than in the soft HW group (48.9% vs 32.9%, respectively; P = 0.04). Visual analog scale scores in the conventional HW group were significantly higher than those observed in the soft HW group (mean [SD], 4.6 [0.6] vs 3.4 [0.6]; P = 0.001). The rates of technical success for limited resection procedures were similar in both groups (96.8% vs 100% in the conventional and soft HW groups, respectively; P >0.99). Conclusions: Conventional and soft HW strategies can both effectively facilitate preoperative pulmonary GGN localization, but the soft HW approach has a more favorable safety profile.https://www.mp.pl/videosurgery/issue/article/17910/computed tomographyground-glass nodulehook-wirelocalizationlung |
| spellingShingle | Sheng-Zhi Fan Yu-Yu Ma Yan Sun Hao Xu Wei Chen Preoperative computed tomography–guided localization of pulmonary ground‑glass nodules: a comparison of conventional and soft hook‑wires Videosurgery and Other Miniinvasive Techniques computed tomography ground-glass nodule hook-wire localization lung |
| title | Preoperative computed tomography–guided localization of pulmonary ground‑glass nodules: a comparison of conventional and soft hook‑wires |
| title_full | Preoperative computed tomography–guided localization of pulmonary ground‑glass nodules: a comparison of conventional and soft hook‑wires |
| title_fullStr | Preoperative computed tomography–guided localization of pulmonary ground‑glass nodules: a comparison of conventional and soft hook‑wires |
| title_full_unstemmed | Preoperative computed tomography–guided localization of pulmonary ground‑glass nodules: a comparison of conventional and soft hook‑wires |
| title_short | Preoperative computed tomography–guided localization of pulmonary ground‑glass nodules: a comparison of conventional and soft hook‑wires |
| title_sort | preoperative computed tomography guided localization of pulmonary ground glass nodules a comparison of conventional and soft hook wires |
| topic | computed tomography ground-glass nodule hook-wire localization lung |
| url | https://www.mp.pl/videosurgery/issue/article/17910/ |
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