Journal of vascular and interventional radiology : JVIR · 2018
A Comparison between Prethoracoscopy Localization of Small Pulmonary Nodules by Means of Medical Adhesive versus Hookwire.
Сравнительное исследованиеСтатьяПоддержка исследования: вне правительства СШАНазвание и аннотация: Перевод пока не подготовлен
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Huang Ya'nan, Zhao Zhenhua, Wang Ting, Song Kun, Yang Jianfeng, Lu Zengxin, Wang Bin, Yu Guangmao, Wang Cheng
Аннотация
PURPOSE: To compare prethoracoscopy localization of small pulmonary nodules (SPNs) by means of medical adhesive versus hookwire.
MATERIALS AND METHODS: One hundred seven patients who underwent video-assisted thoracoscopic surgery resection for SPNs were consecutively recruited in this retrospective cohort study. Patients were divided into 2 groups according to the material used for localization of the SPNs: the medical adhesive group (n = 88) and the hookwire group (n = 19). The baseline data were collected, and operation waiting time (OWT; the time gap between localization and surgery), wedge resection performing time (WRPT), pathologic result, and complications of the 2 groups were assessed.
RESULTS: All SPNs were successfully marked. No differences in pathologic result (P = .676), wedge resection, or segmentectomy rate (P = .679) were observed. OWT was markedly longer in the medical adhesive group than in the hookwire group (P < .001), whereas WRPT was similar in the 2 groups (P = .926). There were significantly (P = .004) fewer complications in the medical adhesive group (37.42%) than in the hookwire group (15.79%). Regarding individual complications, hemorrhage occurred significantly less in the medical adhesive group than in the hookwire group (9% vs 68%; P < .001), and no differences of cough, pneumothorax, or chest pain were found between the 2 groups (all P > .05). Multivariate logistic regression analysis further validated that hookwire was independently correlated with a higher risk of complication occurrence (P = .008) and hemorrhage occurrence (P < .001) compared with medical adhesive.
CONCLUSIONS: Compared with hookwire, localization via medical adhesive can achieve a flexible time gap between localization and surgery. It also decreases the complication rate and increases convenience owing to no need for an anchor hook.
MATERIALS AND METHODS: One hundred seven patients who underwent video-assisted thoracoscopic surgery resection for SPNs were consecutively recruited in this retrospective cohort study. Patients were divided into 2 groups according to the material used for localization of the SPNs: the medical adhesive group (n = 88) and the hookwire group (n = 19). The baseline data were collected, and operation waiting time (OWT; the time gap between localization and surgery), wedge resection performing time (WRPT), pathologic result, and complications of the 2 groups were assessed.
RESULTS: All SPNs were successfully marked. No differences in pathologic result (P = .676), wedge resection, or segmentectomy rate (P = .679) were observed. OWT was markedly longer in the medical adhesive group than in the hookwire group (P < .001), whereas WRPT was similar in the 2 groups (P = .926). There were significantly (P = .004) fewer complications in the medical adhesive group (37.42%) than in the hookwire group (15.79%). Regarding individual complications, hemorrhage occurred significantly less in the medical adhesive group than in the hookwire group (9% vs 68%; P < .001), and no differences of cough, pneumothorax, or chest pain were found between the 2 groups (all P > .05). Multivariate logistic regression analysis further validated that hookwire was independently correlated with a higher risk of complication occurrence (P = .008) and hemorrhage occurrence (P < .001) compared with medical adhesive.
CONCLUSIONS: Compared with hookwire, localization via medical adhesive can achieve a flexible time gap between localization and surgery. It also decreases the complication rate and increases convenience owing to no need for an anchor hook.
Предметные рубрики MeSH
AdultAgedAged, 80 and overFemaleHumansLung NeoplasmsMaleMiddle AgedMultiple Pulmonary NodulesPneumonectomyPostoperative ComplicationsPredictive Value of TestsRetrospective StudiesSolitary Pulmonary NoduleThoracic Surgery, Video-AssistedTime FactorsTissue AdhesivesTomography, X-Ray ComputedTreatment OutcomeTumor BurdenYoung Adult