Evidence map›Paper›PMID 32879858›Full record

ArticleQuantitative imaging in medicine and surgery2020

Image-localized body surface marking for the intraoperative localization of pulmonary ground-glass nodules.

Pengliang Xu, Xiuhua Peng, Wenhui Li, Huanming Yu

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Article in Quantitative imaging in medicine and surgery, 2020. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 2 papers.

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2citing papers in PubMed
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3 · Its place in the literature

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2 citing papers in PubMed.

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5 · Who and what money

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4 authors.

Pengliang XuDepartment of Thoracic Surgery, The First People's Hospital of Huzhou, Huzhou, China.
Xiuhua PengDepartment of Radiology, The First People's Hospital of Huzhou, Huzhou, China.
Wenhui LiDepartment of Thoracic Surgery, The First People's Hospital of Huzhou, Huzhou, China.
Huanming YuDepartment of Thoracic Surgery, The First People's Hospital of Huzhou, Huzhou, China.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundThe method of locating pulmonary nodules before operation plays a crucial role in the surgery of pulmonary ground-glass nodules (GGNs). However, the methodologies surrounding intraoperative localization remains limited, with the majority procedures requiring specific additional equipment. We report a new approach in locating pulmonary GGNs by image-localized body surface marking intraoperative (IBMI) localization.

methodsA retrospective review of the medical records of 76 patients with pulmonary GGNs was performed. All patients underwent IBMI localization between January 2018 and March 2019. Twenty-six patients underwent CT-guided hook wire localization before IBMI localization during surgery. IBMI localization was undertaken directly without pre-treatment in the remaining patients. The efficacy and complications of this approach were analyzed and compared with other pre- or intraoperative localization methods in the current literature.

resultsThe intraoperative localizations were performed successfully in 72 of all 76 patients pulmonary GGNs within a mean duration of 5.3±1.8 (range, 2.0 to 9.6) minutes. The GGNs in four cases were found to have a significant deviation (>1.5 cm) from the positioning points. All GGNs were successfully resected. Except for five cases of active chest wall bleeding (6.5%), no other intra- or postoperative complications occurred.

conclusionsThe IBMI localization approach is a safe and short-duration procedure with high success rates and fewer complications. We used it for the first time for intraoperative localization of peripheral GGNs with excellent results.

Indexed as

Image localizedintraoperative localizationpulmonary nodulesvideo-assisted thoracoscopic surgery (VATS)

Identifiers

PMID32879858
PMCPMC7417760

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