Evidence map›Paper›PMID 33036640›Full record

ArticleJournal of cardiothoracic surgery2020

CT-guided hook-wire localization of malignant pulmonary nodules for video assisted thoracoscopic surgery.

Huijun Zhang, Ying Li, Nadier Yimin, Zelai He, Xiaofeng Chen

Open access · goldAbstract read
In one paragraph

Article in Journal of cardiothoracic surgery, 2020. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 37 papers.

0numbers the graph read from it
0cells of the map it votes in
37citing papers in PubMed
3.2field-weighted citation impact, top 6% of its field
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

37 citing papers in PubMed, 39 citations in OpenAlex.

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  6. Intraoperative Contrast-Enhanced Ultrasound Versus Traditional Intraoperative Ultrasound for Detecting Lung Nodules During Robotic-assisted Thoracic Surgery.European journal of cardio-thoracic surgery : official journal of the European Association for Cardio-thoracic Surgery · 2026
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  11. The Positioning Method of Pulmonary Nodules in Thoracoscopic Surgery Based on CT Simulation Positioning System for Radiotherapy.Annals of thoracic and cardiovascular surgery : official journal of the Association of Thoracic and Cardiovascular Surgeons of Asia · 2025
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4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

5 authors at 3 institutions in 1 country.

Huijun ZhangDepartment of Cardiothoracic Surgery, Huashan Hospital of Fudan University, Shanghai, 200040, China. zhanghuijunhp@163.com.
Ying LiDepartment of Thoracic Surgery, Shanghai Pulmonary Hospital, Tongji University School of Medicine, Shanghai, China.
Nadier YiminDepartment of Cardiothoracic Surgery, Huashan Hospital of Fudan University, Shanghai, 200040, China.
Zelai HeDepartment of Radiation Oncology, The First Affiliated Hospital of Bengbu Medical College, Bengbu, 233000, China. he.ze.lai@163.com.
Xiaofeng ChenDepartment of Cardiothoracic Surgery, Huashan Hospital of Fudan University, Shanghai, 200040, China. zhj6746@163.com.
Huashan Hospital · CNFirst Affiliated Hospital of Bengbu Medical College · CNShanghai Pulmonary Hospital · CN

Funding

National Natural Science Foundation of China 81602545Scientific Research Project of Huashan Hospital, Fudan University 2016Q018Scientific Research Project of Huashan North Hospital 2015115
6 · The paper itself

Abstract

objectivesVideo assisted thoracoscopic surgery (VATS) can currently be used to diagnose and treat pulmonary nodules. However, intraoperative location of pulmonary nodules in VATS is challenging due to their small diameter and deep location in the pulmonary parenchyma. The purpose of this study was to report the clinical safety and effectiveness of CT-guided hook-wire for preoperative localization of malignant pulmonary nodules smaller than 1 cm in diameter.

methodsFrom February 2017 to January 2018, we collected the data of 80 patients with malignant pulmonary nodules less than 1 cm in diameter who underwent CT-guided hook-wire preoperative localization and VATS surgery. The effectiveness of preoperative localization was evaluated based on surgical duration, success rate of VATS surgery, and localization-related complications.

resultsThe diameter of pulmonary nodules were 0.85 ± 0.17 mm with a distance to the pleural surface of 19.66 ± 14.10 mm. The length of the hook-wire in the lung parenchyma was 29.17 ± 13.14 mm and hook-wire dislodgement occurred in 2 patients. Complications included 27 cases of minor pneumothorax and 18 cases of mild parenchymal hemorrhage. A significant correlation was observed between the length of the hook-wire in the lung parenchyma and mild parenchymal hemorrhage (P = 0.044). The average time of hook-wire localization was 9.0 ± 2.6 min and the average operation time for VATS was 89.02 ± 23.35 min without conversion thoracotomy.

conclusionsCT-guided hook-wire localization of the lesion during VATS resection is safe for malignant pulmonary nodules with diameter less than 1 cm.

Indexed as

Thoracic Surgery, Video-AssistedAdultAgedAged, 80 and overFemaleHumansLungLung NeoplasmsMaleMiddle AgedMultiple Pulmonary NodulesOperative TimePleuraPneumothoraxRetrospective StudiesSolitary Pulmonary NoduleHook-wire localizationMalignant pulmonary nodulesVideo assisted thoracoscopic surgery

Identifiers

PMID33036640
PMCPMC7545541
OpenAlexW3092562448

What OpenQuestion holds

Textmetadata
LicenceCC BY
Read underepoch 390

Registered trials

None linked

Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.