Evidence map›Paper›PMID 34422363›Full record

ArticleJournal of thoracic disease2021

Electromagnetic navigation bronchoscopy localization of lung nodules for thoracoscopic resection.

Alessio Vincenzo Mariolo, Thibault Vieira, Jean-Baptiste Stern, Loïc Perrot, Raffaele Caliandro, Remi Escande, Emmanuel Brian, Madalina Grigoroiu, Guillaume Boddaert, Dominique Gossot and 1 more

Abstract read
PubMed Full text at PMC Publisher
In one paragraph

Article in Journal of thoracic disease, 2021. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 19 papers.

0numbers the graph read from it
0cells of the map it votes in
19citing papers in PubMed
–field-weighted citation impact
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

19 citing papers in PubMed.

  1. Article
  2. Article
  3. Article
  4. Article
  5. Article
  6. Article
  7. Article
  8. Article
  9. Article
  10. Review
  11. Article
  12. Article
  13. Review
  14. Article
  15. Review
  16. Article
  17. Article
  18. Article
  19. Review
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

11 authors.

Alessio Vincenzo MarioloThoracic Surgery Department, Institut du Thorax Curie-Montsouris-Institut Mutualiste Montsouris (IMM), Paris, France.
Thibault VieiraPulmonology Department, Institut du Thorax Curie-Montsouris-Institut Mutualiste Montsouris, Paris, France.
Jean-Baptiste SternPulmonology Department, Institut du Thorax Curie-Montsouris-Institut Mutualiste Montsouris, Paris, France.
Loïc PerrotPulmonology Department, Institut du Thorax Curie-Montsouris-Institut Mutualiste Montsouris, Paris, France.
Raffaele CaliandroPulmonology Department, Institut du Thorax Curie-Montsouris-Institut Mutualiste Montsouris, Paris, France.
Remi EscandeThoracic Surgery Department, Institut du Thorax Curie-Montsouris-Institut Mutualiste Montsouris (IMM), Paris, France.
Emmanuel BrianThoracic Surgery Department, Institut du Thorax Curie-Montsouris-Institut Mutualiste Montsouris (IMM), Paris, France.
Madalina GrigoroiuThoracic Surgery Department, Institut du Thorax Curie-Montsouris-Institut Mutualiste Montsouris (IMM), Paris, France.
Guillaume BoddaertThoracic Surgery Department, Institut du Thorax Curie-Montsouris-Institut Mutualiste Montsouris (IMM), Paris, France.
Dominique GossotThoracic Surgery Department, Institut du Thorax Curie-Montsouris-Institut Mutualiste Montsouris (IMM), Paris, France.
Agathe Seguin-GiveletThoracic Surgery Department, Institut du Thorax Curie-Montsouris-Institut Mutualiste Montsouris (IMM), Paris, France.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundThoracoscopic localization of small peripheral pulmonary nodules is a concern. Failure can lead to larger parenchymal resection or conversion to thoracotomy. This study evaluates our experience in preoperative electromagnetic navigation bronchoscopy-guided localization of small peripheral lung lesions.

methodsFrom January 2017 to March 2020 clinical, radiographic, surgical, and pathological data of patients who underwent electromagnetic navigation bronchoscopy (ENB)-guided methylene blue pleural marking of highly suspected pulmonary lesions before a full thoracoscopic resection were evaluated. Localization was performed for solid or mixed subpleural nodules measuring <10 mm, solid nodules measuring <20 mm located at more than 1 cm from the pleura and any pure ground glass opacity. Successful localization was defined as successful identification and thoracoscopic resection of target lesions.

resultsForty-eight patients were included: 30 solid nodules (63%), 12 pure GGO (25%) and 6 mixed (13%). The median largest diameter at CT-scan was 11 mm (IQR, 9-14 mm) while the median distance from the pleural surface was 12 mm (IQR, 6-16 mm). The median ENB length was 25 min (19-33 min). Localization procedure was successful in 45 cases (94%). No procedural-related complications were reported.

conclusionsENB is a safe and accurate preoperative procedure to localize small lung peripheral lesions. The high successful rate, the absence of related complications, the possibility of performing the procedure in the same operating room with a single general anesthesia, make ENB-guided dye marking an advantageous tool for thoracoscopic pulmonary resection.

Indexed as

dye marking, peripheral lung noduleearly-stage lung cancerElectromagnetic navigation bronchoscopy (ENB)thoracoscopyvideo-assisted thoracoscopic surgery (VATS)

Identifiers

PMID34422363
PMCPMC8339756

What OpenQuestion holds

Textmetadata
LicenceCC BY-NC-ND
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.