ArticleWideochirurgia i inne techniki maloinwazyjne = Videosurgery and other miniinvasive techniques2025
Feasibility analysis and efficacy evaluation of computed tomography-guided microwave ablation combined with radioactive
Article in Wideochirurgia i inne techniki maloinwazyjne = Videosurgery and other miniinvasive techniques, 2025. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Not yet cited in PubMed.
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Abstract
introductionLung cancer is one of the leading causes of mortality worldwide and it requires early detection and treatment. Microwave ablation (MWA), a minimally invasive technique, is effective in early stages of lung cancer, but may cause complications when applied near sensitive structures. Such cases require the use of
aimThe aim of this study was to evaluate the feasibility of MWA combined with MATERIALS AND
methodsThis retrospective study included 58 patients who underwent computed tomography (CT)-guided percutaneous pulmonary biopsy of ipsilateral single nodules combined with MWA and simultaneous or subsequent radioactive particle implantation. The experimental group (n = 28) received both treatments at the same time, while in the control group (n = 30),
resultsAll procedures were completed with a 100% technical success rate. Complication rates (hemopty- sis, pneumothorax, pleural effusion) were similar in both groups (P = 0.76, P = 0.8, P = 0.7, respectively), whereas duration of hospitalization was longer in the control group (P = 0.03). At 3 months, the total effective rate was 70% in the control group and 75% in the experimental group (P = 0.67), with 100% local control in both groups. At 6 months, the total effective rate was 80% and 82.1%, respectively (P = 0.84), with continued 100% local control.
conclusionsCombining CT-guided biopsy with immediate MWA and particle implantation for ipsilateral single pulmonary nodules does not increase the incidence of complications. Specimens are suitable for clinical and pathological testing, and lesion control rates meet clinical standards. This combined approach is feasible and safe.
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