Evidence map›Paper›PMID 40691337›Full record

ArticleSurgical endoscopy2025

The benefits of electromagnetic navigation bronchoscopy combined with fluorescence-guided thoracoscopy in precise pulmonary segmentectomy: a propensity score-matched analysis.

Junxi Hu, Hui Zou, Qingwen Liu, Qinglin Ren, Wenbo He, Chao Sun, Shichun Lu, Xiaolin Wang, Yusheng Shu

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In one paragraph

Article in Surgical endoscopy, 2025. The graph could read no effect estimate from its abstract, so it casts no vote on the map. An erratum has been issued. Not yet cited in PubMed.

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1 · What the graph read from it

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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

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3 · Its place in the literature

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4 · The record

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5 · Who and what money

Authors and funding

9 authors.

Junxi HuClinical Medical College, Yangzhou University, Yangzhou, 225001, China.
Hui ZouClinical Medical College, Yangzhou University, Yangzhou, 225001, China.
Qingwen LiuDepartment of Thoracic Surgery, Northern Jiangsu People's Hospital, Yangzhou, 225001, China.
Qinglin RenClinical Medical College, Yangzhou University, Yangzhou, 225001, China.
Wenbo HeDepartment of Thoracic Surgery, Northern Jiangsu People's Hospital, Yangzhou, 225001, China.
Chao SunClinical Medical College, Yangzhou University, Yangzhou, 225001, China.
Shichun LuClinical Medical College, Yangzhou University, Yangzhou, 225001, China.
Xiaolin WangClinical Medical College, Yangzhou University, Yangzhou, 225001, China. 18051063909@yzu.edu.cn.
Yusheng ShuClinical Medical College, Yangzhou University, Yangzhou, 225001, China. shuyusheng34@163.com.

Funding

Yangzhou Social Development and Clinical Frontier Technology Project YZ2023084
6 · The paper itself

Abstract

backgroundPrecise pulmonary segmentectomy faces two major challenges: accurate nodule localization and clear intersegmental plane visualization. To address these, we developed a new comprehensive surgical protocol integrating Electromagnetic Navigation Bronchoscopy (ENB) with fluorescence-guided thoracoscopy and compared it with traditional surgical approaches to evaluate its feasibility and benefits.

methodsThis retrospective study analyzed patients undergoing pulmonary segmentectomy at Northern Jiangsu People's Hospital (January 2020-January 2024). Patients were divided into dual-scope and traditional groups. Propensity Score Matching (PSM) was performed for gender, age, body mass index (BMI), the American Society of Anesthesiologists (ASA), Forced Expiratory Volume in 1 second (FEV%), smoking, chronic obstructive pulmonary disease (COPD), hypertension, diabetes, and coronary artery disease (CAD). Intraoperative and postoperative outcomes were compared.

resultsAfter PSM, a total of 242 patients (121 per group) were included. Localization time (16.1 ± 7.2 vs. 21.0 ± 9.9 min) and segmentectomy time (75.8 ± 35.5 vs. 90.7 ± 46.3 min) were significantly shorter in the dual-scope group. Localization-related complications included focal pulmonary hemorrhage (0% in the dual-scope group vs. 5.0% in the traditional group), pneumothorax (0.8% vs. 5.0%), localization failure (0.8% vs. 6.6%), and intersegmental plane visualization failure (0% vs. 1.7%). All differences were significant (p < 0.05).

conclusionENB combined with fluorescence-guided thoracoscopy addresses challenges in precise localization and intersegmental plane visualization, significantly improving the safety, accuracy, and feasibility of pulmonary segmentectomy.

Indexed as

BronchoscopyLung NeoplasmsPneumonectomySurgery, Computer-AssistedThoracoscopyAgedElectromagnetic PhenomenaFeasibility StudiesFemaleHumansMaleMiddle AgedOperative TimePostoperative ComplicationsPropensity ScoreRetrospective StudiesElectromagnetic navigation bronchoscopyFluorescence-guided thoracoscopyIndocyanine greenPulmonary noduleSegmentectomy

Identifiers

PMID40691337

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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.