Observational studyInterdisciplinary cardiovascular and thoracic surgery2026
Targeting Pulmonary Nodules Prior to Video-Assisted Thoracic Surgery: Comparison of Two Different Techniques.
Observational study in Interdisciplinary cardiovascular and thoracic surgery, 2026. 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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8 authors.
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Abstract
objectivesThe increasing use of CT imaging and the implementation of lung cancer screening have led to a rising detection of pulmonary nodules. Accurate management requires reliable localization techniques enabling pathological diagnosis and potential curative resection. This study compared hook-wire localization and cone-beam computed tomography (CBCT)-guided detection in terms of diagnostic yield.
methodsA retrospective analysis was performed in 2 French academic centres, including 260 patients with 266 nodules (January 2012-May 2019). The primary end-point was diagnostic yield, defined as the proportion of successfully localized nodules. Secondary end-points included localization and operative times, peri- and postoperative complications, chest tube duration, and hospital stay.
resultsDiagnostic yield was 88.0% with hook-wire localization and 96.9% with CBCT, corresponding to an absolute difference of 8.9% (95% CI, -0.2 to 17.9; P = .053). Complication rates (P = .63), drainage duration (P = .13), and hospital stay (P = .16) did not differ between groups. Operative time (P = .042) and localization time (P = .001) were significantly longer with CBCT and hook-wire, respectively.
conclusionsHook-wire and CBCT localization demonstrated comparable diagnostic yields and acceptable safety profiles. CBCT required longer operative room utilization, whereas hook-wire placement was performed in the radiology department, saving resources for other surgeries.
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