计算机断层扫描引导下的线圈定位用于肩胛骨阻挡肺结节。
Computed tomography-guided coil localization for scapular-blocked lung nodules.
机构信息
Department of Interventional Radiology, Ningbo First Hospital, Ningbo, China.
Department of Thoracic Surgery, Ningbo First Hospital, Ningbo, China.
出版信息
Minim Invasive Ther Allied Technol. 2022 Mar;31(3):468-472. doi: 10.1080/13645706.2020.1840396. Epub 2020 Nov 3.
PURPOSE
To investigate the clinical efficacy, feasibility, and safety of the preoperative computed tomography (CT)-guided coil localization (CL) approach for scapula-blocked lung nodules (SBLNs).
MATERIAL AND METHODS
A total of 123 patients with LNs were treated via CT-guided CL and subsequent VATS-guided wedge resection from January 2015 to June 2020. Of these patients, 12 (9.8%) exhibited SBLNs and underwent CT-guided CL. Technical success of localization and video-assisted thoracoscopic surgery (VATS)-guided wedge resection, and localization-related complications were recorded and analyzed.
RESULTS
The technical success rate of CT-guided CL was 100%. Each patient was placed with one coil. The mean duration of CT-guided CL was 14.7 ± 2.7 min. One patient (8.3%) developed asymptomatic pneumothorax, which has not impacted the subsequent VATS procedure. Successful VATS-guided wedge resection of these SBLNs was achieved in all patients, with no instances of conversion to thoracotomy. Additional lobectomy was performed in three patients. The mean duration of the VATS procedure and blood loss were 143.8 ± 95.5 min and 110.0 ± 82.0 ml, respectively.
CONCLUSIONS
The approach of CT-guided CL could be safely and easily utilized to facilitate high rates of success when conducting the VATS-guided wedge resection of SBLNs.
目的
探讨术前 CT 引导下线圈定位（CL）在肩胛骨阻挡性肺结节（SBLN）中的临床疗效、可行性和安全性。
材料与方法
2015 年 1 月至 2020 年 6 月，对 123 例 LN 患者行 CT 引导 CL 及随后的 VATS 引导楔形切除术。其中 12 例（9.8%）为 SBLN 患者，行 CT 引导 CL。记录和分析定位的技术成功率和 VATS 引导楔形切除术，以及定位相关并发症。
结果
CT 引导 CL 的技术成功率为 100%。每位患者均放置一个线圈。CT 引导 CL 的平均时间为 14.7±2.7 分钟。1 例（8.3%）患者出现无症状气胸，但不影响后续 VATS 手术。所有 SBLN 患者均成功实施 VATS 引导楔形切除术，无一例转为开胸手术。3 例患者行额外的肺叶切除术。VATS 手术的平均时间和出血量分别为 143.8±95.5 分钟和 110.0±82.0 毫升。
结论
CT 引导 CL 方法可安全、简便地用于提高 VATS 引导楔形切除 SBLN 的成功率。
Zotero 插件