Department of Respiratory.
Department of Radiology, Xuzhou Central Hospital, Xuzhou, China.
Medicine (Baltimore). 2021 Feb 5;100(5):e24333. doi: 10.1097/MD.0000000000024333.
To evaluate the clinical efficiency, feasibility, and safety of computed tomography (CT)-guided trans-scapular coil localization (TSCL) approach to treating scapula-blocked pulmonary nodules (SBPNs).In total, 105 patients with pulmonary nodules underwent CT-guided CL and subsequent video-assisted thoracoscopic surgery (VATS)-guided wedge resection (WR) between January 2016 and July 2020. Six of these patients (5.7%) had SBPNs that led them to undergo CT-guided TSCL. Rates of technical success and localization-related complications were then recorded and analyzed.CT-guided TSCL was associated with a 100% technical success rate, with one coil being placed per patient. The median CT-guided TSCL duration was 15 min. No patients experienced any complications associated with this procedure, and subsequent VATS-guided WR of SBPNs was 100% technically successful. In two patients with invasive adenocarcinoma, additional lobectomy was performed. Median VATS duration and intraoperative blood loss were 120 min and 150 mL, respectively.In summary, these results indicate that CT-guided TSCL could be easily and safely implemented to achieve high success rate when performing the VATS-guided WR of SBPNs.
评估计算机断层扫描（CT）引导下经肩胛骨线圈定位（TSCL）治疗肩胛骨阻塞性肺结节（SBPN）的临床疗效、可行性和安全性。
2016 年 1 月至 2020 年 7 月期间，共有 105 例肺部结节患者接受 CT 引导下 CL 及随后的电视辅助胸腔镜手术（VATS）引导下楔形切除术（WR）。其中 6 例（5.7%）患者为 SBPN，行 CT 引导下 TSCL。记录并分析了技术成功率和定位相关并发症的发生率。
CT 引导下 TSCL 的技术成功率为 100%，每个患者放置一个线圈。CT 引导下 TSCL 的中位时间为 15 分钟。无患者出现与该手术相关的任何并发症，随后对 SBPN 进行的 VATS 引导 WR 技术成功率为 100%。在 2 例侵袭性腺癌患者中，进行了额外的肺叶切除术。VATS 中位时间和术中出血量分别为 120 分钟和 150 毫升。
综上所述，这些结果表明，CT 引导下 TSCL 可安全、简便地实施，以获得 SBPN 行 VATS 引导 WR 的高成功率。
