单中心单阶段与双阶段 CT 引导下肺结节切除定位的比较：一项单中心经验。
Comparison between one-stage and two-stage CT-guided localization of lung nodules with surgical resection: a single medical center experience.
机构信息
Division of Thoracic Surgery, Department of Surgery, Kaohsiung Veterans General Hospital, Kaohsiung, Taiwan.
School of Medicine, National Yang Ming Chiao Tung University, Taipei, Taiwan.
出版信息
J Cardiothorac Surg. 2024 May 30;19(1):304. doi: 10.1186/s13019-024-02823-7.
BACKGROUND
This retrospective study aimed to compare the efficacy and safety of one-stage computed tomography (OSCT)- to that of two-stage computed tomography (TSCT)-guided localization for the surgical removal of small lung nodules.
METHODS
We collected data from patients with ipsilateral pulmonary nodules who underwent localization before surgical removal at Veteran General Hospital Kaohsiung between October 2017 and January 2022. The patients were divided into the OSCT and TSCT groups.
RESULTS
We found that OSCT significantly reduced the localization time and risky time compared to TSCT, and the success rate of localization and incidence of pneumothorax were similar in both groups. However, the time spent under general anesthesia was longer in the OSCT group than in the TSCT group.
CONCLUSIONS
The OSCT-guided approach to localize pulmonary nodules in hybrid operation room is a safe and effective technique for the surgical removal of small lung nodules.
背景
本回顾性研究旨在比较一期计算机断层扫描（OSCT）与两期计算机断层扫描（TSCT）引导定位在小肺结节手术切除中的疗效和安全性。
方法
我们收集了 2017 年 10 月至 2022 年 1 月期间在高雄荣民总医院接受同侧肺结节手术切除前定位的患者数据。患者分为 OSCT 组和 TSCT 组。
结果
与 TSCT 相比，OSCT 显著减少了定位时间和风险时间，两组的定位成功率和气胸发生率相似。然而，OSCT 组患者全身麻醉时间长于 TSCT 组。
结论
杂交手术室中 OSCT 引导肺结节定位的方法是一种安全有效的小肺结节切除手术方法。
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