Zhou Wen-Jie, Chen Gang, Huang Ya-Yong, Peng Peng, Lv Peng-Hua, Lv Jing-Li
Department of Interventional Radiology, Northern Jiangsu People's Hospital, Clinical Medical College of Yangzhou University, Yangzhou, China.
Department of Radiology, Xuzhou Central Hospital, Xuzhou, China.
Wideochir Inne Tech Maloinwazyjne. 2024 Mar;19(1):91-99. doi: 10.5114/wiitm.2023.134158. Epub 2023 Dec 30.
Both hook-wire (HW) and anchored needle (AN) techniques can be used for preoperative computed tomography (CT)-guided localization for pulmonary nodules (PNs). But the outcomes associated with these two materials remain unclear.
To assess the relative safety and efficacy of preoperative CT-guided HW and AN localization for PNs.
This was a retrospective analysis of data collected from two institutions. Consecutive patients with PNs between January 2020 and December 2021 who underwent preoperative CT-guided HW or AN localization followed by video-assisted thoracoscopic surgery (VATS) procedures were included in these analyses, which compared the safety and clinical efficiency of these two localization strategies.
In total, 98 patients (105 PNs) and 93 patients (107 PNs) underwent CT-guided HW and AN localization procedures, respectively. The HW and AN groups exhibited similar rates of successful PN localization (95.2% vs. 99.1%, p = 0.117), but the dislodgement rate in the HW group was significantly higher than that for the AN group (4.8% vs. 0.0%, p = 0.029). The mean pain score of patients in the HW group was significantly higher than that for the AN group (p = 0.001). HW and AN localization strategies were associated with comparable pneumothorax (21.4% vs. 16.1%, p = 0.349) and pulmonary hemorrhage (29.6% vs. 23.7%, p = 0.354) rates. All patients other than 1 individual in the HW group successfully underwent VATS-guided limited resection.
These data suggest that AN represents a safe, well-tolerated, feasible preoperative localization strategy for PNs that may offer value as a replacement for HW localization.
钩丝（HW）和锚定针（AN）技术均可用于术前计算机断层扫描（CT）引导下的肺结节（PN）定位。但与这两种材料相关的结果仍不明确。
评估术前CT引导下HW和AN对PN定位的相对安全性和有效性。
这是一项对从两个机构收集的数据进行的回顾性分析。纳入了2020年1月至2021年12月期间接受术前CT引导下HW或AN定位，随后行电视辅助胸腔镜手术（VATS）的连续PN患者，比较这两种定位策略的安全性和临床效率。
总共分别有98例患者（105个PN）和93例患者（107个PN）接受了CT引导下的HW和AN定位程序。HW组和AN组的PN定位成功率相似（95.2%对99.1%，p = 0.117），但HW组的移位率显著高于AN组（4.8%对0.0%，p = 0.029）。HW组患者的平均疼痛评分显著高于AN组（p = 0.001）。HW和AN定位策略与气胸（21.4%对16.1%，p = 0.349）和肺出血（29.6%对23.7%，p = 0.354）发生率相当。HW组除1例患者外，所有患者均成功接受了VATS引导下的局限性切除术。
这些数据表明，AN是一种安全、耐受性良好、可行的PN术前定位策略，可能作为HW定位的替代方法具有价值。
