Pulmonary nodules localization via microcoil and anchor with scaled suture guided by CT in thoracoscopic surgery: A retrospective cohort study_Chinese Journal of Clinical Thoracic and Cardiovascular Surgery

Authors：

WEN Huanshun ¹ , SUN Hongliang ² , MA Qianli ¹ , XIAO Fei ¹ , ZHANG Zhenrong ¹ ,  LIANG Chaoyang ¹

1. Department of Thoracic Surgery, China-Japan Friendship Hospital, Beijing, 100029, P.R.China;
2. Department of Radiology, China-Japan Friendship Hospital, Beijing, 100029, P.R.China;

Corresponding author：

LIANG Chaoyang, Email: chaoyangliang@hotmail.com

Keywords：

Small pulmonary nodule; ground-glass nodule; preoperative localization; video-assisted thoracoscopic surgery; microcoil; anchor with scaled suture

DOI：

10.7507/1007-4848.202102017

Video：

Export PDF Favorites Scan Get Citation

Abstract Full text Figures/Tables Video References Cited by

Objective To compare the effectiveness and safety of preoperative lung localization by microcoil and anchor with scaled suture.Methods A total of 286 patients underwent CT-guided puncture localization consecutively between October 2019 and December 2020 in our hospital. According to the different methods of localization, they were divided into a microcoil group (n=139, including 49 males and 90 females, aged 57.92±10.51 years) and an anchor group (n=147, including 53 males and 94 females, aged 56.68±11.31 years). The clinical data of the patients were compared.Results A total of 173 nodules were localized in the microcoil group, and 169 nodules in the anchor group. The localization success rate was similar in the two groups. However, the anchor group was significantly better than the microcoil group in the localization time (8.15±2.55 min vs. 9.53±3.08 min, P=0.001), the pathological receiving time (30.46±14.41 min vs. 34.96±19.75 min, P=0.029), and the hemoptysis rate (10.7% vs. 30.1%, P=0.001), but the pneumothorax rate was higher in the anchor group (21.3% vs. 11.0%, P=0.006).Conclusion Preoperative localization of small pulmonary nodules using anchor with suture is practical and safe. Due to its simplicity and convenience, it is worth of promotion in the clinic.

Citation： WEN Huanshun, SUN Hongliang, MA Qianli, XIAO Fei, ZHANG Zhenrong, LIANG Chaoyang. Pulmonary nodules localization via microcoil and anchor with scaled suture guided by CT in thoracoscopic surgery: A retrospective cohort study. Chinese Journal of Clinical Thoracic and Cardiovascular Surgery, 2022, 29(1): 50-55. doi: 10.7507/1007-4848.202102017 Copy

1.	Henschke CI, Yankelevitz DF, Mirtcheva R, et al. CT screening for lung cancer: Frequency and significance of part-solid and nonsolid nodules. AJR Am J Roentgenol, 2002, 178(5): 1053-1057.
2.	Suzuki K, Nagai K, Yoshida J, et al. Video-assisted thoracoscopic surgery for small indeterminate pulmonary nodules: Indications for preoperative marking. Chest, 1999, 115(2): 563-568.
3.	Xu Y, Ma L, Sun H, et al. CT-guided microcoil localization for pulmonary nodules before VATS: A retrospective evaluation of risk factors for pleural marking failure. Eur Radiol, 2020, 30(10): 5674-5683.
4.	Long J, Petrov R, Haithcock B, et al. Electromagnetic transthoracic nodule localization for minimally invasive pulmonary resection. Ann Thorac Surg, 2019, 108(5): 1528-1534.
5.	Sun S, Liu K, Gao X, et al. Application of modified tailed microcoil in preoperative localization of small pulmonary nodules: A retrospective study. Thorac Cardiovasc Surg, 2020, 68(6): 533-539.
6.	Anayama T, Qiu J, Chan H, et al. Localization of pulmonary nodules using navigation bronchoscope and a near-infrared fluorescence thoracoscope. Ann Thorac Surg, 2015, 99(1): 224-230.
7.	McConnell PI, Feola GP, Meyers RL. Methylene blue-stained autologous blood for needle localization and thoracoscopic resection of deep pulmonary nodules. J Pediatr Surg, 2002, 37(12): 1729-1731.
8.	Davini F, Gonfiotti A, Vaggelli L, et al. Thoracoscopic localization techniques for patients with solitary pulmonary nodule: Radioguided surgery versus hookwire localization. J Cardiovasc Surg (Torino), 2006, 47(3): 355-359.
9.	Su TH, Fan YF, Jin L, et al. CT-guided localization of small pulmonary nodules using adjacent microcoil implantation prior to video-assisted thoracoscopic surgical resection. Eur Radiol, 2015, 25(9): 2627-2633.
10.	Refai M, Andolfi M, Barbisan F, et al. Computed tomography-guided microcoil placement for localizing small pulmonary nodules before uniportal video-assisted thoracoscopic resection. Radiol Med, 2020, 125(1): 24-30.
11.	Park CH, Han K, Hur J, et al. Comparative effectiveness and safety of preoperative lung localization for pulmonary nodules: A systematic review and meta-analysis. Chest, 2017, 151(2): 316-328.
12.	Yang F, Zhao H, Sui X, et al. Comparative study on preoperative localization techniques using microcoil and hookwire by propensity score matching. Thorac Cancer, 2020, 11(6): 1386-1395.
13.	Fan L, Yang H, Yu L, et al. Multicenter, prospective, observational study of a novel technique for preoperative pulmonary nodule localization. J Thorac Cardiovasc Surg, 2020, 160(2): 532-539.
14.	Xu Y, Ma L, Sun H, et al. The utility of simultaneous CT-guided localization for multiple pulmonary nodules using microcoil before video-assisted thoracic surgery. BMC Pulm Med, 2021, 21(1): 39.
15.	Ichinose J, Kohno T, Fujimori S, et al. Efficacy and complications of computed tomography-guided hook wire localization. Ann Thorac Surg, 2013, 96(4): 1203-1208.
16.	Hu L, Gao J, Chen C, et al. Comparison between the application of microcoil and hookwire for localizing pulmonary nodules. Eur Radiol, 2019, 29(8): 4036-4043.

1. Henschke CI, Yankelevitz DF, Mirtcheva R, et al. CT screening for lung cancer: Frequency and significance of part-solid and nonsolid nodules. AJR Am J Roentgenol, 2002, 178(5): 1053-1057.
2. Suzuki K, Nagai K, Yoshida J, et al. Video-assisted thoracoscopic surgery for small indeterminate pulmonary nodules: Indications for preoperative marking. Chest, 1999, 115(2): 563-568.
3. Xu Y, Ma L, Sun H, et al. CT-guided microcoil localization for pulmonary nodules before VATS: A retrospective evaluation of risk factors for pleural marking failure. Eur Radiol, 2020, 30(10): 5674-5683.
4. Long J, Petrov R, Haithcock B, et al. Electromagnetic transthoracic nodule localization for minimally invasive pulmonary resection. Ann Thorac Surg, 2019, 108(5): 1528-1534.
5. Sun S, Liu K, Gao X, et al. Application of modified tailed microcoil in preoperative localization of small pulmonary nodules: A retrospective study. Thorac Cardiovasc Surg, 2020, 68(6): 533-539.
6. Anayama T, Qiu J, Chan H, et al. Localization of pulmonary nodules using navigation bronchoscope and a near-infrared fluorescence thoracoscope. Ann Thorac Surg, 2015, 99(1): 224-230.
7. McConnell PI, Feola GP, Meyers RL. Methylene blue-stained autologous blood for needle localization and thoracoscopic resection of deep pulmonary nodules. J Pediatr Surg, 2002, 37(12): 1729-1731.
8. Davini F, Gonfiotti A, Vaggelli L, et al. Thoracoscopic localization techniques for patients with solitary pulmonary nodule: Radioguided surgery versus hookwire localization. J Cardiovasc Surg (Torino), 2006, 47(3): 355-359.
9. Su TH, Fan YF, Jin L, et al. CT-guided localization of small pulmonary nodules using adjacent microcoil implantation prior to video-assisted thoracoscopic surgical resection. Eur Radiol, 2015, 25(9): 2627-2633.
10. Refai M, Andolfi M, Barbisan F, et al. Computed tomography-guided microcoil placement for localizing small pulmonary nodules before uniportal video-assisted thoracoscopic resection. Radiol Med, 2020, 125(1): 24-30.
11. Park CH, Han K, Hur J, et al. Comparative effectiveness and safety of preoperative lung localization for pulmonary nodules: A systematic review and meta-analysis. Chest, 2017, 151(2): 316-328.
12. Yang F, Zhao H, Sui X, et al. Comparative study on preoperative localization techniques using microcoil and hookwire by propensity score matching. Thorac Cancer, 2020, 11(6): 1386-1395.
13. Fan L, Yang H, Yu L, et al. Multicenter, prospective, observational study of a novel technique for preoperative pulmonary nodule localization. J Thorac Cardiovasc Surg, 2020, 160(2): 532-539.
14. Xu Y, Ma L, Sun H, et al. The utility of simultaneous CT-guided localization for multiple pulmonary nodules using microcoil before video-assisted thoracic surgery. BMC Pulm Med, 2021, 21(1): 39.
15. Ichinose J, Kohno T, Fujimori S, et al. Efficacy and complications of computed tomography-guided hook wire localization. Ann Thorac Surg, 2013, 96(4): 1203-1208.
16. Hu L, Gao J, Chen C, et al. Comparison between the application of microcoil and hookwire for localizing pulmonary nodules. Eur Radiol, 2019, 29(8): 4036-4043.

Chinese Journal of Clinical Thoracic and Cardiovascular Surgery

Pulmonary nodules localization via microcoil and anchor with scaled suture guided by CT in thoracoscopic surgery: A retrospective cohort study

Abstract Full text Figures/Tables Video References Cited by

Previous Article

Next Article

Format

Content