CT-guided Hook-wire versus microcoil localization in the pulmonary nodules surgery: A systematic review and meta-analysis_Chinese Journal of Clinical Thoracic and Cardiovascular Surgery

Authors：

HONG Ziqiang ^1,2 , JIN Dacheng ² , BAI Xiangdou ^1,2 , ZHANG Siyuan ^1,2 , HUANG Daxin ^1,2 , YANG Ning ^1,2 , HE Xiaoyang ^1,2 ,  GOU Yunjiu ²

1. The First Clinical Department of Gansu University of Traditional Chinese Medicine, Lanzhou, 730000, P. R. China;
2. Department of Thoracic Surgery, Gansu Provincial Hospital, Lanzhou, 730000, P. R. China;

Corresponding author：

GOU Yunjiu, Email: gouyunjiu@163.com

Keywords：

CT-guided Hook-wire localization; CT-guided microcoil localization; pulmonary nodules; preoperative localization; systematic review/meta-analysis

DOI：

10.7507/1007-4848.202111078

Video：

Export PDF Favorites Scan Get Citation

Abstract Full text Figures/Tables Video References Cited by

Objective To systematically evaluate the application effect of CT-guided Hook-wire localization and CT-guided microcoil localization in pulmonary nodules surgery. Methods The literatures on the comparison between CT-guided Hook-wire localization and CT-guided microcoil localization for pulmonary nodules were searched in PubMed, EMbase, The Cochrane Library, Web of Science, Wanfang, VIP and CNKI databases from the inception to October 2021. Review Manager (version 5.4) software was used for meta-analysis. The Newcastle-Ottawa Scale (NOS) was used to evaluate the quality of studies.Results A total of 10 retrospective cohort studies were included, with 1 117 patients including 473 patients in the CT-guided Hook-wire localization group and 644 patients in the CT-guided microcoil localization group. The quality of the studies was high with NOS scores>6 points. The result of meta-analysis showed that the difference in the localization operation time (MD=0.14, 95%CI −3.43 to 3.71, P=0.940) between the two groups was not statistically significant. However, the localization success rate of the Hook-wire group was superior to the microcoil group (OR=0.35, 95%CI 0.17 to 0.72, P=0.005). In addition, in comparison with Hook-wire localization, the microcoil localization could reduce the dislocation rate (OR=4.33, 95%CI 2.07 to 9.08, P<0.001), the incidence of pneumothorax (OR=1.62, 95%CI 1.12 to 2.33, P=0.010) and pulmonary hemorrhage (OR=1.64, 95%CI 1.07 to 2.51, P=0.020). Conclusion Although Hook-wire localization is slightly better than microcoil localization in the aspect of the success rate of pulmonary nodule localization, microcoil localization has an obvious advantage compared with Hook-wire localization in terms of controlling the incidence of dislocation, pneumothorax and pulmonary hemorrhage. Therefore, from a comprehensive perspective, this study believes that CT-guided microcoil localization is a preoperative localization method worthy of further promotion.

Citation： HONG Ziqiang, JIN Dacheng, BAI Xiangdou, ZHANG Siyuan, HUANG Daxin, YANG Ning, HE Xiaoyang, GOU Yunjiu. CT-guided Hook-wire versus microcoil localization in the pulmonary nodules surgery: A systematic review and meta-analysis. Chinese Journal of Clinical Thoracic and Cardiovascular Surgery, 2023, 30(6): 910-916. doi: 10.7507/1007-4848.202111078 Copy

1.	Silva M, Pastorino U, Sverzellati N. Lung cancer screening with low-dose CT in Europe: Strength and weakness of diverse independent screening trials. Clin Radiol, 2017, 72(5): 389-400.
2.	Fu YF, Zhang M, Wu WB, et al. Coil localization-guided video-assisted thoracoscopic surgery for lung nodules. J Laparoendosc Adv Surg Tech A, 2018, 28(3): 292-297.
3.	沈诚, 李鹏飞, 李珏, 等. 胸腔镜手术下肺小结节常见定位方法研究进展. 中国肺癌杂志, 2018, 21(8): 628-634.
4.	Chan EY, Gaur P, Ge Y, et al. Management of the solitary pulmonary nodule. Arch Pathol Lab Med, 2017, 141(7): 927-931.
5.	李霞鹏, 徐惟, 丁仁泉, 等. 达芬奇机器人周围肺磨玻璃结节术前定位指征的研究. 中国胸心血管外科临床杂志, 2020, 27(2): 173-177.
6.	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.
7.	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.
8.	Xu C, Yuan Q, Wang Y, et al. Usefulness of virtual bronchoscopic navigation combined with endobronchial ultrasound guided transbronchial lung biopsy for solitary pulmonary nodules. Medicine (Baltimore), 2019, 98(7): e14248.
9.	Wang ZX, Li L, Zhang Z, et al. High-resolution computed tomography features and CT-guided microcoil localization of subcentimeter pulmonary ground-glass opacities: Radiological processing prior to video-assisted thoracoscopic surgery. J Thorac Dis, 2018, 10(5): 2676-2684.
10.	Liu J, Wang X, Wang Y, et al. Comparison of CT-guided localization using hook wire or coil before thoracoscopic surgery for ground glass nodules. Br J Radiol, 2020, 93(1111): 20190956.
11.	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.
12.	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.
13.	Rostambeigi N, Scanlon P, Flanagan S, et al. CT fluoroscopic-guided coil localization of lung nodules prior to video-assisted thoracoscopic surgical resection reduces complications compared to hook wire localization. J Vasc Interv Radiol, 2019, 30(3): 453-459.
14.	Hwang S, Kim TG, Song YG. Comparison of hook wire versus coil localization for video-assisted thoracoscopic surgery. Thorac Cancer, 2018, 9(3): 384-389.
15.	陆熠, 丁一, 王明松, 等. 两种定位方法在肺小结节微创治疗中的临床研究. 临床肺科杂志, 2018, 23(4): 591-594.
16.	吴伯勋, 刘浩, 刘洪利, 等. 留尾微弹簧圈定位技术在电视胸腔镜手术治疗肺磨玻璃结节中的应用. 肿瘤预防与治疗, 2021, 34(3): 247-251.
17.	申文明, 费杰, 岑浩锋. 微弹簧圈用于肺内磨玻璃影术前定位的临床研究. 浙江创伤外科, 2018, 23(6): 1079-1081.
18.	谢柏胜, 杨勇, 崔凤, 等. Hook-wire及弹簧圈定位技术在肺磨玻璃样结节术前定位的应用. 浙江临床医学, 2018, 20(10): 1619-1621.
19.	邓波, 孔鹏. 胸腔镜肺小结节切除术前微弹簧圈定位的临床应用研究. 现代肿瘤医学, 2020, 28(6): 954-957.
20.	Chung JH, Richards JC, Koelsch TL, et al. Screening for lung cancer: Incidental pulmonary parenchymal findings. AJR Am J Roentgenol, 2018, 210(3): 503-513.
21.	Keating J, Singhal S. Novel methods of intraoperative localization and margin assessment of pulmonary nodules. Semin Thorac Cardiovasc Surg, 2016, 28(1): 127-136.
22.	Nair A, Hansell DM. European and North American lung cancer screening experience and implications for pulmonary nodule management. Eur Radiol, 2011, 21(12): 2445-2454.
23.	Burdine J, Joyce LD, Plunkett MB, et al. Feasibility and value of video-assisted thoracoscopic surgery wedge excision of small pulmonary nodules in patients with malignancy. Chest, 2002, 122(4): 1467-1470.
24.	苟云久, 柏启州, 汪成风, 等. 达芬奇机器人胸外科33例手术体验. 中国胸心血管外科临床杂志, 2017, 24(5): 404-406.
25.	Kondo R, Yoshida K, Hamanaka K, et al. Intraoperative ultrasonographic localization of pulmonary ground-glass opacities. J Thorac Cardiovasc Surg, 2009, 138(4): 837-842.
26.	Plunkett MB, Peterson MS, Landreneau RJ, et al. Peripheral pulmonary nodules: Preoperative percutaneous needle localization with CT guidance. Radiology, 1992, 185(1): 274-276.
27.	Finley RJ, Mayo JR, Grant K, et al. Preoperative computed tomography-guided microcoil localization of small peripheral pulmonary nodules: A prospective randomized controlled trial. J Thorac Cardiovasc Surg, 2015, 149(1): 26-31.
28.	Lempel JK, Raymond DP, Ahmad U, et al. Video-assisted thoracic surgery resection without intraoperative fluoroscopy after CT-guided microcoil localization of peripheral pulmonary nodules. J Vasc Interv Radiol, 2018, 29(10): 1423-1428.
29.	McGuire AL, Vieira A, Grant K, et al. Computed tomography-guided platinum microcoil lung surgery: A cross-sectional study. J Thorac Cardiovasc Surg, 2019, 158(2): 594-600.
30.	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.
31.	徐灿, 陈宝俊, 史敏科, 等. CT引导微弹簧圈定位在胸腔镜切除孤立肺结节的临床研究. 中华腔镜外科杂志(电子版), 2017, 10(2): 102-104.
32.	Li W, Wang Y, He X, et al. Combination of CT-guided hookwire localization and video-assisted thoracoscopic surgery for pulmonary nodular lesions: Analysis of 103 patients. Oncol Lett, 2012, 4(4): 824-828.
33.	Mayo JR, Clifton JC, Powell TI, et al. Lung nodules: CT-guided placement of microcoils to direct video-assisted thoracoscopic surgical resection. Radiology, 2009, 250(2): 576-585.
34.	刘伦旭, 刘成武. 微小肺癌 (≤2 cm) 微创诊治探讨. 中国胸心血管外科临床杂志, 2014, 21(5): 577-581.
35.	何晓峰, 曹彬, 陈宝俊, 等. 术前CT下弹簧圈定位肺结节在胸腔镜下肺结节切除术中应用的随机对照试验. 中国胸心血管外科临床杂志, 2017, 24(11): 858-862.
36.	Kha LC, Hanneman K, Donahoe L, et al. Safety and efficacy of modified preoperative lung nodule microcoil localization without pleural marking: A pilot study. J Thorac Imaging, 2016, 31(1): 15-22.
37.	Huang ZG, Wang CL, Sun HL, et al. CT-guided microcoil localization of small peripheral pulmonary nodules to direct video-assisted thoracoscopic resection without the aid of intraoperative fluoroscopy. Korean J Radiol, 2021, 22(7): 1124-1131.

1. Silva M, Pastorino U, Sverzellati N. Lung cancer screening with low-dose CT in Europe: Strength and weakness of diverse independent screening trials. Clin Radiol, 2017, 72(5): 389-400.
2. Fu YF, Zhang M, Wu WB, et al. Coil localization-guided video-assisted thoracoscopic surgery for lung nodules. J Laparoendosc Adv Surg Tech A, 2018, 28(3): 292-297.
3. 沈诚, 李鹏飞, 李珏, 等. 胸腔镜手术下肺小结节常见定位方法研究进展. 中国肺癌杂志, 2018, 21(8): 628-634.
4. Chan EY, Gaur P, Ge Y, et al. Management of the solitary pulmonary nodule. Arch Pathol Lab Med, 2017, 141(7): 927-931.
5. 李霞鹏, 徐惟, 丁仁泉, 等. 达芬奇机器人周围肺磨玻璃结节术前定位指征的研究. 中国胸心血管外科临床杂志, 2020, 27(2): 173-177.
6. 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.
7. 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.
8. Xu C, Yuan Q, Wang Y, et al. Usefulness of virtual bronchoscopic navigation combined with endobronchial ultrasound guided transbronchial lung biopsy for solitary pulmonary nodules. Medicine (Baltimore), 2019, 98(7): e14248.
9. Wang ZX, Li L, Zhang Z, et al. High-resolution computed tomography features and CT-guided microcoil localization of subcentimeter pulmonary ground-glass opacities: Radiological processing prior to video-assisted thoracoscopic surgery. J Thorac Dis, 2018, 10(5): 2676-2684.
10. Liu J, Wang X, Wang Y, et al. Comparison of CT-guided localization using hook wire or coil before thoracoscopic surgery for ground glass nodules. Br J Radiol, 2020, 93(1111): 20190956.
11. 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.
12. 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.
13. Rostambeigi N, Scanlon P, Flanagan S, et al. CT fluoroscopic-guided coil localization of lung nodules prior to video-assisted thoracoscopic surgical resection reduces complications compared to hook wire localization. J Vasc Interv Radiol, 2019, 30(3): 453-459.
14. Hwang S, Kim TG, Song YG. Comparison of hook wire versus coil localization for video-assisted thoracoscopic surgery. Thorac Cancer, 2018, 9(3): 384-389.
15. 陆熠, 丁一, 王明松, 等. 两种定位方法在肺小结节微创治疗中的临床研究. 临床肺科杂志, 2018, 23(4): 591-594.
16. 吴伯勋, 刘浩, 刘洪利, 等. 留尾微弹簧圈定位技术在电视胸腔镜手术治疗肺磨玻璃结节中的应用. 肿瘤预防与治疗, 2021, 34(3): 247-251.
17. 申文明, 费杰, 岑浩锋. 微弹簧圈用于肺内磨玻璃影术前定位的临床研究. 浙江创伤外科, 2018, 23(6): 1079-1081.
18. 谢柏胜, 杨勇, 崔凤, 等. Hook-wire及弹簧圈定位技术在肺磨玻璃样结节术前定位的应用. 浙江临床医学, 2018, 20(10): 1619-1621.
19. 邓波, 孔鹏. 胸腔镜肺小结节切除术前微弹簧圈定位的临床应用研究. 现代肿瘤医学, 2020, 28(6): 954-957.
20. Chung JH, Richards JC, Koelsch TL, et al. Screening for lung cancer: Incidental pulmonary parenchymal findings. AJR Am J Roentgenol, 2018, 210(3): 503-513.
21. Keating J, Singhal S. Novel methods of intraoperative localization and margin assessment of pulmonary nodules. Semin Thorac Cardiovasc Surg, 2016, 28(1): 127-136.
22. Nair A, Hansell DM. European and North American lung cancer screening experience and implications for pulmonary nodule management. Eur Radiol, 2011, 21(12): 2445-2454.
23. Burdine J, Joyce LD, Plunkett MB, et al. Feasibility and value of video-assisted thoracoscopic surgery wedge excision of small pulmonary nodules in patients with malignancy. Chest, 2002, 122(4): 1467-1470.
24. 苟云久, 柏启州, 汪成风, 等. 达芬奇机器人胸外科33例手术体验. 中国胸心血管外科临床杂志, 2017, 24(5): 404-406.
25. Kondo R, Yoshida K, Hamanaka K, et al. Intraoperative ultrasonographic localization of pulmonary ground-glass opacities. J Thorac Cardiovasc Surg, 2009, 138(4): 837-842.
26. Plunkett MB, Peterson MS, Landreneau RJ, et al. Peripheral pulmonary nodules: Preoperative percutaneous needle localization with CT guidance. Radiology, 1992, 185(1): 274-276.
27. Finley RJ, Mayo JR, Grant K, et al. Preoperative computed tomography-guided microcoil localization of small peripheral pulmonary nodules: A prospective randomized controlled trial. J Thorac Cardiovasc Surg, 2015, 149(1): 26-31.
28. Lempel JK, Raymond DP, Ahmad U, et al. Video-assisted thoracic surgery resection without intraoperative fluoroscopy after CT-guided microcoil localization of peripheral pulmonary nodules. J Vasc Interv Radiol, 2018, 29(10): 1423-1428.
29. McGuire AL, Vieira A, Grant K, et al. Computed tomography-guided platinum microcoil lung surgery: A cross-sectional study. J Thorac Cardiovasc Surg, 2019, 158(2): 594-600.
30. 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.
31. 徐灿, 陈宝俊, 史敏科, 等. CT引导微弹簧圈定位在胸腔镜切除孤立肺结节的临床研究. 中华腔镜外科杂志(电子版), 2017, 10(2): 102-104.
32. Li W, Wang Y, He X, et al. Combination of CT-guided hookwire localization and video-assisted thoracoscopic surgery for pulmonary nodular lesions: Analysis of 103 patients. Oncol Lett, 2012, 4(4): 824-828.
33. Mayo JR, Clifton JC, Powell TI, et al. Lung nodules: CT-guided placement of microcoils to direct video-assisted thoracoscopic surgical resection. Radiology, 2009, 250(2): 576-585.
34. 刘伦旭, 刘成武. 微小肺癌 (≤2 cm) 微创诊治探讨. 中国胸心血管外科临床杂志, 2014, 21(5): 577-581.
35. 何晓峰, 曹彬, 陈宝俊, 等. 术前CT下弹簧圈定位肺结节在胸腔镜下肺结节切除术中应用的随机对照试验. 中国胸心血管外科临床杂志, 2017, 24(11): 858-862.
36. Kha LC, Hanneman K, Donahoe L, et al. Safety and efficacy of modified preoperative lung nodule microcoil localization without pleural marking: A pilot study. J Thorac Imaging, 2016, 31(1): 15-22.
37. Huang ZG, Wang CL, Sun HL, et al. CT-guided microcoil localization of small peripheral pulmonary nodules to direct video-assisted thoracoscopic resection without the aid of intraoperative fluoroscopy. Korean J Radiol, 2021, 22(7): 1124-1131.

Chinese Journal of Clinical Thoracic and Cardiovascular Surgery

CT-guided Hook-wire versus microcoil localization in the pulmonary nodules surgery: A systematic review and meta-analysis

Abstract Full text Figures/Tables Video References Cited by

Previous Article

Next Article

Format

Content