A retrospective study on pre-operative CT-guided hook-wire localization of pulmonary nodules

Xu, Z.; Ni, Y.; Gu, B.; Zhou, H.; Luo, Y.; Li, N.; Chen, S.

doi:10.61186/ijrr.21.3.377

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Volume 21, Issue 3 (6-2023)

Int J Radiat Res 2023, 21(3): 377-382

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A retrospective study on pre-operative CT-guided hook-wire localization of pulmonary nodules

Z. Xu

, Y. Ni

, B. Gu

, H. Zhou

, Y. Luo

, N. Li

, S. Chen

Department of Thoracic Surgery, The Affiliated Huaian No.1 People’s Hospital of Nanjing Medical University, Huai’an223300, China , chenshengnj@outlook.com

Abstract: (1024 Views)

Background: The Background: Currently, surgical resection of the small and sub-centimeter pulmonary nodules (< 2 cm) is quite challenging via the thoracoscopic procedure. Our retrospective study aimed to evaluate the clinical efficiency of pre-operative CT-guided hook-wire localization of targeted pulmonary nodule patients prior to video-assisted thoracoscopic surgery (VATS) or surgery. Materials and Methods: 60 patients comprising pre-operative computed tomography (CT)-guided hook-wire localization of pulmonary nodules with < 2 cm diameter were retrospectively enrolled. Herein, we evaluated clinical variables, pathological outcomes, hook-wire localization procedure-related features, and complications from targeted pulmonary nodules patients. Results: Pre-operative CT-guided hook-wire localization was carried out successfully in 60 (100%) patients with wedge resection 41 (68%), segmentectomy 10 (16.7%), and lobectomy 9 (15%). Hook-wire localization procedure had mean time of 0.91±0.29 h, and 11 (18.3%) blood loss. All pulmonary nodule patients were positive pathological diagnoses for benign or malignant lesions, such as 5 (8.3%) benign lesions, 29 (48.3%) minimal adenocarcinoma (MIA) or invasive adenocarcinoma (IAC), and 21 (33.3%) adenocarcinoma in situ (AIS) malignant lesions. The majority of patients with hook-wire localization were either asymptomatic 19 (31.7%) or shown to have mild pain 25 (41.7%) and irritable cough 7 (11.7%). Conclusion: Preoperative CT-guided hook-wire localization of pulmonary nodules is safe and effective, which can reduce the operative time of targeted pulmonary nodules, and improvise the safety and outcomes of surgery.

Keywords: Pulmonary nodules, computed tomography, thoracoscopy.

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Type of Study: Original Research | Subject: Radiation Biology

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Xu Z, Ni Y, Gu B, Zhou H, Luo Y, Li N et al . A retrospective study on pre-operative CT-guided hook-wire localization of pulmonary nodules. Int J Radiat Res 2023; 21 (3) :377-382
URL: http://ijrr.com/article-1-4825-en.html

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