Value of preoperative localization techniques for solitary pulmonary nodules in singleport thoracoscopic surgery / 南方医科大学学报
Journal of Southern Medical University
; (12): 718-722, 2020.
Article
en Zh
| WPRIM
| ID: wpr-828866
Biblioteca responsable:
WPRO
ABSTRACT
To evaluate the value and clinical effect of different preoperative localization techniques for solitary pulmonary nodules (SPN) before single-port thoracoscopic surgery.From January 2018 to June 2019, 54 patients diagnosed with solitary pulmonary nodules received single-port thoracoscopic surgery in Thoracic Department of General Hospital of Southern Theater Command of PLA. Based on the location methods of the nodules, the patients were divided into group A (34 cases) with preoperative CT-guided Hook-wire (a common positioning needle usually using in mammary gland) positioning and group B (20 cases) with preoperative CT-guided methylene blue location.The success rate of localization in group A was 94.18% (32/34), significantly higher than that in group B [85% (17/20), < 0.05). No intraoperative conversion to thoracotomy occurred in group A, while the conversion rate was 10% (2/20) in group B ( < 0.05). The average positioning cost was significantly higher in group A than in group B (1715±109 1021±86 RMB yuan, < 0.05), but the total hospitalization cost was similar between the two groups (50 114±3788 47871±5902 RMB yuan, >0.05). The length of hospital stay was significantly shorter in group A than in group B (6.71±1.23 8.19±2.61 days, < 0.05).Compared with the traditional methylene blue localization method, Hook-wire localization positioning can significantly increase the success rate of localization, and can be used as the standard preoperative localization method in patients undergoing single-port thoracoscopic pulmonary nodule resection, especially in those with deep nodule location from the visceral pleura.
Palabras clave
Texto completo:
1
Base de datos:
WPRIM
Asunto principal:
Cuidados Preoperatorios
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Tomografía Computarizada por Rayos X
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Nódulo Pulmonar Solitario
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Cirugía Torácica Asistida por Video
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Neoplasias Pulmonares
Límite:
Humans
Idioma:
Zh
Revista:
Journal of Southern Medical University
Año:
2020
Tipo del documento:
Article