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Application value of CT-guided localization using a coil in combination with medical adhesive in sublobar resection

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Abstract

Purpose

To explore the application value of CT-guided localization using a coil in combination with medical adhesive in sublobar resection.

Methods

The clinical data of 90 patients who had small pulmonary nodules and received thoracoscopic sublobar resection during the period from September 2021 to October 2022 in the Department of Thoracic Surgery, Juxian People’s Hospital, Shandong Province, were retrospectively analyzed.

Results

The diameters of 95 pulmonary nodules in the 90 patients in the whole group ranged from 0.40 to 1.24 cm, and their distances from the visceral pleura ranged from 0.51 to 2.15 cm. In these patients, percutaneous lung puncture was successfully performed under local anesthesia, through which coils were implanted in the nodules and medical adhesive was injected around the nodules, with a success rate of localization of 100%. Localization complications included 10 cases of asymptomatic pneumothorax, 9 cases of intrapulmonary hemorrhage, 5 cases of severe pain, and 1 case of pleural reaction, all of which required no special treatment. After preoperative localization, the success rate of resection of pulmonary nodules was 100%, and sufficient surgical margins were obtained.

Conclusion

CT-guided localization using a coil in combination with medical adhesive is a safe, effective, and simple localization method that can meet the requirements of thoracic surgeons for intraoperative localization; for small pulmonary nodules, especially those small-sized and deep-located ground-glass nodules containing few solid mass, this method has important clinical application value, which is a preoperative localization technique worthy of wide application in clinical practice.

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Data availability

The datasets used and/or analyzed during the current study are available from the corresponding author on reasonable request.

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Author information

Authors and Affiliations

  1. Department of Thoracic Surgery, Juxian People’s Hospital, Rizhao, 276599, Shandong, China

    Shanhai Yu, Wei Li, Xiangding Liu, Xiuguo Chen, Xianling Duan, Nianxin Zhang & Zhizhong Yan

  2. Department of Interventional Medicine, Juxian People’s Hospital, Rizhao, 276599, Shandong, China

    Xiaolong He

  3. Department of Thoracic Surgery, The First Affiliated Hospital of Xinjiang Medical University, 137 South Liyushan Road, Xinshi District, Ürümqi, 830054, Xinjiang Uygur Autonomous Region, China

    Liwei Zhang

Authors
  1. Shanhai Yu
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  2. Wei Li
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  3. Xiangding Liu
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  4. Xiuguo Chen
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  5. Xiaolong He
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  6. Xianling Duan
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  7. Nianxin Zhang
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  8. Zhizhong Yan
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  9. Liwei Zhang
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Contributions

SY and WL designed the study and drafted the manuscript. XL, XC and XH were responsible for the collection and analysis of the experimental data. XD, NZ, ZY and LZ revised the manuscript critically for important intellectual content. All authors read and approved the final manuscript.

Corresponding author

Correspondence to Liwei Zhang.

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Conflict of interest

The authors declare that they have no conflict of interest.

Ethical approval

The study was approved by Ethical Committee of Juxian People’s Hospital and conducted in accordance with the ethical standards.

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Yu, S., Li, W., Liu, X. et al. Application value of CT-guided localization using a coil in combination with medical adhesive in sublobar resection. Clin Transl Oncol 25, 2931–2937 (2023). https://doi.org/10.1007/s12094-023-03156-y

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  • DOI: https://doi.org/10.1007/s12094-023-03156-y

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