CT-guided placement of microcoil end in the pleural cavity for video-assisted thoracic surgical resection of ground-glass opacity: a retrospective study

Journal of Cardiothoracic Surgery

Research Article

Xiaoyu Han¹  Ye Tian²  Zibo Zou²  Jingpeng Wu²  Yanchao Dong²  Zhuo Chen²  Jianli An²  Hongtao Niu²  Yanguo Li³ 

[1] Department of Cardiovascular, Qinhuangdao Municipal No. 1 Hospital, No. 258 Wenhua Road, Qinhuangdao, Hebei Province, People’s Republic of China;Department of Interventional treatment, Qinhuangdao Municipal No. 1 Hospital, No. 258 Wenhua Road, 066000, Qinhuangdao, Hebei Province, People’s Republic of China;Department of Riadiology, Qinhuangdao Municipal No. 1 Hospital, No. 258 Wenhua Road, Qinhuangdao, Hebei Province, People’s Republic of China;

关键词: Video-assisted thoracic surgery;    Ground-glass opacity;    CT;    Microcoil;   

DOI  :  10.1186/s13019-022-02048-6

 received in 2021-12-22, accepted in 2022-11-27,  发布年份 2022

来源: Springer

【 摘 要 】

BackgroundThe aim of the study was to investigate and summarize the effectiveness and safety of CT-guided microcoil localization before video-assisted thoracic surgery (VATS) for the removal of ground-glass opacity (GGO).MethodsA total of 147 patients with GGO who were treated at our hospital between January 2019 and February 2021 were retrospectively analyzed. They were divided into two groups according to the final position at the end of the microcoil: intracavity (n = 78) and extracavity (n = 69), which were compared based on puncture complications and influence of the coil end position on VATS.ResultsThe proportions of supine and prone positions in the intracavity group were significantly higher than those in the extracavity group (82.1% vs. 66.7%, P < 0.05). The incidence of intrapulmonary hemorrhage, chest pain, and coil displacement in the intracavity group was significantly lower than that in the extracavity group (28.2% vs. 46.4%, 19.2% vs. 39.1%, 1.3% vs. 11.6%, P < 0.05, respectively); however, the incidence of pneumothorax was not significantly different (P > 0.05). The time of VATS and the rate of conversion to thoracotomy in the intracavity group were significantly lower than those in the extracavity group (103.4 ± 21.0 min vs. 112.2 ± 17.3 min, 0% vs. 5.8%, P < 0.05, respectively).ConclusionCT-guided placement of the microcoil is a practical, simple, and convenient localization method before VATS, with a high success rate and few complications. Furthermore, it is a better alternative method to place the end of the coil in the pleural cavity because of the lower complication rate, shorter VATS time, and lower rate of thoracotomy conversion.

【 授权许可】

CC BY   
© The Author(s) 2022

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