Academic Journal

Comparison between preoperative hook-wire and liquid material localization for pulmonary nodules: a meta-analysis.

Λεπτομέρειες βιβλιογραφικής εγγραφής
Τίτλος: Comparison between preoperative hook-wire and liquid material localization for pulmonary nodules: a meta-analysis.
Συγγραφείς: Wang SJ; Department of Radiotherapy, Xuzhou Clinical School of Xuzhou Medical University, Xuzhou, China., Gao XX; Department of Radiotherapy, First Clinical School of Xuzhou Medical University, Xuzhou, China., Hui H; Department of Radiotherapy, First Clinical School of Xuzhou Medical University, Xuzhou, China., Li N; Department of Radiotherapy, First Clinical School of Xuzhou Medical University, Xuzhou, China., Zhou Y; Department of Radiotherapy, First Clinical School of Xuzhou Medical University, Xuzhou, China., Yin HT; Department of Radiotherapy, Xuzhou Clinical School of Xuzhou Medical University, Xuzhou, China.
Πηγή: Wideochirurgia i inne techniki maloinwazyjne = Videosurgery and other miniinvasive techniques [Wideochir Inne Tech Maloinwazyjne] 2023 Sep; Vol. 18 (3), pp. 401-409. Date of Electronic Publication: 2023 Aug 04.
Τύπος έκδοσης: Journal Article
Γλώσσα: English
Στοιχεία περιοδικού: Publisher: Medycyna Praktyczna Country of Publication: Poland NLM ID: 101283175 Publication Model: Print-Electronic Cited Medium: Print ISSN: 1895-4588 (Print) Linking ISSN: 18954588 NLM ISO Abbreviation: Wideochir Inne Tech Maloinwazyjne Subsets: PubMed not MEDLINE
Imprint Name(s): Publication: Liszki : Medycyna Praktyczna
Original Publication: Poznań : Termedia, 2006-
Περίληψη: Introduction: Computed tomography (CT)-guided liquid material (LM) and hook-wire (HW) are usually localized for pulmonary nodules (PNs) before video-assisted thoracic surgery (VATS) resection, but the relative advantages of these 2 techniques remain uncertain.
Aim: This meta-analysis was conceived to juxtapose the efficacy and safety of HW localization (HWL) and LM localization (LML), both guided by CT, for the preoperative localization of PNs.
Material and Methods: The PubMed, Web of Science, and Wanfang databases were searched to identify relevant studies published as of March 2023, after which pooled analyses of study outcomes were conducted.
Results: A total of 7 studies were included in this meta-analysis from 142 relevant studies. These 7 studies included 551 patients (583 PNs) with CT-guided HWL and 551 patients (612 PNs) with LML. The successful localization rate was significantly higher in the LM group (LMG) than in the HW group (HWG) (p = 0.002). The LMG also exhibited significantly lower pooled total complication and lung haemorrhage rates than the HWG (p = 0.007 and 0.00001, respectively). Pooled localization duration, pneumothorax rates, and VATS procedure duration were comparable in both groups (p = 0.45, 0.15, and 0.74, respectively). Furthermore, the pooled postoperative hospital stay was significantly shorter in the LMG than in the HWG (p = 0.009). Significant heterogeneity was detected in the endpoints of localization duration and pneumothorax rate (I2 = 93% and 66%, respectively).
Conclusions: CT-guided LML is safer and more successful than HWL for patients with PNs before VATS resection.
(Copyright: © 2023 Fundacja Videochirurgii.)
Competing Interests: The authors declare no conflict of interest.
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Contributed Indexing: Keywords: hook-wire; liquid; localization; pulmonary nodule
Entry Date(s): Date Created: 20231023 Latest Revision: 20231030
Update Code: 20260130
PubMed Central ID: PMC10585457
DOI: 10.5114/wiitm.2023.130330
PMID: 37868290
Βάση Δεδομένων: MEDLINE