Application of intrapulmonary wire combined with intrapleural fibrin glue in preoperative localization of small pulmonary nodules

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Abstract

Objective:

This study aims to investigate the accuracy of the preoperative localization of small nodules by computerized tomography (CT)-guided placing wire and intrapleural fibrin glue near the nodules at 3 days before the operation.

Methods:

From October 2015 to December 2017, a total of 79 patients, who received preoperative localization of small pulmonary nodules and surgical treatment in the Department of Thoracic Surgery of Hohhot First Hospital, were enrolled into this study. These patients were randomly divided into 2 groups: methylene blue localization group ( n = 47), and modified localization group ( n = 32), where the patients received preoperative localization of the small nodules by CT-guided placing wire and intrapleural fibrin glue near the nodule at 3 days before the operation. Localization accuracy, operation time and difficulty in postoperative seeking for pathological specimens were compared between these 2 groups.

Results:

In the methylene blue localization group, 3 patients had localization failure due to the intrathoracic diffusion of methylene blue, and the success rate was 93.61%. In the modified localization group, all 32 patients succeeded in the localization, and the success rate was 100%. Operation time and difficulty of finding the specimen was significantly lower in the modified localization group than in the methylene blue localization group ( P < .05).

Conclusion:

The application of preoperative localization of small nodules by placing wire and intrapleural fibrin glue improves the success rate of resection, reduces operation time and the risk of the operation, and lowers the difficulty of finding pathological specimens after the operation. Hence this operative procedure is worthy of popularization.

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Most cited references 22

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Preoperative computed tomography-guided microcoil localization of small peripheral pulmonary nodules: a prospective randomized controlled trial.

Richard Finley, John R Mayo, Kyle Grant … (2015)

Growing, small, peripheral, pulmonary nodules in patients at high risk for lung cancer lead to requests for video-assisted thoracoscopic (VATS) resection for pathologic diagnosis. The purpose of this randomized controlled trial was to determine if preoperative localization using percutaneously placed computed tomography (CT)-guided platinum microcoils decreases the need for thoracotomy or VATS anatomic resection (segmentectomy/lobectomy) for diagnosis.

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Margin and local recurrence after sublobar resection of non-small cell lung cancer.

Rodney Landreneau, Brian Pettiford, John M. Close … (2007)

Local recurrence is a major concern after sublobar resection (SR) of non-small cell lung cancer (NSCLC). We postulate that a large proportion of local recurrence is related to inadequate resection margins. This report analyzes local recurrence after SR of stage I NSCLC. Stratification based on distance of the tumor ( or=1 cm) to the staple line was performed. We reviewed 81 NSCLC patients (44 female) who underwent operation over an 89-month period (January 1997 to June 2004). Mean forced expiratory volume in one second percentiles (FEV1) was 57%. Mean age was 70 (46-86) years. There were 55 wedge and 26 segmental resections. There were 41 tumors with a margin or=1 cm. Local recurrence was defined as recurrence within the ipsilateral lung or pulmonary hilum. There were no perioperative deaths. Mean follow-up was 20 months. Margin distance significantly impacted local recurrence; 6 of 41 patients (14.6%) developed local recurrence in the group with margin less than 1 cm versus 3 of 40 patients (7.5%) in the group with margin equal to or more than 1 cm (P = .04). Of the 41 patients with margins or=1 cm margins, segmentectomy was used in 19 (47.5%). Margin is an important consideration after SR of NSCLC. Wedge resection is frequently associated with margins less than 1 cm and a high risk for locoregional recurrence. Segmentectomy appears to be a better choice of SR when this is chosen as therapy.

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Cancer incidence and mortality in china, 2007.

Rong-Yuan Zheng, Qing Chen, Wei Zhang … (2012)

Cancer incidence and mortality data collected from population-based cancer registries were analyzed to present the overall cancer statistics in Chinese registration areas by age, sex and geographic area in 2007. In 2010, 48 cancer registries reported cancer incidence and mortality data of 2007 to National Central Cancer Registry of China. Of them, 38 registries' data met the national criteria. Incidence and mortality were calculated by cancer sites, age, gender, and area. Age-standardized rates were described by China and World population. The crude incidence rate for all cancers was 276.16/100,000 (305.22/100,000 for male and 246.46/100,000 for female; 284.71/100,000 in urban and 251.07/100,000 in rural). Age-standardized incidence rates by China and World population were 145.39/100,000 and 189.46/100,000 respectively. The crude mortality rate for all cancers was 177.09/100,000 (219.15/100,000 for male and 134.10/100,000 for female; 173.55/100,000 in urban and 187.49/100,000 in rural). Age-standardized mortality rates by China and World population were 86.06/100,000 and 116.46/100,000, respectively. The top 10 most frequently common cancer sites were the lung, stomach, colon and rectum, liver, breast, esophagus, pancreas, bladder, brain and lymphoma, accounting for 76.12% of the total cancer cases. The top 10 causes of cancer death were cancers of the lung, liver, stomach, esophagus, colon and rectum, pancreas, breast, leukemia, brain and lymphoma, accounting for 84.37% of the total cancer deaths. Cancer remains a major disease threatening people's health in China. Prevention and control should be enhanced, especially for the main cancers.

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Author and article information

Journal

Journal ID (nlm-ta): Medicine (Baltimore)

Journal ID (iso-abbrev): Medicine (Baltimore)

Journal ID (publisher-id): MEDI

Title: Medicine

Publisher: Wolters Kluwer Health

ISSN (Print): 0025-7974

ISSN (Electronic): 1536-5964

Publication date Collection: January 2019

Publication date (Electronic): 25 January 2019

Volume: 98

Issue: 4

Electronic Location Identifier: e14029

Affiliations

[a ]Department of Thoracic Surgery, The First Hospital of Hohhot

[b ]Department of Anesthesiology, The First Hospital of Hohhot, Inner Mongolia, China.

Author notes

[∗ ]Correspondence: Yu Mao, Department of Thoracic Surgery, The First Hospital of Hohhot, Inner Mongolia,100030 China, No. 150,South Second Ring Road, Yuquan District, Hohhot, Inner Mongolia Autonomous Region, 010030, China (e-mail: maoy201357@ 123456163.com ).

Article

Publisher ID: MD-D-18-02581 Accession ID: 14029

DOI: 10.1097/MD.0000000000014029

PMC ID: 6358377

PubMed ID: 30681559

SO-VID: 0319714c-15ae-4c79-b4c2-9bafdc7c503f

License:

This is an open access article distributed under the terms of the Creative Commons Attribution-Non Commercial-No Derivatives License 4.0 (CCBY-NC-ND), where it is permissible to download and share the work provided it is properly cited. The work cannot be changed in any way or used commercially without permission from the journal. http://creativecommons.org/licenses/by-nc-nd/4.0

History

Date received : 10 April 2018

Date revision received : 30 November 2018

Date accepted : 13 December 2018

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Keywords: fibrin glue,intrapleural,localization,placement,small nodule,wire

Data availability:

Keywords: fibrin glue, intrapleural, localization, placement, small nodule, wire

Application of intrapulmonary wire combined with intrapleural fibrin glue in preoperative localization of small pulmonary nodules

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Abstract

Objective:

Methods:

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Most cited references 22

Preoperative computed tomography-guided microcoil localization of small peripheral pulmonary nodules: a prospective randomized controlled trial.

Margin and local recurrence after sublobar resection of non-small cell lung cancer.

Cancer incidence and mortality in china, 2007.

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