Volume 22 Issue 1
Jan.  2024
Turn off MathJax
Article Contents
Article Navigation >  Chinese Journal of General Practice  > 2024  >  22(1): 26-29
ZHOU Shao, ZHU Xiao, XING Fubao, WANG Wei, SONG Chao, LI Xiaojun, TANG Zhen, ZHANG Lei. Application effect of watershed analysis of the target pulmonary artery method in thoracoscopic wedge resection of the lung[J]. Chinese Journal of General Practice, 2024, 22(1): 26-29. doi: 10.16766/j.cnki.issn.1674-4152.003323
Citation: ZHOU Shao, ZHU Xiao, XING Fubao, WANG Wei, SONG Chao, LI Xiaojun, TANG Zhen, ZHANG Lei. Application effect of watershed analysis of the target pulmonary artery method in thoracoscopic wedge resection of the lung[J]. Chinese Journal of General Practice, 2024, 22(1): 26-29. doi: 10.16766/j.cnki.issn.1674-4152.003323
shu

Application effect of watershed analysis of the target pulmonary artery method in thoracoscopic wedge resection of the lung

doi: 10.16766/j.cnki.issn.1674-4152.003323

  • Department of Cardiothoracic Surgery, the First Affiliated Hospital of Bengbu Medical University, Bengbu, Anhui 233004, China

Funds:

 KJ2019A0340

 2022byzd066

 2021byzd075

  • Received Date: 2023-08-29
    Available Online: 2024-03-09
    Abstract
  •   Objective  To evaluate the feasibility and safety of using arterial watershed analysis in the localization of pulmonary ground glass nodules during thoracoscopic wedge resection.  Methods  A total of 146 patients with thoracoscopic wedge resection admitted to the Department of Thoracic Surgery, the First Affiliated Hospital of Bengbu Medical University from November 2021 to July 2023 were selected as research subjects, and the patients were divided into control group (n=73, traditional CT scan coil positioning) and observation group (n=73, identified by arterial watershed analysis) by random number table method. The localization effects of the two groups were compared.  Results  In the control group, 5 patients were not suitable for CT scan localization due to the special location of nodules after safety evaluation by physicians, and they were transferred to the observation group and successfully localized by watershed analysis of the artery. The hospitalization cost of the observation group [(24 808.66±1 762.28) yuan] was lower than that of the control group [(25 776.73±1 723.93 yuan), t=3.350, P < 0.05]. The incidence of perioperative complications in the observation group was 7.69% (6/78), which was lower than 26.47% (18/68) in the control group (χ2=9.326, P < 0.05). The success rate of first resection in the observation group was 94.87% (74/78), which was higher than 83.82% (57/68) in the control group (χ2=4.810, P < 0.05). There was no significant difference in positioning time, intraoperative blood loss, drainage volume on the first day after surgery, extubation time and pathological type data between the two groups (P>0.05).  Conclusion  The watershed analysis of artery localization method is a potential new localization method for pulmonary nodules, which can effectively ensure the safe surgical margin, improve the success rate of nodule resection at the first time, reduce the hospitalization cost and the incidence of perioperative complications, and the localization is simple, especially suitable for pulmonary nodules in special locations. It is easily accepted by patients and worthy of clinical application.

     

    • FullText(HTML)
  • loading
    • References(22)
  • [1]
    OUDKERK M, LIU S, HEUVELMANS M A, et al. Lung cancer LDCT screening and mortality reduction-evidence, pitfalls and future perspectives[J]. Nat Rev Clin Oncol, 2021, 18(3): 135-151. doi: 10.1038/s41571-020-00432-6
    [2]
    ROY E, SHRAGER J, BENSON J, et al. Risk of adenocarcinoma in patients with a suspicious ground-glass opacity: a retrospective review[J]. J Thorac Dis, 2022, 14(11): 4236-4245. doi: 10.21037/jtd-22-583
    [3]
    SAJI H, OKADA M, TSUBOI M, et al. Segmentectomy versus lobectomy in small-sized peripheral non-small-cell lung cancer (JCOG0802/WJOG4607L): a multicentre, open-label, phase 3, randomised, controlled, non-inferiority trial[J]. Lancet, 2022, 399(10335): 1607-1617. doi: 10.1016/S0140-6736(21)02333-3
    [4]
    SATO M. Precise sublobar lung resection for small pulmonary nodules: localization and beyond[J]. Gen Thorac Cardiovasc Surg, 2020, 68(7): 684-691. doi: 10.1007/s11748-019-01232-1
    [5]
    LEE J W, PARK C H, LEE S M, et al. Planting seeds into the lung: Image-Guided percutaneous localization to guide minimally invasive thoracic surgery[J]. Korean J Radiol, 2019, 20(11): 1498-1514. doi: 10.3348/kjr.2019.0155
    [6]
    杨福志, 姚源山, 陈春基, 等. 胸腔镜下肺部小结节定位的研究进展[J]. 老年医学与保健, 2023, 29(1): 152-155. doi: 10.3969/j.issn.1008-8296.2023.01.033

    YANG F Z, YAO Y S, CHENG C J, et al. Research progress on the localization of pulmonary small nodules under thoracoscopy[J]. Geriatr Health Care, 2023, 29(1): 152-155. doi: 10.3969/j.issn.1008-8296.2023.01.033
    [7]
    CHU X P, CHEN Z H, LIN S M, et al. Watershed analysis of the target pulmonary artery for real-time localization of non-palpable pulmonary nodules[J]. Transl Lung Cancer Res, 2021, 10(4): 1711-1719. doi: 10.21037/tlcr-20-1281
    [8]
    SIEGEL R L, MILLER K D, FUCHS H E, et al. Cancer statistics, 2022[J]. CA Cancer J Clin, 2022, 72(1): 7-33. doi: 10.3322/caac.21708
    [9]
    张雷, 李小军, 贡会源, 等. 胸腔镜肺段切除手术的安全性及降低耗材使的临床分析[J]. 中华全科医学, 2022, 20(2): 206-208, 331. doi: 10.16766/j.cnki.issn.1674-4152.002313

    ZHANG L, LI X J, GONG H Y, et al. Clinical analysis of safety and reduce consumables of thoracoscopic pulmonary segmentectomy[J]. Chinese Journal of General Practice, 2022, 20(2): 206-208, 331. doi: 10.16766/j.cnki.issn.1674-4152.002313
    [10]
    SIHOE A. Video-assisted thoracoscopic surgery as the gold standard for lung cancer surgery[J]. Respirology, 2020, 25(Suppl 2): 49-60.
    [11]
    刘政呈, 史经纬, 周楚, 等. 单孔胸腔镜微创手术在肺外科应用中的研究进展[J]. 中国临床研究, 2023, 36(8): 1126-1129. https://www.cnki.com.cn/Article/CJFDTOTAL-ZGCK202308002.htm

    LIU Z C, SHI J W, ZHOU C, et al. Research progress of minimally invasive single-port thoracoscopic surgery in pulmonary surgery[J]. Chin J Clin Res, 2023, 36(8): 1126-1129. https://www.cnki.com.cn/Article/CJFDTOTAL-ZGCK202308002.htm
    [12]
    NARDINI M, DUNNING J. Pulmonary nodules precision localization techniques[J]. Future Oncol, 2020, 16(16s): 15-19. doi: 10.2217/fon-2019-0069
    [13]
    LIU B, GU C. Expert consensus workshop report: Guidelines for preoperative assisted localization of small pulmonary nodules[J]. J Cancer Res Ther, 2020, 16(5): 967-973. doi: 10.4103/jcrt.JCRT_449_20
    [14]
    李小军, 朱潇, 杏福宝, 等. 三维重建及3D打印在微创肺外科中的应用[J]. 中华全科医学, 2020, 18(7): 1190-1194. doi: 10.16766/j.cnki.issn.1674-4152.001462

    LI X J, ZHU X, XING F B, et al. Application of three-dimensional reconstruction and 3D printing in minimally invasive lung surgery[J]. Chinese Journal of General Practice, 2020, 18(7): 1190-1194. doi: 10.16766/j.cnki.issn.1674-4152.001462
    [15]
    HONG Z, LU Y, SHENG Y, et al. Comparison of three-dimensional reconstruction and CT-guided Hook-wire segmental resection for pulmonary nodules: a propensity score matching study[J]. World J Surg Oncol, 2023, 21(1): 161. doi: 10.1186/s12957-023-03035-4
    [16]
    YANG Y L, LI Z Z, HUANG W C, et al. Electromagnetic navigation bronchoscopic localization versus percutaneous CT-guided localization for thoracoscopic resection of small pulmonary nodules[J]. Thorac Cancer, 2021, 12(4): 468-474. doi: 10.1111/1759-7714.13775
    [17]
    KITANO K, SATO M. Latest update about virtual-assisted lung mapping in thoracic surgery[J]. Ann Transl Med, 2019, 7(2): 36. doi: 10.21037/atm.2018.12.66
    [18]
    ZHANG B, ZHANG Y, LE H, et al. Intraoperative localization in minimally invasive surgery for small pulmonary nodules: a retrospective study[J]. Transl Cancer Res, 2021, 10(7): 3470-3478. doi: 10.21037/tcr-21-1059
    [19]
    吕坤, 孟永胜, 张彤等. 体表经纬穿刺定位法在胸腔镜肺磨玻璃结节手术中的初步应用[J]. 中国肺癌杂志, 2020, 23(8): 662-666. https://www.cnki.com.cn/Article/CJFDTOTAL-FAIZ202008006.htm

    LYU K, MENG Y, ZHANG T, et al. Preliminary application of body surface theodolitic puncture localization method in thoracoscopic surgery of pulmonary ground-glass nodules[J]. Chinese Journal of Lung Cancer, 2020, 23(8): 662-666. https://www.cnki.com.cn/Article/CJFDTOTAL-FAIZ202008006.htm
    [20]
    张望, 陈亮, 王俊, 等. Deep Insight软件术前肺部支气管血管成像的真实性研究[J]. 中国肺癌杂志, 2021, 24(2): 88-93. https://www.cnki.com.cn/Article/CJFDTOTAL-FAIZ202102003.htm

    ZHANG W, CHEN L, WANG J, et al. A study on the authenticity of preoperative pulmonary bronchial angiography by deepinsight software[J]. Chinese Journal of Lung Cancer, 2021, 24(2): 88-93. https://www.cnki.com.cn/Article/CJFDTOTAL-FAIZ202102003.htm
    [21]
    LUO Z, WANG T. Watershed analysis in wedge resection of pulmonary pure ground-glass nodules hardly localized by CT-guided puncture[J]. BMC Surg, 2023, 23(1): 139. doi: 10.1186/s12893-023-02034-2
    [22]
    CLARK A, TAWHAI M. Pulmonary vascular dynamics[J]. Compr Physiol, 2019, 9(3): 1081-1100.
    • Relative Articles
    • Supplements(0)
    • Cited By
  • 加载中

Catalog

    通讯作者: 陈斌, bchen63@163.com
    • 1. 

      沈阳化工大学材料科学与工程学院 沈阳 110142

    1. 本站搜索
    2. 百度学术搜索
    3. 万方数据库搜索
    4. CNKI搜索

    Figures(2)  / Tables(5)

    Get Citation
    PDF
    XML

    Article Metrics

    Article views (277) PDF downloads(15) Cited by()
    Proportional views
    Related

    Address：No. 287, Changhuai Road, Bengbu, Anhui Province, 233004, P.R.ChinaphoneNo：0552-3066635； 0552-3051890Email：zhqkyx@163.com

    Copyright © Chinese Journal of General Practice皖ICP备2020018345号-2

    Supported by: Beijing Renhe Information Technology Co., Ltd.    

    /

    DownLoad:  Full-Size Img  PowerPoint
    Return
    Return