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Augmented fluoroscopy-guided dye localization for small pulmonary nodules in hybrid operating room: intrathoracic stamping versus transbronchial marking.
Yang, Shun-Mao; Malwade, Shwetambara; Chung, Wen-Yuan; Wu, Wen-Ting; Chen, Lun-Che; Chang, Ling-Kai; Chang, Hao-Chun; Chan, Pak-Si; Kuo, Shuenn-Wen.
Afiliación
  • Yang SM; Interventional Pulmonology Center, National Taiwan University Hospital, Hsin-Chu Branch, Hsinchu, Taiwan. mutayang@gmail.com.
  • Malwade S; Department of Surgery, National Taiwan University Hospital, Hsin-Chu Branch, No. 2, Sec. 1, Shengyi Road, Zhubei, Hsinchu, 302, Taiwan. mutayang@gmail.com.
  • Chung WY; Department of Advanced Therapies, Siemens Healthcare Limited, Taipei, Taiwan.
  • Wu WT; Interventional Pulmonology Center, National Taiwan University Hospital, Hsin-Chu Branch, Hsinchu, Taiwan.
  • Chen LC; Department of Surgery, National Taiwan University Hospital, Hsin-Chu Branch, No. 2, Sec. 1, Shengyi Road, Zhubei, Hsinchu, 302, Taiwan.
  • Chang LK; Department of Surgery, National Taiwan University Hospital, Hsin-Chu Branch, No. 2, Sec. 1, Shengyi Road, Zhubei, Hsinchu, 302, Taiwan.
  • Chang HC; Interventional Pulmonology Center, National Taiwan University Hospital, Hsin-Chu Branch, Hsinchu, Taiwan.
  • Chan PS; Department of Internal Medicine, National Taiwan University Hospital, Hsin-Chu Branch, Hsinchu, Taiwan.
  • Kuo SW; Interventional Pulmonology Center, National Taiwan University Hospital, Hsin-Chu Branch, Hsinchu, Taiwan.
Int J Comput Assist Radiol Surg ; 2024 May 02.
Article en En | MEDLINE | ID: mdl-38696085
ABSTRACT

PURPOSE:

We developed a novel augmented fluoroscopy-guided intrathoracic stamping technique for localizing small pulmonary nodules in the hybrid operating room. We conducted an observational study to investigate the feasibility of this technique and retrospectively compared two augmented fluoroscopy-guided approaches intrathoracic and transbronchial.

METHODS:

From August 2020 to March 2023, consecutive patients underwent single-stage augmented fluoroscopy-guided localization under general anaesthesia. This included intrathoracic stamping and bronchoscopic lung marking, followed by thoracoscopic resection in a hybrid operating room. Comparative analyses were performed between the two groups.

RESULTS:

The data of 50 patients in the intrathoracic stamping and 67 patients in the bronchoscopic lung marking groups were analysed. No significant difference was noted in demographic data between the groups, except a larger lesion depth in the bronchoscopic lung marking group (14.7 ± 11.7 vs 11.0 ± 5.8 mm, p = 0.029). Dye localization was successfully performed in 49 intrathoracic stamping group patients (98.0%) and 67 bronchoscopic lung marking group patients (100%). No major procedure-related complications occurred in either group; however, the time flow (total anaesthesia time/global operating room time) was longer, and the radiation exposure (fluoroscopy duration/total dose area product) was larger in the bronchoscopic lung marking group.

CONCLUSIONS:

Augmented fluoroscopic stamping localization under intubated general anaesthesia is feasible and safe, providing an alternative with less global operating room time and lower radiation exposure for image-guided thoracoscopic surgery in the hybrid operating room.
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Texto completo: 1 Colección: 01-internacional Base de datos: MEDLINE Idioma: En Revista: Int J Comput Assist Radiol Surg Asunto de la revista: RADIOLOGIA Año: 2024 Tipo del documento: Article País de afiliación: Taiwán Pais de publicación: Alemania
Texto completo
Añadir a Mi BVS
Imprimir
XML
PubMed Links
Buscar en Google

Texto completo: 1 Colección: 01-internacional Base de datos: MEDLINE Idioma: En Revista: Int J Comput Assist Radiol Surg Asunto de la revista: RADIOLOGIA Año: 2024 Tipo del documento: Article País de afiliación: Taiwán Pais de publicación: Alemania