CT-guided Hook-wire versus microcoil localization in the pulmonary nodules surgery: A systematic review and meta-analysis_Chinese Journal of Clinical Thoracic and Cardiovascular Surgery

Authors：

HONG Ziqiang ^1,2 , JIN Dacheng ² , BAI Xiangdou ^1,2 , ZHANG Siyuan ^1,2 , HUANG Daxin ^1,2 , YANG Ning ^1,2 , HE Xiaoyang ^1,2 ,  GOU Yunjiu ²

1. The First Clinical Department of Gansu University of Traditional Chinese Medicine, Lanzhou, 730000, P. R. China;
2. Department of Thoracic Surgery, Gansu Provincial Hospital, Lanzhou, 730000, P. R. China;

Corresponding?author：

GOU Yunjiu, Email: gouyunjiu@163.com

Keywords：

CT-guided Hook-wire localization; CT-guided microcoil localization; pulmonary nodules; preoperative localization; systematic review/meta-analysis

DOI：

10.7507/1007-4848.202111078

Video：

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Objective To systematically evaluate the application effect of CT-guided Hook-wire localization and CT-guided microcoil localization in pulmonary nodules surgery. Methods The literatures on the comparison between CT-guided Hook-wire localization and CT-guided microcoil localization for pulmonary nodules were searched in PubMed, EMbase, The Cochrane Library, Web of Science, Wanfang, VIP and CNKI databases from the inception to October 2021. Review Manager (version 5.4) software was used for meta-analysis. The Newcastle-Ottawa Scale (NOS) was used to evaluate the quality of studies.Results A total of 10 retrospective cohort studies were included, with 1 117 patients including 473 patients in the CT-guided Hook-wire localization group and 644 patients in the CT-guided microcoil localization group. The quality of the studies was high with NOS scores>6 points. The result of meta-analysis showed that the difference in the localization operation time (MD=0.14, 95%CI ?3.43 to 3.71, P=0.940) between the two groups was not statistically significant. However, the localization success rate of the Hook-wire group was superior to the microcoil group (OR=0.35, 95%CI 0.17 to 0.72, P=0.005). In addition, in comparison with Hook-wire localization, the microcoil localization could reduce the dislocation rate (OR=4.33, 95%CI 2.07 to 9.08, P<0.001), the incidence of pneumothorax (OR=1.62, 95%CI 1.12 to 2.33, P=0.010) and pulmonary hemorrhage (OR=1.64, 95%CI 1.07 to 2.51, P=0.020). Conclusion Although Hook-wire localization is slightly better than microcoil localization in the aspect of the success rate of pulmonary nodule localization, microcoil localization has an obvious advantage compared with Hook-wire localization in terms of controlling the incidence of dislocation, pneumothorax and pulmonary hemorrhage. Therefore, from a comprehensive perspective, this study believes that CT-guided microcoil localization is a preoperative localization method worthy of further promotion.

Citation： HONG Ziqiang, JIN Dacheng, BAI Xiangdou, ZHANG Siyuan, HUANG Daxin, YANG Ning, HE Xiaoyang, GOU Yunjiu. CT-guided Hook-wire versus microcoil localization in the pulmonary nodules surgery: A systematic review and meta-analysis. Chinese Journal of Clinical Thoracic and Cardiovascular Surgery, 2023, 30(6): 910-916. doi: 10.7507/1007-4848.202111078 Copy

1.	Silva M, Pastorino U, Sverzellati N. Lung cancer screening with low-dose CT in Europe: Strength and weakness of diverse independent screening trials. Clin Radiol, 2017, 72(5): 389-400.
2.	Fu YF, Zhang M, Wu WB, et al. Coil localization-guided video-assisted thoracoscopic surgery for lung nodules. J Laparoendosc Adv Surg Tech A, 2018, 28(3): 292-297.
3.	沈誠, 李鵬飛, 李玨, 等. 胸腔鏡手術下肺小結節常見定位方法研究進展. 中國肺癌雜志, 2018, 21(8): 628-634.
4.	Chan EY, Gaur P, Ge Y, et al. Management of the solitary pulmonary nodule. Arch Pathol Lab Med, 2017, 141(7): 927-931.
5.	李霞鵬, 徐惟, 丁仁泉, 等. 達芬奇機器人周圍肺磨玻璃結節術前定位指征的研究. 中國胸心血管外科臨床雜志, 2020, 27(2): 173-177.
6.	Su TH, Fan YF, Jin L, et al. CT-guided localization of small pulmonary nodules using adjacent microcoil implantation prior to video-assisted thoracoscopic surgical resection. Eur Radiol, 2015, 25(9): 2627-2633.
7.	Refai M, Andolfi M, Barbisan F, et al. Computed tomography-guided microcoil placement for localizing small pulmonary nodules before uniportal video-assisted thoracoscopic resection. Radiol Med, 2020, 125(1): 24-30.
8.	Xu C, Yuan Q, Wang Y, et al. Usefulness of virtual bronchoscopic navigation combined with endobronchial ultrasound guided transbronchial lung biopsy for solitary pulmonary nodules. Medicine (Baltimore), 2019, 98(7): e14248.
9.	Wang ZX, Li L, Zhang Z, et al. High-resolution computed tomography features and CT-guided microcoil localization of subcentimeter pulmonary ground-glass opacities: Radiological processing prior to video-assisted thoracoscopic surgery. J Thorac Dis, 2018, 10(5): 2676-2684.
10.	Liu J, Wang X, Wang Y, et al. Comparison of CT-guided localization using hook wire or coil before thoracoscopic surgery for ground glass nodules. Br J Radiol, 2020, 93(1111): 20190956.
11.	Yang F, Zhao H, Sui X, et al. Comparative study on preoperative localization techniques using microcoil and hookwire by propensity score matching. Thorac Cancer, 2020, 11(6): 1386-1395.
12.	Hu L, Gao J, Chen C, et al. Comparison between the application of microcoil and hookwire for localizing pulmonary nodules. Eur Radiol, 2019, 29(8): 4036-4043.
13.	Rostambeigi N, Scanlon P, Flanagan S, et al. CT fluoroscopic-guided coil localization of lung nodules prior to video-assisted thoracoscopic surgical resection reduces complications compared to hook wire localization. J Vasc Interv Radiol, 2019, 30(3): 453-459.
14.	Hwang S, Kim TG, Song YG. Comparison of hook wire versus coil localization for video-assisted thoracoscopic surgery. Thorac Cancer, 2018, 9(3): 384-389.
15.	陸熠, 丁一, 王明松, 等. 兩種定位方法在肺小結節微創治療中的臨床研究. 臨床肺科雜志, 2018, 23(4): 591-594.
16.	吳伯勛, 劉浩, 劉洪利, 等. 留尾微彈簧圈定位技術在電視胸腔鏡手術治療肺磨玻璃結節中的應用. 腫瘤預防與治療, 2021, 34(3): 247-251.
17.	申文明, 費杰, 岑浩鋒. 微彈簧圈用于肺內磨玻璃影術前定位的臨床研究. 浙江創傷外科, 2018, 23(6): 1079-1081.
18.	謝柏勝, 楊勇, 崔鳳, 等. Hook-wire及彈簧圈定位技術在肺磨玻璃樣結節術前定位的應用. 浙江臨床醫學, 2018, 20(10): 1619-1621.
19.	鄧波, 孔鵬. 胸腔鏡肺小結節切除術前微彈簧圈定位的臨床應用研究. 現代腫瘤醫學, 2020, 28(6): 954-957.
20.	Chung JH, Richards JC, Koelsch TL, et al. Screening for lung cancer: Incidental pulmonary parenchymal findings. AJR Am J Roentgenol, 2018, 210(3): 503-513.
21.	Keating J, Singhal S. Novel methods of intraoperative localization and margin assessment of pulmonary nodules. Semin Thorac Cardiovasc Surg, 2016, 28(1): 127-136.
22.	Nair A, Hansell DM. European and North American lung cancer screening experience and implications for pulmonary nodule management. Eur Radiol, 2011, 21(12): 2445-2454.
23.	Burdine J, Joyce LD, Plunkett MB, et al. Feasibility and value of video-assisted thoracoscopic surgery wedge excision of small pulmonary nodules in patients with malignancy. Chest, 2002, 122(4): 1467-1470.
24.	茍云久, 柏啟州, 汪成風, 等. 達芬奇機器人胸外科33例手術體驗. 中國胸心血管外科臨床雜志, 2017, 24(5): 404-406.
25.	Kondo R, Yoshida K, Hamanaka K, et al. Intraoperative ultrasonographic localization of pulmonary ground-glass opacities. J Thorac Cardiovasc Surg, 2009, 138(4): 837-842.
26.	Plunkett MB, Peterson MS, Landreneau RJ, et al. Peripheral pulmonary nodules: Preoperative percutaneous needle localization with CT guidance. Radiology, 1992, 185(1): 274-276.
27.	Finley RJ, Mayo JR, Grant K, et al. Preoperative computed tomography-guided microcoil localization of small peripheral pulmonary nodules: A prospective randomized controlled trial. J Thorac Cardiovasc Surg, 2015, 149(1): 26-31.
28.	Lempel JK, Raymond DP, Ahmad U, et al. Video-assisted thoracic surgery resection without intraoperative fluoroscopy after CT-guided microcoil localization of peripheral pulmonary nodules. J Vasc Interv Radiol, 2018, 29(10): 1423-1428.
29.	McGuire AL, Vieira A, Grant K, et al. Computed tomography-guided platinum microcoil lung surgery: A cross-sectional study. J Thorac Cardiovasc Surg, 2019, 158(2): 594-600.
30.	Park CH, Han K, Hur J, et al. Comparative effectiveness and safety of preoperative lung localization for pulmonary nodules: A systematic review and meta-analysis. Chest, 2017, 151(2): 316-328.
31.	徐燦, 陳寶俊, 史敏科, 等. CT引導微彈簧圈定位在胸腔鏡切除孤立肺結節的臨床研究. 中華腔鏡外科雜志(電子版), 2017, 10(2): 102-104.
32.	Li W, Wang Y, He X, et al. Combination of CT-guided hookwire localization and video-assisted thoracoscopic surgery for pulmonary nodular lesions: Analysis of 103 patients. Oncol Lett, 2012, 4(4): 824-828.
33.	Mayo JR, Clifton JC, Powell TI, et al. Lung nodules: CT-guided placement of microcoils to direct video-assisted thoracoscopic surgical resection. Radiology, 2009, 250(2): 576-585.
34.	劉倫旭, 劉成武. 微小肺癌 (≤2 cm) 微創診治探討. 中國胸心血管外科臨床雜志, 2014, 21(5): 577-581.
35.	何曉峰, 曹彬, 陳寶俊, 等. 術前CT下彈簧圈定位肺結節在胸腔鏡下肺結節切除術中應用的隨機對照試驗. 中國胸心血管外科臨床雜志, 2017, 24(11): 858-862.
36.	Kha LC, Hanneman K, Donahoe L, et al. Safety and efficacy of modified preoperative lung nodule microcoil localization without pleural marking: A pilot study. J Thorac Imaging, 2016, 31(1): 15-22.
37.	Huang ZG, Wang CL, Sun HL, et al. CT-guided microcoil localization of small peripheral pulmonary nodules to direct video-assisted thoracoscopic resection without the aid of intraoperative fluoroscopy. Korean J Radiol, 2021, 22(7): 1124-1131.

1. Silva M, Pastorino U, Sverzellati N. Lung cancer screening with low-dose CT in Europe: Strength and weakness of diverse independent screening trials. Clin Radiol, 2017, 72(5): 389-400.
2. Fu YF, Zhang M, Wu WB, et al. Coil localization-guided video-assisted thoracoscopic surgery for lung nodules. J Laparoendosc Adv Surg Tech A, 2018, 28(3): 292-297.
3. 沈誠, 李鵬飛, 李玨, 等. 胸腔鏡手術下肺小結節常見定位方法研究進展. 中國肺癌雜志, 2018, 21(8): 628-634.
4. Chan EY, Gaur P, Ge Y, et al. Management of the solitary pulmonary nodule. Arch Pathol Lab Med, 2017, 141(7): 927-931.
5. 李霞鵬, 徐惟, 丁仁泉, 等. 達芬奇機器人周圍肺磨玻璃結節術前定位指征的研究. 中國胸心血管外科臨床雜志, 2020, 27(2): 173-177.
6. Su TH, Fan YF, Jin L, et al. CT-guided localization of small pulmonary nodules using adjacent microcoil implantation prior to video-assisted thoracoscopic surgical resection. Eur Radiol, 2015, 25(9): 2627-2633.
7. Refai M, Andolfi M, Barbisan F, et al. Computed tomography-guided microcoil placement for localizing small pulmonary nodules before uniportal video-assisted thoracoscopic resection. Radiol Med, 2020, 125(1): 24-30.
8. Xu C, Yuan Q, Wang Y, et al. Usefulness of virtual bronchoscopic navigation combined with endobronchial ultrasound guided transbronchial lung biopsy for solitary pulmonary nodules. Medicine (Baltimore), 2019, 98(7): e14248.
9. Wang ZX, Li L, Zhang Z, et al. High-resolution computed tomography features and CT-guided microcoil localization of subcentimeter pulmonary ground-glass opacities: Radiological processing prior to video-assisted thoracoscopic surgery. J Thorac Dis, 2018, 10(5): 2676-2684.
10. Liu J, Wang X, Wang Y, et al. Comparison of CT-guided localization using hook wire or coil before thoracoscopic surgery for ground glass nodules. Br J Radiol, 2020, 93(1111): 20190956.
11. Yang F, Zhao H, Sui X, et al. Comparative study on preoperative localization techniques using microcoil and hookwire by propensity score matching. Thorac Cancer, 2020, 11(6): 1386-1395.
12. Hu L, Gao J, Chen C, et al. Comparison between the application of microcoil and hookwire for localizing pulmonary nodules. Eur Radiol, 2019, 29(8): 4036-4043.
13. Rostambeigi N, Scanlon P, Flanagan S, et al. CT fluoroscopic-guided coil localization of lung nodules prior to video-assisted thoracoscopic surgical resection reduces complications compared to hook wire localization. J Vasc Interv Radiol, 2019, 30(3): 453-459.
14. Hwang S, Kim TG, Song YG. Comparison of hook wire versus coil localization for video-assisted thoracoscopic surgery. Thorac Cancer, 2018, 9(3): 384-389.
15. 陸熠, 丁一, 王明松, 等. 兩種定位方法在肺小結節微創治療中的臨床研究. 臨床肺科雜志, 2018, 23(4): 591-594.
16. 吳伯勛, 劉浩, 劉洪利, 等. 留尾微彈簧圈定位技術在電視胸腔鏡手術治療肺磨玻璃結節中的應用. 腫瘤預防與治療, 2021, 34(3): 247-251.
17. 申文明, 費杰, 岑浩鋒. 微彈簧圈用于肺內磨玻璃影術前定位的臨床研究. 浙江創傷外科, 2018, 23(6): 1079-1081.
18. 謝柏勝, 楊勇, 崔鳳, 等. Hook-wire及彈簧圈定位技術在肺磨玻璃樣結節術前定位的應用. 浙江臨床醫學, 2018, 20(10): 1619-1621.
19. 鄧波, 孔鵬. 胸腔鏡肺小結節切除術前微彈簧圈定位的臨床應用研究. 現代腫瘤醫學, 2020, 28(6): 954-957.
20. Chung JH, Richards JC, Koelsch TL, et al. Screening for lung cancer: Incidental pulmonary parenchymal findings. AJR Am J Roentgenol, 2018, 210(3): 503-513.
21. Keating J, Singhal S. Novel methods of intraoperative localization and margin assessment of pulmonary nodules. Semin Thorac Cardiovasc Surg, 2016, 28(1): 127-136.
22. Nair A, Hansell DM. European and North American lung cancer screening experience and implications for pulmonary nodule management. Eur Radiol, 2011, 21(12): 2445-2454.
23. Burdine J, Joyce LD, Plunkett MB, et al. Feasibility and value of video-assisted thoracoscopic surgery wedge excision of small pulmonary nodules in patients with malignancy. Chest, 2002, 122(4): 1467-1470.
24. 茍云久, 柏啟州, 汪成風, 等. 達芬奇機器人胸外科33例手術體驗. 中國胸心血管外科臨床雜志, 2017, 24(5): 404-406.
25. Kondo R, Yoshida K, Hamanaka K, et al. Intraoperative ultrasonographic localization of pulmonary ground-glass opacities. J Thorac Cardiovasc Surg, 2009, 138(4): 837-842.
26. Plunkett MB, Peterson MS, Landreneau RJ, et al. Peripheral pulmonary nodules: Preoperative percutaneous needle localization with CT guidance. Radiology, 1992, 185(1): 274-276.
27. Finley RJ, Mayo JR, Grant K, et al. Preoperative computed tomography-guided microcoil localization of small peripheral pulmonary nodules: A prospective randomized controlled trial. J Thorac Cardiovasc Surg, 2015, 149(1): 26-31.
28. Lempel JK, Raymond DP, Ahmad U, et al. Video-assisted thoracic surgery resection without intraoperative fluoroscopy after CT-guided microcoil localization of peripheral pulmonary nodules. J Vasc Interv Radiol, 2018, 29(10): 1423-1428.
29. McGuire AL, Vieira A, Grant K, et al. Computed tomography-guided platinum microcoil lung surgery: A cross-sectional study. J Thorac Cardiovasc Surg, 2019, 158(2): 594-600.
30. Park CH, Han K, Hur J, et al. Comparative effectiveness and safety of preoperative lung localization for pulmonary nodules: A systematic review and meta-analysis. Chest, 2017, 151(2): 316-328.
31. 徐燦, 陳寶俊, 史敏科, 等. CT引導微彈簧圈定位在胸腔鏡切除孤立肺結節的臨床研究. 中華腔鏡外科雜志(電子版), 2017, 10(2): 102-104.
32. Li W, Wang Y, He X, et al. Combination of CT-guided hookwire localization and video-assisted thoracoscopic surgery for pulmonary nodular lesions: Analysis of 103 patients. Oncol Lett, 2012, 4(4): 824-828.
33. Mayo JR, Clifton JC, Powell TI, et al. Lung nodules: CT-guided placement of microcoils to direct video-assisted thoracoscopic surgical resection. Radiology, 2009, 250(2): 576-585.
34. 劉倫旭, 劉成武. 微小肺癌 (≤2 cm) 微創診治探討. 中國胸心血管外科臨床雜志, 2014, 21(5): 577-581.
35. 何曉峰, 曹彬, 陳寶俊, 等. 術前CT下彈簧圈定位肺結節在胸腔鏡下肺結節切除術中應用的隨機對照試驗. 中國胸心血管外科臨床雜志, 2017, 24(11): 858-862.
36. Kha LC, Hanneman K, Donahoe L, et al. Safety and efficacy of modified preoperative lung nodule microcoil localization without pleural marking: A pilot study. J Thorac Imaging, 2016, 31(1): 15-22.
37. Huang ZG, Wang CL, Sun HL, et al. CT-guided microcoil localization of small peripheral pulmonary nodules to direct video-assisted thoracoscopic resection without the aid of intraoperative fluoroscopy. Korean J Radiol, 2021, 22(7): 1124-1131.

Chinese Journal of Clinical Thoracic and Cardiovascular Surgery

CT-guided Hook-wire versus microcoil localization in the pulmonary nodules surgery: A systematic review and meta-analysis

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