Application of Body Tom? mobile CT combined with basic anesthesia in preoperative painless localization of small pulmonary nodules: A retrospective cohort study_Chinese Journal of Clinical Thoracic and Cardiovascular Surgery

Authors：

YAO Mengxu ^1,2 , SUN Yungang ^1,2 , ZHANG Qiang ^1,2 ,  SHAO Feng ^1,2

1. Department of Thoracic Surgery, Affiliated Nanjing Brain Hospital, Nanjing Medical University, Nanjing, 210029, P. R. China;
2. Pulmonary Nodule Diagnosis and Treatment Research Center, Nanjing Medical University, Nanjing, 210029, P. R. China;

Corresponding?author：

SHAO Feng, Email: doctorshao1982@sina.com

Keywords：

Pulmonary nodule; localization; mobile CT; basic anesthesia; retrospective cohort study

DOI：

10.7507/1007-4848.202212046

Video：

Export PDF Favorites Scan Get Citation

Abstract Full text Figures/Tables Video References Cited by

Objective To explore the application of Body Tom? mobile CT combined with basic anesthesia in preoperative painless positioning of small pulmonary nodules, and evaluate its safety and effectiveness. Methods Patients using mobile Body Tom? CT to accurately locate pulmonary nodules in the Department of Thoracic Surgery of Affiliated Nanjing Brain Hospital, Nanjing Medical University from August to October 2022 were retrospectively included. Clinical data of the whole patient group were analyzed. Results We finally included 30 patients with 12 males and 18 females at age of 23-71 years. The position success rate of 30 patients with small pulmonary nodules was 100.0%. Location time was 14.20±4.07 min. There was one patient of intrapulmonary hemorrhage, with no other complications such as pneumothorax, positioning needle shedding, or pleural reaction. The time from the end of positioning to the start of surgery was 12.63±5.68 min. There was no needle migration or indocyanine green overflow. All patients completed resection of small pulmonary nodules under single-port thoracoscopy, no transit to opening chest. The average operation time was 85.32±12.60 min. There was no postoperative complications, and the average postoperative chest tube retention time was 2.12±1.34 days. And the average length of hospital stay was 3.52±1.45 days. The postoperative pathological results showed that the distance from the nodules was greater than 2 cm. Conclusion Body Tom? mobile CT combined with basic anesthesia can achieve the preoperative painless, precise positioning of pulmonary nodules, effectively reduce the incidence of preoperative positioning complications, shorten the operation waiting time, ensure the safety and effectiveness of patients with preoperative pulmonary nodules positioning, and further improve the surgical comfort of patients, which has certain clinical application value.

Citation： YAO Mengxu, SUN Yungang, ZHANG Qiang, SHAO Feng. Application of Body Tom? mobile CT combined with basic anesthesia in preoperative painless localization of small pulmonary nodules: A retrospective cohort study. Chinese Journal of Clinical Thoracic and Cardiovascular Surgery, 2023, 30(9): 1267-1272. doi: 10.7507/1007-4848.202212046 Copy

1.	肺小結節術前輔助定位技術專家共識(2019 版)專家組. 肺小結節術前輔助定位技術專家共識(2019 版). 中國胸心血管外科臨床雜志, 2019, 26(2): 109-113.
2.	Chao YK, Fang HY, Wen YW, et al. Intraoperative computed tomography-guided pulmonary tumour localization: A thoracic surgeon's learning curve. Eur J Cardiothorac Surg, 2019, 55(3): 421-426.
3.	Tian Y, An J, Zou Z, et al. Computed tomography-guided microcoil localization of pulmonary nodules: Effects of multiple punctures. Thorac Cardiovasc Surg, 2021, Epub ahead of print.
4.	程載興, 梅培圓, 萬黎, 等. 電磁導航定位與CT引導下經皮穿刺定位在肺結節手術中應用的系統評價與Meta分析. 中國胸心血管外科臨床雜志, 2022, 29(1): 23-29.
5.	史立波, 張曼麗, 劉秀祥, 等. 右美托咪定基礎麻醉聯合局麻在Ⅰ期乳腺癌保乳手術中的應用. 醫學與哲學(B), 2016, 37(2): 33-35.
6.	Hsieh MJ, Chou PL, Fang HY, et al. Single-step localization and excision of small pulmonary nodules using a mobile 3D C-arm. Interact CardioVasc Thorac Surg, 2022, 34(3): 513.
7.	Uebayashi A, Fujikawa R, Arai Y, et al. Preoperative marking of a submillimeter metastatic pulmonary tumor using a mobile computed tomography scan with a navigation system: A case report. Int J Surg Case Rep, 2021, 79: 350-353.
8.	Yang SM, Ko WC, Lin MW, et al. Image-guided thoracoscopic surgery with dye localization in a hybrid operating room. J Thorac Dis, 2016, 8(9): 681-689.
9.	Fujikawa R, Otsuki Y, Nakamura H, et al. Marking method for peripheral non-palpable pulmonary nodules using a mobile computed tomography scanner with a navigation system. Gen Thorac Cardiovasc Surg, 2020, 68(10): 1220-1223.
10.	Sun Y, Zhang Q, Wang Z, et al. Real-time image-guided indocyanine green fluorescence dual-visualization technique to measure the intraoperative resection margin during thoracoscopic segmentectomy. Asia Pac J Clin Oncol, 2023, 12(9): e39-e44.
11.	于修義, 耿國軍, 劉鴻鳴, 等. 移動CT在肺小結節術前及術中定位中的價值. 中國微創外科雜志, 2019, 19(5): 418-420.
12.	張海清, 孫建新, 陳亞寬, 等. 咪達唑侖、枸櫞酸舒芬太尼靜脈基礎麻醉應用于電子支氣管鏡檢查中的臨床效果研究. 中國實用醫藥, 2022, 17(5): 21-23.
13.	Yu H, Tian W, Sun Y, et al. Localization of small peripheral pulmonary nodules for surgical resection: A new intraoperative technique in hybrid operating room. J Cardiothorac Surg, 2022, 17(1): 241.
14.	劉慶文, 殷志敏, 王霄霖, 等. 三維重建聯合Hookwire定位肺小結節在胸腔鏡肺段切除術中的應用. 中國胸心血管外科臨床雜志, 2020, 27(7): 802-806.
15.	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.
16.	Li CD, Huang ZG, Sun HL, et al. CT-guided preoperative localization of ground glass nodule: Comparison between the application of embolization microcoil and the locating needle designed for pulmonary nodules. Br J Radiol, 2021, 94(1123): 20210193.

1. 肺小結節術前輔助定位技術專家共識(2019 版)專家組. 肺小結節術前輔助定位技術專家共識(2019 版). 中國胸心血管外科臨床雜志, 2019, 26(2): 109-113.
2. Chao YK, Fang HY, Wen YW, et al. Intraoperative computed tomography-guided pulmonary tumour localization: A thoracic surgeon's learning curve. Eur J Cardiothorac Surg, 2019, 55(3): 421-426.
3. Tian Y, An J, Zou Z, et al. Computed tomography-guided microcoil localization of pulmonary nodules: Effects of multiple punctures. Thorac Cardiovasc Surg, 2021, Epub ahead of print.
4. 程載興, 梅培圓, 萬黎, 等. 電磁導航定位與CT引導下經皮穿刺定位在肺結節手術中應用的系統評價與Meta分析. 中國胸心血管外科臨床雜志, 2022, 29(1): 23-29.
5. 史立波, 張曼麗, 劉秀祥, 等. 右美托咪定基礎麻醉聯合局麻在Ⅰ期乳腺癌保乳手術中的應用. 醫學與哲學(B), 2016, 37(2): 33-35.
6. Hsieh MJ, Chou PL, Fang HY, et al. Single-step localization and excision of small pulmonary nodules using a mobile 3D C-arm. Interact CardioVasc Thorac Surg, 2022, 34(3): 513.
7. Uebayashi A, Fujikawa R, Arai Y, et al. Preoperative marking of a submillimeter metastatic pulmonary tumor using a mobile computed tomography scan with a navigation system: A case report. Int J Surg Case Rep, 2021, 79: 350-353.
8. Yang SM, Ko WC, Lin MW, et al. Image-guided thoracoscopic surgery with dye localization in a hybrid operating room. J Thorac Dis, 2016, 8(9): 681-689.
9. Fujikawa R, Otsuki Y, Nakamura H, et al. Marking method for peripheral non-palpable pulmonary nodules using a mobile computed tomography scanner with a navigation system. Gen Thorac Cardiovasc Surg, 2020, 68(10): 1220-1223.
10. Sun Y, Zhang Q, Wang Z, et al. Real-time image-guided indocyanine green fluorescence dual-visualization technique to measure the intraoperative resection margin during thoracoscopic segmentectomy. Asia Pac J Clin Oncol, 2023, 12(9): e39-e44.
11. 于修義, 耿國軍, 劉鴻鳴, 等. 移動CT在肺小結節術前及術中定位中的價值. 中國微創外科雜志, 2019, 19(5): 418-420.
12. 張海清, 孫建新, 陳亞寬, 等. 咪達唑侖、枸櫞酸舒芬太尼靜脈基礎麻醉應用于電子支氣管鏡檢查中的臨床效果研究. 中國實用醫藥, 2022, 17(5): 21-23.
13. Yu H, Tian W, Sun Y, et al. Localization of small peripheral pulmonary nodules for surgical resection: A new intraoperative technique in hybrid operating room. J Cardiothorac Surg, 2022, 17(1): 241.
14. 劉慶文, 殷志敏, 王霄霖, 等. 三維重建聯合Hookwire定位肺小結節在胸腔鏡肺段切除術中的應用. 中國胸心血管外科臨床雜志, 2020, 27(7): 802-806.
15. 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.
16. Li CD, Huang ZG, Sun HL, et al. CT-guided preoperative localization of ground glass nodule: Comparison between the application of embolization microcoil and the locating needle designed for pulmonary nodules. Br J Radiol, 2021, 94(1123): 20210193.

Chinese Journal of Clinical Thoracic and Cardiovascular Surgery

Application of Body Tom? mobile CT combined with basic anesthesia in preoperative painless localization of small pulmonary nodules: A retrospective cohort study

Abstract Full text Figures/Tables Video References Cited by

Previous Article

Next Article

Format

Content