https://scholars.lib.ntu.edu.tw/handle/123456789/461937
Title: | Augmented fluoroscopic bronchoscopy (AFB) versus percutaneous computed tomography-guided dye localization for thoracoscopic resection of small lung nodules: a propensity-matched study | Authors: | SHUN-MAO YANG Chen, Yi-Chang WEI-CHUN KO HSIN-CHIEH HUANG KAI-LUN YU Ko, Huan-Jang PEI-MING HUANG YEUN-CHUNG CHANG |
Issue Date: | 2020 | Publisher: | Springer | Source: | Surgical Endoscopy | Abstract: | Background: Dye localization is a useful method for the resection of unidentifiable small pulmonary lesions. This study compares the transbronchial route with augmented fluoroscopic bronchoscopy (AFB) and conventional transthoracic CT-guided methods for preoperative dye localization in thoracoscopic surgery. Methods: Between April 2015 and March 2019, a total of 231 patients with small pulmonary lesions who received preoperative dye localization via AFB or percutaneous CT-guided technique were enrolled in the study. A propensity-matched analysis, incorporating preoperative variables, was used to compare localization and surgical outcomes between the two groups. Results: After matching, a total of 90 patients in the AFB group (N = 30) and CT-guided group (N = 60) were selected for analysis. No significant difference was noted in the demographic data between both the groups. Dye localization was successfully performed in 29 patients (96.7%) and 57 patients (95%) with AFB and CT-guided method, respectively. The localization duration (24.1 ± 8.3 vs. 21.4 ± 12.5?min, p = 0.297) and equivalent dose of radiation exposure (3.1 ± 1.5 vs. 2.5 ± 2.0?mSv, p = 0.130) were comparable in both the groups. No major procedure-related complications occurred in either group; however, a higher rate of pneumothorax (0 vs. 16.7%, p = 0.029) and focal intrapulmonary hemorrhage (3.3 vs. 26.7%, p = 0.008) was noted in the CT-guided group. Conclusion: AFB dye marking is an effective alternative for the preoperative localization of small pulmonary lesions, with a lower risk of procedure-related complications than the conventional CT-guided method. ? 2020, Springer Science+Business Media, LLC, part of Springer Nature. |
URI: | https://www.scopus.com/inward/record.uri?eid=2-s2.0-85077869165&doi=10.1007%2fs00464-019-07334-4&partnerID=40&md5=8766a9c56d718ee5be9c632813f9deee https://scholars.lib.ntu.edu.tw/handle/123456789/461937 |
ISSN: | 0930-2794 | DOI: | 10.1007/s00464-019-07334-4 | SDG/Keyword: | dye; fentanyl; midazolam; adult; aged; Article; atypical adenomatous hyperplasia; augmented fluoroscopic bronchoscopy; bronchoscopy; clinical outcome; cone beam computed tomography; controlled study; demography; female; fluoroscopy; granulomatous inflammation; hamartoma; head and neck cancer; human; image guided biopsy; lung adenocarcinoma; lung adenoma; lung cancer; lung cyst; lung hemorrhage; lung lesion; lung metastasis; lung nodule; lung resection; lung tumor; major clinical study; male; medical record review; metastatic colon cancer; organizing pneumonia; pancreas cancer; patient safety; patient selection; peroperative complication; pleural fibrosis; pneumothorax; preoperative evaluation; priority journal; propensity score; pulmonary cryptococcosis; radiation exposure; retrospective study; solitary fibrous tumor; surgical technique; thoracoscopy; three-dimensional imaging; bronchoscopy; diagnostic imaging; fluoroscopy; lung; middle aged; mortality; multiple pulmonary nodules; pathology; precancer; procedures; survival analysis; very elderly; video assisted thoracoscopic surgery; x-ray computed tomography; Adult; Aged; Aged, 80 and over; Bronchoscopy; Female; Fluoroscopy; Humans; Lung; Male; Middle Aged; Multiple Pulmonary Nodules; Precancerous Conditions; Retrospective Studies; Survival Analysis; Thoracic Surgery, Video-Assisted; Tomography, X-Ray Computed |
Appears in Collections: | 醫學系 |
Items in DSpace are protected by copyright, with all rights reserved, unless otherwise indicated.