Comparative Effectiveness and Safety of Preoperative Lung Localization for Pulmonary Nodules A Systematic Review and Meta-analysis
DC Field | Value | Language |
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dc.contributor.author | Park, Chul Hwan | - |
dc.contributor.author | Han, Kyunghwa | - |
dc.contributor.author | Hur, Jin | - |
dc.contributor.author | Lee, Sang Min | - |
dc.contributor.author | Lee, Ji Won | - |
dc.contributor.author | Hwang, Sung Ho | - |
dc.contributor.author | Seo, Jae Seung | - |
dc.contributor.author | Lee, Kye Ho | - |
dc.contributor.author | Kwon, Woocheol | - |
dc.contributor.author | Kim, Tae Hoon | - |
dc.contributor.author | Choi, Byoung Wook | - |
dc.date.accessioned | 2021-09-03T10:24:42Z | - |
dc.date.available | 2021-09-03T10:24:42Z | - |
dc.date.created | 2021-06-16 | - |
dc.date.issued | 2017-02 | - |
dc.identifier.issn | 0012-3692 | - |
dc.identifier.uri | https://scholar.korea.ac.kr/handle/2021.sw.korea/84770 | - |
dc.description.abstract | BACKGROUND: An optimal method of preoperative localization for pulmonary nodules has yet to be established. This systematic review and meta-analysis aimed to compare the success and complication rates associated with three pulmonary nodule localization methods for video-assisted thoracoscopic surgery (VATS): hook-wire localization, microcoil localization, and lipiodol localization. METHODS: We searched the PubMed, MEDLINE, and EMBASE databases for prospective or retrospective English language studies of VATS localization in adult patients. A noncomparative, random effects model-based meta-analysis was performed to obtain pooled success and complication rates for the three localization methods. RESULTS: A total of 46 clinical studies were enrolled, including 30, 9, and 7 studies of hookwire, microcoil, and lipiodol localization, respectively. The successful targeting rates for hook-wire, microcoil, and lipiodol localization were 0.98 (95% CI, 0.97-0.99), 0.98 (95% CI, 0.96-0.99), and 0.99 (95% CI, 0.98-1.00), respectively, with corresponding successful operative field targeting rates of 0.94 (95% CI, 0.91-0.96), 0.97 (95% CI, 0.95-0.98), and 0.99 (95% CI, 0.98-1.00), respectively. In addition, the successful VATS rates with hook-wire, microcoil, and lipiodol localization were 0.96 (95% CI, 0.94-0.97), 0.97 (95% CI, 0.94-0.99), and 0.99 (95% CI, 0.98-1.00), respectively. Regarding complications, hook-wire, microcoil, and lipiodol localization were associated with pneumothorax rates of 0.35 (95% CI, 0.28-0.43), 0.16 (95% CI, 0.07-0.34), and 0.31 (95% CI, 0.20-0.46), respectively and hemorrhage rates of 0.16 (95% CI, 0.11-0.23), 0.06 (95% CI, 0.03-0.11), and 0.12 (95% CI, 0.05-0.23), respectively. CONCLUSIONS: All three localization methods yielded similarly highly successful targeting rates. However, hook-wire localization had a relatively lower successful operative field targeting rate because of dislodgement or migration. Lipiodol localization had the highest overall success rate, and microcoil localization yielded the lowest complication rates. | - |
dc.language | English | - |
dc.language.iso | en | - |
dc.publisher | ELSEVIER | - |
dc.subject | ASSISTED THORACOSCOPIC SURGERY | - |
dc.subject | TOMOGRAPHY-GUIDED LOCALIZATION | - |
dc.subject | SHORT HOOK WIRE | - |
dc.subject | LIPIODOL MARKING | - |
dc.subject | MICROCOIL LOCALIZATION | - |
dc.subject | RESECTION | - |
dc.subject | LESIONS | - |
dc.subject | EXPERIENCE | - |
dc.subject | COMPLICATIONS | - |
dc.subject | PLACEMENT | - |
dc.title | Comparative Effectiveness and Safety of Preoperative Lung Localization for Pulmonary Nodules A Systematic Review and Meta-analysis | - |
dc.type | Article | - |
dc.contributor.affiliatedAuthor | Hwang, Sung Ho | - |
dc.identifier.doi | 10.1016/j.chest.2016.09.017 | - |
dc.identifier.scopusid | 2-s2.0-85011617552 | - |
dc.identifier.wosid | 000397155000020 | - |
dc.identifier.bibliographicCitation | CHEST, v.151, no.2, pp.316 - 328 | - |
dc.relation.isPartOf | CHEST | - |
dc.citation.title | CHEST | - |
dc.citation.volume | 151 | - |
dc.citation.number | 2 | - |
dc.citation.startPage | 316 | - |
dc.citation.endPage | 328 | - |
dc.type.rims | ART | - |
dc.type.docType | Review | - |
dc.description.journalClass | 1 | - |
dc.description.journalRegisteredClass | scie | - |
dc.description.journalRegisteredClass | scopus | - |
dc.relation.journalResearchArea | General & Internal Medicine | - |
dc.relation.journalResearchArea | Respiratory System | - |
dc.relation.journalWebOfScienceCategory | Critical Care Medicine | - |
dc.relation.journalWebOfScienceCategory | Respiratory System | - |
dc.subject.keywordPlus | ASSISTED THORACOSCOPIC SURGERY | - |
dc.subject.keywordPlus | TOMOGRAPHY-GUIDED LOCALIZATION | - |
dc.subject.keywordPlus | SHORT HOOK WIRE | - |
dc.subject.keywordPlus | LIPIODOL MARKING | - |
dc.subject.keywordPlus | MICROCOIL LOCALIZATION | - |
dc.subject.keywordPlus | RESECTION | - |
dc.subject.keywordPlus | LESIONS | - |
dc.subject.keywordPlus | EXPERIENCE | - |
dc.subject.keywordPlus | COMPLICATIONS | - |
dc.subject.keywordPlus | PLACEMENT | - |
dc.subject.keywordAuthor | hook-wire | - |
dc.subject.keywordAuthor | lipiodol | - |
dc.subject.keywordAuthor | localization | - |
dc.subject.keywordAuthor | lung nodule | - |
dc.subject.keywordAuthor | microcoil | - |
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