DENG Jun,ZHONG Ning,CHEN Wen. The clinical value of CT guidance Hook-wire positioning thoracoscopic surgery for ground-glass opacity lung nodules[J]. JOURNAL OF WEZHOU MEDICAL UNIVERSITY, 2016, 46(9): 680-682,686.
Abstract：Objective: To evaluate the clinical application of guidance Hook-wire positioning for ground-glass opacity before video-assisted thoracoscopic resection. Methods: Preoperative location of 25 patients with ground-glass opacity lung nodules was performed using CT-guided Hook-wire technique. Video assisted thoracic surgery (VATS) pulmonary wedge resection was adopted. According to the result of intraoperative frozen pathology, the next mode of operation was adopted. Results: GGO diameter (11.48±3.50) mm, diatance from the parietal pleura (16.52±5.98) mm. Twenty five patients were successfully located. The mean procedure time for preoperative CT-guided Hook-wire location was (15.04±3.38) min. 5 patients had micro pneumothroax after positioning. The chest tube drainage was not required. One patient had minimal needle tract parenchymal hemorrhages. No one occured migration and fall out of the hookwire. VATS wedge resection surgery successful rate was 100%. Twelve cases of pure thoracoscopy pulmonary wedge resection operation time was (21.67±3.94) min. Thirteen patients were diagnosed as infiltrating adenocarcinoma of the lung. All of them underwent lobectomy or lung resection and lymph node cleaning by VATS. The mean procedure duration for VATS was (58.84±12.01) min. Conclution: CT-guided Hook-wire fixtion is safe, reliable and easy to learn clinical techniques. It reduces the operation time, and has a low rate of a minor complictions. CT-guided Hook-wire fixtion is worthy of clinical popularization and application.
