Clinical application status of multiple localization methods in the treatment of pulmonary nodules by sub-lobectomy_Chinese Journal of Clinical Thoracic and Cardiovascular Surgery

Authors：

HAN Dingpei , YANG Su , CHEN Xiang , GUO Wei , XIANG Jie , ZHU Lianggang , CHE Jiaming , HANG Junbiao ,  LI Hecheng

Department of Thoracic Surgery, Ruijin Hospital, Shanghai Jiao Tong University School of Medicine, Shanghai, 200025, P. R. China;

Corresponding author：

LI Hecheng, Email: lihecheng2000@hotmail.com

Keywords：

Pulmonary nodule; sub-lobectomy; thoracoscopic surgery; localization; review

DOI：

10.7507/1007-4848.202203048

Video：

Export PDF Favorites Scan Get Citation

Abstract Full text Figures/Tables Video References Cited by

The precise localization of pulmonary nodules has become an important technical key point in the treatment of pulmonary nodules by thoracoscopic surgery, which is a guarantee for safe margin and avoiding removal of too much normal lung parenchyma. With the development of medical technology and equipment, the methods of locating pulmonary nodules are also becoming less trauma and convenience. There are currently a number of methods applied to the preoperative or intraoperative localization of pulmonary nodules, including preoperative percutaneous puncture localization, preoperative transbronchial localization, intraoperative palpation localization, intraoperative ultrasound localization, and localization according to anatomy. The most appropriate localization method should be selected according to the location of the nodule, available equipment, and surgeon’s experience. According to the published literatures, we have sorted out a variety of different theories and methods of localization of pulmonary nodules in this article, summarizing their advantages and disadvantages for references.

Citation： HAN Dingpei, YANG Su, CHEN Xiang, GUO Wei, XIANG Jie, ZHU Lianggang, CHE Jiaming, HANG Junbiao, LI Hecheng. Clinical application status of multiple localization methods in the treatment of pulmonary nodules by sub-lobectomy. Chinese Journal of Clinical Thoracic and Cardiovascular Surgery, 2024, 31(1): 160-165. doi: 10.7507/1007-4848.202203048 Copy

1.	National Lung Screening Trial Research Team, Aberle DR, Adams AM, et al. Reduced lung-cancer mortality with low-dose computed tomographic screening. N Engl J Med, 2011, 365(5): 395-409.
2.	Suzuki K, Saji H, Aokage K, et al. Comparison of pulmonary segmentectomy and lobectomy: Safety results of a randomized trial. J Thorac Cardiovasc Surg, 2019, 158(3): 895-907.
3.	Ciriaco P, Negri G, Puglisi A, et al. Video-assisted thoracoscopic surgery for pulmonary nodules: Rationale for preoperative computed tomography-guided hookwire localization. Eur J Cardiothorac Surg, 2004, 25(3): 429-433.
4.	Kumar A, Deng JZ, Raman V, et al. A national analysis of minimally invasive vs. open segmentectomy for stage ⅠA non-small-cell lung cancer. Semin Thorac Cardiovasc Surg, 2021, 33(2): 535-544.
5.	She XW, Gu YB, Xu C, et al. Three-dimensional (3D)- computed tomography bronchography and angiography combined with 3D-video-assisted thoracic surgery (VATS) versus conventional 2D-VATS anatomic pulmonary segmentectomy for the treatment of non-small cell lung cancer. Thorac Cancer, 2018, 9(2): 305-309.
6.	Liu X, Zhao Y, Xuan Y, et al. Three-dimensional printing in the preoperative planning of thoracoscopic pulmonary segmentectomy. Transl Lung Cancer Res, 2019, 8(6): 929-937.
7.	Yoshimoto K, Nomori H, Mori T, et al. Combined subsegmentectomy: Postoperative pulmonary function compared to multiple segmental resection. J Cardiothorac Surg, 2011, 6: 17.
8.	陈亮, 王俊, 吴卫兵, 等. 胸腔镜精准肺段切除术技术流程和质量控制. 中国胸心血管外科临床杂志, 2019, 26(1): 21-28.
9.	Kleedehn M, Kim DH, Lee FT, et al. Preoperative pulmonary nodule localization: A comparison of methylene blue and hookwire techniques. AJR Am J Roentgenol, 2016, 207(6): 1334-1339.
10.	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.
11.	Wang J, Yao J, Xu L, et al. Comparison of cyanoacrylate and hookwire for localizing small pulmonary nodules: A propensity-matched cohort study. Int J Surg, 2019, 71: 49-55.
12.	Zhang L, Wang L, Kadeer X, et al. Accuracy of a 3-dimensionally printed navigational template for localizing small pulmonary nodules: A noninferiority randomized clinical trial. JAMA Surg, 2019, 154(4): 295-303.
13.	Ujiie H, Kato T, Hu HP, et al. A novel minimally invasive near-infrared thoracoscopic localization technique of small pulmonary nodules: A phase Ⅰ feasibility trial. J Thorac Cardiovasc Surg, 2017, 154(2): 702-711.
14.	McDermott S, Fintelmann FJ, Bierhals AJ, et al. Image-guided preoperative localization of pulmonary nodules for video-assisted and robotically assisted surgery. Radiographics, 2019, 39(5): 1264-1279.
15.	Galetta D, Bellomi M, Grana C, et al. Radio-guided localization and resection of small or ill-defined pulmonary lesions. Ann Thorac Surg, 2015, 100(4): 1175-1180.
16.	Bowling MR, Folch EE, Khandhar SJ, et al. Fiducial marker placement with electromagnetic navigation bronchoscopy: A subgroup analysis of the prospective, multicenter NAVIGATE study. Ther Adv Respir Dis, 2019, 13: 1753466619841234.
17.	Kuo SW, Tseng YF, Dai KY, et al. Electromagnetic navigation bronchoscopy localization versus percutaneous CT-guided localization for lung resection via video-assisted thoracoscopic surgery: A propensity-matched study. J Clin Med, 2019, 8(3): 379.
18.	Hung CT, Chen CK, Chang YY, et al. Electromagnetic navigation-guided versus computed tomography-guided percutaneous localization of small lung nodules before uniportal video-assisted thoracoscopic surgery: A propensity score-matched analysis. Eur J Cardiothorac Surg, 2020, 58(Suppl_1): i85-i91.
19.	Shi J, He J, He J, et al. Electromagnetic navigation-guided preoperative localization: The learning curve analysis. J Thorac Dis, 2021, 13(7): 4339-4348.
20.	Yanagiya M, Sato M, Kuwano H, et al. Management of lung nodules newly found by virtual-assisted lung mapping: A case report. Surg Case Rep, 2017, 3(1): 49.
21.	Sato M, Omasa M, Chen F, et al. Use of virtual assisted lung mapping (VAL-MAP), a bronchoscopic multispot dye-marking technique using virtual images, for precise navigation of thoracoscopic sublobar lung resection. J Thorac Cardiovasc Surg, 2014, 147(6): 1813-1819.
22.	Sato M, Yamada T, Menju T, et al. Virtual-assisted lung mapping: Outcome of 100 consecutive cases in a single institute. Eur J Cardiothorac Surg, 2015, 47(4): e131-e139.
23.	Kuwata T, Shinohara S, Matsumiya H, et al. Virtual-assisted lung mapping (VAL-MAP) shortened surgical time of wedge resection. J Thorac Dis, 2018, 10(3): 1842-1849.
24.	Takahata H, Kojima F, Okada M, et al. Thoracoscopic surgery support system using passive RFID marker. Annu Int Conf IEEE Eng Med Biol Soc, 2012, 2012: 183-186.
25.	Sato T, Yutaka Y, Nakamura T, et al. First clinical application of radiofrequency identification (RFID) marking system-precise localization of a small lung nodule. JTCVS Tech, 2020, 4: 301-304.
26.	Internullo E, Cassivi SD, Van Raemdonck D, et al. Pulmonary metastasectomy: A survey of current practice amongst members of the European Society of Thoracic Surgeons. J Thorac Oncol, 2008, 3(11): 1257-1266.
27.	Caristo JM, Tian DH, Yan TD. Pulmonary metastasectomy: A cross sectional survey. J Thorac Dis, 2018, 10(6): 3757-3766.
28.	Handy JR, Bremner RM, Crocenzi TS, et al. Expert consensus document on pulmonary metastasectomy. Ann Thorac Surg, 2019, 107(2): 631-649.
29.	Ichinose J, Mun M, Matsuura Y, et al. Efficiency of thoracoscopic palpation in localizing small pulmonary nodules. Surg Today, 2019, 49(11): 921-926.
30.	Wada H, Anayama T, Hirohashi K, et al. Thoracoscopic ultrasonography for localization of subcentimetre lung nodules. Eur J Cardiothorac Surg, 2016, 49(2): 690-697.
31.	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.
32.	Zhang B, Zhang Y, Le H, et al. Intraoperative localization in minimally invasive surgery for small pulmonary nodules: A retrospective study. Transl Cancer Res, 2021, 10(7): 3470-3478.
33.	Zhang G, Xu D, Yu Z, et al. Preoperative non-invasive visual localization of synchronous multiple lung cancers using three-dimensional computed tomography lung reconstruction. J Cardiothorac Surg, 2021, 16(1): 273.
34.	Chu XP, Chen ZH, Lin SM, et al. Watershed analysis of the target pulmonary artery for real-time localization of non-palpable pulmonary nodules. Transl Lung Cancer Res, 2021, 10(4): 1711-1719.
35.	Cornella KN, Repper DC, Palafox BA, et al. A surgeon's guide for various lung nodule localization techniques and the newest technologies. Innovations (Phila), 2021, 16(1): 26-33.

1. National Lung Screening Trial Research Team, Aberle DR, Adams AM, et al. Reduced lung-cancer mortality with low-dose computed tomographic screening. N Engl J Med, 2011, 365(5): 395-409.
2. Suzuki K, Saji H, Aokage K, et al. Comparison of pulmonary segmentectomy and lobectomy: Safety results of a randomized trial. J Thorac Cardiovasc Surg, 2019, 158(3): 895-907.
3. Ciriaco P, Negri G, Puglisi A, et al. Video-assisted thoracoscopic surgery for pulmonary nodules: Rationale for preoperative computed tomography-guided hookwire localization. Eur J Cardiothorac Surg, 2004, 25(3): 429-433.
4. Kumar A, Deng JZ, Raman V, et al. A national analysis of minimally invasive vs. open segmentectomy for stage ⅠA non-small-cell lung cancer. Semin Thorac Cardiovasc Surg, 2021, 33(2): 535-544.
5. She XW, Gu YB, Xu C, et al. Three-dimensional (3D)- computed tomography bronchography and angiography combined with 3D-video-assisted thoracic surgery (VATS) versus conventional 2D-VATS anatomic pulmonary segmentectomy for the treatment of non-small cell lung cancer. Thorac Cancer, 2018, 9(2): 305-309.
6. Liu X, Zhao Y, Xuan Y, et al. Three-dimensional printing in the preoperative planning of thoracoscopic pulmonary segmentectomy. Transl Lung Cancer Res, 2019, 8(6): 929-937.
7. Yoshimoto K, Nomori H, Mori T, et al. Combined subsegmentectomy: Postoperative pulmonary function compared to multiple segmental resection. J Cardiothorac Surg, 2011, 6: 17.
8. 陈亮, 王俊, 吴卫兵, 等. 胸腔镜精准肺段切除术技术流程和质量控制. 中国胸心血管外科临床杂志, 2019, 26(1): 21-28.
9. Kleedehn M, Kim DH, Lee FT, et al. Preoperative pulmonary nodule localization: A comparison of methylene blue and hookwire techniques. AJR Am J Roentgenol, 2016, 207(6): 1334-1339.
10. 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.
11. Wang J, Yao J, Xu L, et al. Comparison of cyanoacrylate and hookwire for localizing small pulmonary nodules: A propensity-matched cohort study. Int J Surg, 2019, 71: 49-55.
12. Zhang L, Wang L, Kadeer X, et al. Accuracy of a 3-dimensionally printed navigational template for localizing small pulmonary nodules: A noninferiority randomized clinical trial. JAMA Surg, 2019, 154(4): 295-303.
13. Ujiie H, Kato T, Hu HP, et al. A novel minimally invasive near-infrared thoracoscopic localization technique of small pulmonary nodules: A phase Ⅰ feasibility trial. J Thorac Cardiovasc Surg, 2017, 154(2): 702-711.
14. McDermott S, Fintelmann FJ, Bierhals AJ, et al. Image-guided preoperative localization of pulmonary nodules for video-assisted and robotically assisted surgery. Radiographics, 2019, 39(5): 1264-1279.
15. Galetta D, Bellomi M, Grana C, et al. Radio-guided localization and resection of small or ill-defined pulmonary lesions. Ann Thorac Surg, 2015, 100(4): 1175-1180.
16. Bowling MR, Folch EE, Khandhar SJ, et al. Fiducial marker placement with electromagnetic navigation bronchoscopy: A subgroup analysis of the prospective, multicenter NAVIGATE study. Ther Adv Respir Dis, 2019, 13: 1753466619841234.
17. Kuo SW, Tseng YF, Dai KY, et al. Electromagnetic navigation bronchoscopy localization versus percutaneous CT-guided localization for lung resection via video-assisted thoracoscopic surgery: A propensity-matched study. J Clin Med, 2019, 8(3): 379.
18. Hung CT, Chen CK, Chang YY, et al. Electromagnetic navigation-guided versus computed tomography-guided percutaneous localization of small lung nodules before uniportal video-assisted thoracoscopic surgery: A propensity score-matched analysis. Eur J Cardiothorac Surg, 2020, 58(Suppl_1): i85-i91.
19. Shi J, He J, He J, et al. Electromagnetic navigation-guided preoperative localization: The learning curve analysis. J Thorac Dis, 2021, 13(7): 4339-4348.
20. Yanagiya M, Sato M, Kuwano H, et al. Management of lung nodules newly found by virtual-assisted lung mapping: A case report. Surg Case Rep, 2017, 3(1): 49.
21. Sato M, Omasa M, Chen F, et al. Use of virtual assisted lung mapping (VAL-MAP), a bronchoscopic multispot dye-marking technique using virtual images, for precise navigation of thoracoscopic sublobar lung resection. J Thorac Cardiovasc Surg, 2014, 147(6): 1813-1819.
22. Sato M, Yamada T, Menju T, et al. Virtual-assisted lung mapping: Outcome of 100 consecutive cases in a single institute. Eur J Cardiothorac Surg, 2015, 47(4): e131-e139.
23. Kuwata T, Shinohara S, Matsumiya H, et al. Virtual-assisted lung mapping (VAL-MAP) shortened surgical time of wedge resection. J Thorac Dis, 2018, 10(3): 1842-1849.
24. Takahata H, Kojima F, Okada M, et al. Thoracoscopic surgery support system using passive RFID marker. Annu Int Conf IEEE Eng Med Biol Soc, 2012, 2012: 183-186.
25. Sato T, Yutaka Y, Nakamura T, et al. First clinical application of radiofrequency identification (RFID) marking system-precise localization of a small lung nodule. JTCVS Tech, 2020, 4: 301-304.
26. Internullo E, Cassivi SD, Van Raemdonck D, et al. Pulmonary metastasectomy: A survey of current practice amongst members of the European Society of Thoracic Surgeons. J Thorac Oncol, 2008, 3(11): 1257-1266.
27. Caristo JM, Tian DH, Yan TD. Pulmonary metastasectomy: A cross sectional survey. J Thorac Dis, 2018, 10(6): 3757-3766.
28. Handy JR, Bremner RM, Crocenzi TS, et al. Expert consensus document on pulmonary metastasectomy. Ann Thorac Surg, 2019, 107(2): 631-649.
29. Ichinose J, Mun M, Matsuura Y, et al. Efficiency of thoracoscopic palpation in localizing small pulmonary nodules. Surg Today, 2019, 49(11): 921-926.
30. Wada H, Anayama T, Hirohashi K, et al. Thoracoscopic ultrasonography for localization of subcentimetre lung nodules. Eur J Cardiothorac Surg, 2016, 49(2): 690-697.
31. 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.
32. Zhang B, Zhang Y, Le H, et al. Intraoperative localization in minimally invasive surgery for small pulmonary nodules: A retrospective study. Transl Cancer Res, 2021, 10(7): 3470-3478.
33. Zhang G, Xu D, Yu Z, et al. Preoperative non-invasive visual localization of synchronous multiple lung cancers using three-dimensional computed tomography lung reconstruction. J Cardiothorac Surg, 2021, 16(1): 273.
34. Chu XP, Chen ZH, Lin SM, et al. Watershed analysis of the target pulmonary artery for real-time localization of non-palpable pulmonary nodules. Transl Lung Cancer Res, 2021, 10(4): 1711-1719.
35. Cornella KN, Repper DC, Palafox BA, et al. A surgeon's guide for various lung nodule localization techniques and the newest technologies. Innovations (Phila), 2021, 16(1): 26-33.

Chinese Journal of Clinical Thoracic and Cardiovascular Surgery

Clinical application status of multiple localization methods in the treatment of pulmonary nodules by sub-lobectomy

Abstract Full text Figures/Tables Video References Cited by

Previous Article

Next Article

Format

Content