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Table 2 Localization outcomes

From: Hybrid operating room with ceiling mounted imaging system assisted pre-operative and intra-operative lung nodule localization for thoracoscopic resections: a 5-year case series

Localization technique used for each nodule

 

Total nodules (n = 36) n (%)

Pre-op localization (n = 16) n (%)

Intra-op localization (n = 20) n (%)

Hookwire only

9 (25.0%)

4 (25.0%)

5 (25.0%)

Hookwire + ICG†

21 (58.0%)

8 (50.0%)

13 (65.0%)

Hookwire + ICG† + Lipiodol

3 (8.0%)

1 (6.0%)

2 (10.0%)

Microcoil + ICG†

3 (8.0%)

3 (19.0%)

0 (0.0%)

Summary of localization procedural complications

 

Total Patients (n = 30)

n (%)

Pre-op Localization (n = 13)

n (%)

Intra-op Localization (n = 17)

n (%)

All

14 (47.0%)

7 (54.0%)

7 (41.0%)

Minor pneumothorax‡

8 (26.7%)

3 (23.1%)

5 (29.4%)

Significant pneumothorax‡

3 (10.0%)

2 (15.4%)

1 (5.9%)

Hookwire/ Coil dislodgement

3 (10.0%)

2 (15.4%)

1 (5.9%)

Statistical analyses of outcomes

Outcome

Mean (SD) or Median (IQR)

Mean Difference (95% CI) or Median Difference

t-Statistic (df)

or U-statistic

p-Value

Total patients (n = 30)

Pre-op Localization (n = 13)

Intra-op Localization (n = 17)

Localization duration (min)

48.6 (20.2)

46.7 (15.5)

50.0 (23.6)

 − 3.3 ( − 18.8 to 12.2)

 − 0.4 (28)

0.66*

Effective radiation dose (mSV) §

4.2 (2.3 to 10.5)

10.4 (3.9 to 14.7)

3.2 (1.9 to 4.4)

7.2

50.00

0.01**

Outcome

Total Patients (n = 30)

n (%)

Pre-op

Localization (n = 13)

n (%)

Intra-op Localization (n = 17)

n (%)

χ2—statistic (df)

P-value

Complication

Yes

14 (47.0%)

7 (54.0%)

7 (41.0%)

0.475 (1)

0.5**

No

16 (53.0.%)

6 (46.0%)

10 (59.0%)

  1. †Indocyanine green
  2. ‡Minor pneumothorax is defined as pneumothorax requiring no intervention while significant pneumothorax is defined as pneumothorax requiring aspiration
  3. *Two-tailed independent samples t-test
  4. **Mann Whitney test
  5. §The total radiation exposure (mSV) including that in the IR suite as well as confirmatory cone beam CT in the hybrid OR (10.4, IQR 3.9 to 14.7) was not significantly different (p = 0.87) from the radiation exposure in the IR suite alone (9.4, IQR 3.4 to 14.0)
  6. **χ2 -square test for independence
  7. Complications arising from localisation included minor pneumothorax requiring no intervention, significant pneumothorax requiring aspiration and physical marker (hookwire or coil) dislodgement