Laser-guided percutaneous microwave ablation for lung nodules: a promising approach with reduced operation time

Abstract Background Pulmonary nodule ablation is an effective method for treating pulmonary nodules. This study is based on the traditional CT-guided percutaneous microwave ablation (MWA) of pulmonary nodules. By comparing laser guidance technology with freehand method, this study aims to explore th...

Full description

Saved in:
Bibliographic Details
Main Authors: Yuejuan Zhang, Zijian Li, Cheng Ding, Jun Zhao, Li Ye, Ziqing Shen, Xinyu Song
Format: Article
Language:English
Published: BMC 2024-12-01
Series:BMC Surgery
Subjects:
Online Access:https://doi.org/10.1186/s12893-024-02698-4
Tags: Add Tag
No Tags, Be the first to tag this record!
_version_ 1846112955479883776
author Yuejuan Zhang
Zijian Li
Cheng Ding
Jun Zhao
Li Ye
Ziqing Shen
Xinyu Song
author_facet Yuejuan Zhang
Zijian Li
Cheng Ding
Jun Zhao
Li Ye
Ziqing Shen
Xinyu Song
author_sort Yuejuan Zhang
collection DOAJ
description Abstract Background Pulmonary nodule ablation is an effective method for treating pulmonary nodules. This study is based on the traditional CT-guided percutaneous microwave ablation (MWA) of pulmonary nodules. By comparing laser guidance technology with freehand method, this study aims to explore the safety and efficacy and patients’ pain scores of these two approaches. Methods This study retrospectively analyzed 126 patients who underwent CT-guided percutaneous lung ablation at the First Affiliated Hospital of Soochow University from April 2020 to April 2024. Based on the guidance method, we divided those patients into the laser guidance group and the freehand group. The primary outcome such as operation time, the number of ablation needle adjustments, postoperative pain scores, postoperative hospital stay, and postoperative complications were analyzed. Results The laser guidance group had a significantly shorter mean operation time compared to the freehand group (39.3 ± 13.65 min vs. 43.82 ± 19.12 min, p < 0.01), and in the laser guidance group, fewer ablation needle adjustments were required than in the freehand group (3.3 ± 1.34 time vs. 4.37 ± 1.39 times, p < 0.001). As compared to the freehand group, the laser guidance group had fewer cases of mild pneumothorax (13.16% vs. 38.33%, p < 0.05). The postoperative pain score at 1 h and 1 day of the two groups showed no statistical difference. Conclusion Both methods are safe and effective. The laser guidance technology significantly reduces the number of puncture adjustments and the operation time compared to the freehand method. Laser guidance technology effectively reduces the incidence of mild pneumothorax.
format Article
id doaj-art-df4a1af2cabc4122929b94e6cb295535
institution Kabale University
issn 1471-2482
language English
publishDate 2024-12-01
publisher BMC
record_format Article
series BMC Surgery
spelling doaj-art-df4a1af2cabc4122929b94e6cb2955352024-12-22T12:10:23ZengBMCBMC Surgery1471-24822024-12-012411910.1186/s12893-024-02698-4Laser-guided percutaneous microwave ablation for lung nodules: a promising approach with reduced operation timeYuejuan Zhang0Zijian Li1Cheng Ding2Jun Zhao3Li Ye4Ziqing Shen5Xinyu Song6Department of Thoracic Surgery, The First Affiliated Hospital of Soochow University, Medical College of Soochow UniversityDepartment of Thoracic Surgery, The First Affiliated Hospital of Soochow University, Medical College of Soochow UniversityDepartment of Thoracic Surgery, The First Affiliated Hospital of Soochow University, Medical College of Soochow UniversityDepartment of Thoracic Surgery, The First Affiliated Hospital of Soochow University, Medical College of Soochow UniversityDepartment of Marketing, Neorad Medical Technology (Shanghai) Co., LtdDepartment of Thoracic Surgery, The First Affiliated Hospital of Soochow University, Medical College of Soochow UniversityDepartment of Thoracic Surgery, The First Affiliated Hospital of Soochow University, Medical College of Soochow UniversityAbstract Background Pulmonary nodule ablation is an effective method for treating pulmonary nodules. This study is based on the traditional CT-guided percutaneous microwave ablation (MWA) of pulmonary nodules. By comparing laser guidance technology with freehand method, this study aims to explore the safety and efficacy and patients’ pain scores of these two approaches. Methods This study retrospectively analyzed 126 patients who underwent CT-guided percutaneous lung ablation at the First Affiliated Hospital of Soochow University from April 2020 to April 2024. Based on the guidance method, we divided those patients into the laser guidance group and the freehand group. The primary outcome such as operation time, the number of ablation needle adjustments, postoperative pain scores, postoperative hospital stay, and postoperative complications were analyzed. Results The laser guidance group had a significantly shorter mean operation time compared to the freehand group (39.3 ± 13.65 min vs. 43.82 ± 19.12 min, p < 0.01), and in the laser guidance group, fewer ablation needle adjustments were required than in the freehand group (3.3 ± 1.34 time vs. 4.37 ± 1.39 times, p < 0.001). As compared to the freehand group, the laser guidance group had fewer cases of mild pneumothorax (13.16% vs. 38.33%, p < 0.05). The postoperative pain score at 1 h and 1 day of the two groups showed no statistical difference. Conclusion Both methods are safe and effective. The laser guidance technology significantly reduces the number of puncture adjustments and the operation time compared to the freehand method. Laser guidance technology effectively reduces the incidence of mild pneumothorax.https://doi.org/10.1186/s12893-024-02698-4Laser guidance technologyMicrowave ablation (MWA)Lung cancerPulmonary nodules
spellingShingle Yuejuan Zhang
Zijian Li
Cheng Ding
Jun Zhao
Li Ye
Ziqing Shen
Xinyu Song
Laser-guided percutaneous microwave ablation for lung nodules: a promising approach with reduced operation time
BMC Surgery
Laser guidance technology
Microwave ablation (MWA)
Lung cancer
Pulmonary nodules
title Laser-guided percutaneous microwave ablation for lung nodules: a promising approach with reduced operation time
title_full Laser-guided percutaneous microwave ablation for lung nodules: a promising approach with reduced operation time
title_fullStr Laser-guided percutaneous microwave ablation for lung nodules: a promising approach with reduced operation time
title_full_unstemmed Laser-guided percutaneous microwave ablation for lung nodules: a promising approach with reduced operation time
title_short Laser-guided percutaneous microwave ablation for lung nodules: a promising approach with reduced operation time
title_sort laser guided percutaneous microwave ablation for lung nodules a promising approach with reduced operation time
topic Laser guidance technology
Microwave ablation (MWA)
Lung cancer
Pulmonary nodules
url https://doi.org/10.1186/s12893-024-02698-4
work_keys_str_mv AT yuejuanzhang laserguidedpercutaneousmicrowaveablationforlungnodulesapromisingapproachwithreducedoperationtime
AT zijianli laserguidedpercutaneousmicrowaveablationforlungnodulesapromisingapproachwithreducedoperationtime
AT chengding laserguidedpercutaneousmicrowaveablationforlungnodulesapromisingapproachwithreducedoperationtime
AT junzhao laserguidedpercutaneousmicrowaveablationforlungnodulesapromisingapproachwithreducedoperationtime
AT liye laserguidedpercutaneousmicrowaveablationforlungnodulesapromisingapproachwithreducedoperationtime
AT ziqingshen laserguidedpercutaneousmicrowaveablationforlungnodulesapromisingapproachwithreducedoperationtime
AT xinyusong laserguidedpercutaneousmicrowaveablationforlungnodulesapromisingapproachwithreducedoperationtime