Value of virtual bronchoscopic navigation and transbronchial ultrasound-guided sheath-guided exploration in diagnosis of peripheral lung cancer

doi:10.12998/wjcc.v8.i16.3450

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World Journal of Clinical Cases

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Retrospective Study

World J Clin Cases. Aug 26, 2020; 8(16): 3450-3457
Published online Aug 26, 2020. doi: 10.12998/wjcc.v8.i16.3450

Value of virtual bronchoscopic navigation and transbronchial ultrasound-guided sheath-guided exploration in diagnosis of peripheral lung cancer

Yong Liu, Feng Wang, Qun-Cheng Zhang, Zhao-Hui Tong

Yong Liu, Feng Wang, Zhao-Hui Tong, Department of Respiratory and Critical Care Medicine, Beijing Chaoyang Hospital, Capital Medical University, Beijing 100020, China

Yong Liu, Henan Provincial People’s Hospital, Zhengzhou 450003, Henan Province, China

Yong Liu, Department of Respiratory and Critical Care Medicine, Zhoukou Central Hospital, Zhoukou 466100, Henan Province, China

Feng Wang, Zhao-Hui Tong, Beijing Institute of Respiratory Medicine, Beijing 100020, China

Qun-Cheng Zhang, Department of Respiratory and Critical Care Medicine, Henan Provincial People’s Hospital, People’s Hospital of Zhengzhou University, Zhengzhou 450003, Henan Province, China

Author contributions: Liu Y, Wang F, and Tong ZH performed the operation; Zhang QC designed this retrospective study; Liu Y wrote the paper; Wang F was responsible for sorting the data.

Institutional review board statement: This study was reviewed and approved by the Ethics Committee of the Zhoukou Central Hospital.

Informed consent statement: Informed consent was obtained from the patients.

Conflict-of-interest statement: Dr. Tong reports grants from Beijing Municipal Science and Technology Commission (No. Z181100001718185) during the conduct of the study.

Data sharing statement: No additional data are available.

Corresponding author: Zhao-Hui Tong, MD, PhD, Chief Physician, Department of Respiratory and Critical Care Medicine, Beijing Chaoyang Hospital, Capital Medical University; Beijing Institute of Respiratory Medicine, No. 8 South Gongti Road, Chaoyang District, Beijing 100020, China. 13910930309@163.com

Received: May 10, 2020
Peer-review started: May 10, 2020
First decision: June 7, 2020
Revised: June 20, 2020
Accepted: July 14, 2020
Article in press: July 14, 2020
Published online: August 26, 2020
Processing time: 106 Days and 21.9 Hours

Abstract

BACKGROUND

Peripheral lung cancer poses a substantial harm to human health, and it is easy to become exacerbated, potentially threatening the life and safety of patients

AIM

To assess the value of virtual bronchoscopic navigation (VBN) combined with transbronchial ultrasound-guided sheath-guided (EBUS-GS) exploration in the diagnosis of peripheral lung cancer.

METHODS

A total of 236 patients with peripheral lung cancer (nodule diameter range, 8-30 mm; diagnosed using high-resolution computed tomography) were selected from three centers between October 2018 and December 2019. Patients who underwent EBUS-GS exploration alone were included in a control group, and those who received VBN in combination with EBUS-GS exploration were included in an observation group. The diagnostic rate and total operating time of different subgroups of the two groups were compared, and the time needed to determine the lesion was recorded.

RESULTS

There were no significant differences in diagnosis rate or total operation time between the two groups (P > 0.05), and the time needed to determine the lesion in the observation group was less than that of the control group (P < 0.05).

CONCLUSION

The combined use of VBN and EBUS-GS exploration technology has little effect on the diagnosis rate and total operation time of peripheral lung cancer, but it significantly shortens the time needed to determine the lesion and is a valuable diagnostic method.

Keywords: Peripheral lung cancer; Virtual bronchoscopy navigation; Transbronchial ultrasound-guided sheath guidance; Diagnostic rate; Determination of focal time; Total operating time

Core tip: Transbronchial ultrasound-guided sheath-guided exploration and virtual bronchoscopic navigation improve the rate of diagnosis of pulmonary peripheral lesions. We discuss the role of virtual bronchoscopy navigation in combination with the transbronchial ultrasound-guided sheath-guided exploration technique in the diagnosis of peripheral lung cancer.