Copyright
©The Author(s) 2020. Published by Baishideng Publishing Group Inc. All rights reserved.
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.
Open-Access: This article is an open-access article that was selected by an in-house editor and fully peer-reviewed by external reviewers. It is distributed in accordance with the Creative Commons Attribution NonCommercial (CC BY-NC 4.0) license, which permits others to distribute, remix, adapt, build upon this work non-commercially, and license their derivative works on different terms, provided the original work is properly cited and the use is non-commercial. See: http://creativecommons.org/licenses/by-nc/4.0/
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
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.
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.
