CT-Free Electromagnetic Navigation Percutaneous Localization for Pulmonary Nodules Undergoing Sublobar Resection
Clinical Evaluation of CT-Free Electromagnetic Navigation Percutaneous Localization System for Pulmonary Nodules Undergoing Sublobar Resection: A Multicenter Observational Cohort Study
Pulmonary nodules, particularly small and non-palpable nodules, present challenges for accurate localization during sublobar lung resection. This multicenter observational cohort study evaluated the feasibility, accuracy, and safety of CT-Free electromagnetic navigation percutaneous localization for pulmonary nodules requiring sublobar resection.
Patients who underwent CT-Free electromagnetic navigation localization were compared with patients who received conventional CT-guided localization. The primary outcome was localization success rate, defined as the distance between the localization marker and the pulmonary nodule center being within 10 mm.
Secondary outcomes included localization procedure time, conversion rate to other localization methods, surgical success rate, perioperative complications, postoperative hospitalization duration, and medical resource utilization.
研究概览
研究类型
注册 (实际的)
联系人和位置
学习地点
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Jiangsu
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Nantong、Jiangsu、中国
- Nantong First People's Hospital
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Nantong、Jiangsu、中国
- Nantong Sixth People's Hospital
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Nantong、Jiangsu、中国
- Nantong University Affiliated Hospital
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参与标准
资格标准
适合学习的年龄
- 成人
- 年长者
接受健康志愿者
取样方法
研究人群
描述
Inclusion Criteria:
- Adults aged 18 years or older.
- Patients with pulmonary nodules requiring sublobar resection.
- Non-palpable pulmonary nodules requiring preoperative localization.
- Patients undergoing CT-Free electromagnetic navigation localization or CT-guided localization.
Exclusion Criteria:
- Central pulmonary nodules unsuitable for localization.
- Patients unable to undergo sublobar resection.
- Patients with severe cardiopulmonary dysfunction or major organ dysfunction.
- Pregnancy or breastfeeding.
- Patients participating in other clinical trials.
学习计划
研究是如何设计的?
设计细节
队列和干预
团体/队列 |
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CT-Free Electromagnetic Navigation Localization
Patients receiving CT-Free electromagnetic navigation percutaneous localization before sublobar resection for pulmonary nodules.
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CT-Guided Localization
Patients receiving conventional CT-guided localization before sublobar resection for pulmonary nodules.
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研究衡量的是什么?
主要结果指标
结果测量 |
措施说明 |
大体时间 |
|---|---|---|
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Proportion of Participants With Successful Localization Based on Marker-to-Nodule Distance ≤10 mm
大体时间:Immediately after surgical resection
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The proportion of participants with successful pulmonary nodule localization, defined as a distance between the localization marker and the pulmonary nodule center of ≤10 mm, measured by postoperative pathological specimen evaluation.
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Immediately after surgical resection
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次要结果测量
结果测量 |
措施说明 |
大体时间 |
|---|---|---|
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Proportion of Participants Requiring Additional Localization Procedures
大体时间:During surgery
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The proportion of participants requiring additional localization methods because of unsuccessful or inaccurate initial localization.
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During surgery
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Number of Participants With Procedure-Related Complications
大体时间:Within 30 days after surgery
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Procedure-related complications including pneumothorax, pulmonary hemorrhage, and infection occurring after localization and surgery.
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Within 30 days after surgery
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Duration of Pulmonary Nodule Localization Procedure
大体时间:From initiation to completion of the localization procedure
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The duration from initiation of localization preparation to completion of marker placement.
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From initiation to completion of the localization procedure
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Mean Distance Between Localization Marker and Pulmonary Nodule Center (mm)
大体时间:Immediately after surgical specimen resection
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The mean distance between the localization marker and the pulmonary nodule center measured immediately after surgical specimen resection.
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Immediately after surgical specimen resection
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Mean Duration of Postoperative Hospital Stay
大体时间:Up to 30 days after surgical resection
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The mean duration of hospitalization after surgical resection, calculated from the date of surgery to the date of hospital discharge.
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Up to 30 days after surgical resection
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合作者和调查者
赞助
研究记录日期
研究主要日期
学习开始 (实际的)
初级完成 (实际的)
研究完成 (实际的)
研究注册日期
首次提交
首先提交符合 QC 标准的
首次发布 (实际的)
研究记录更新
最后更新发布 (实际的)
上次提交的符合 QC 标准的更新
最后验证
更多信息
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