Clinical application of CT-assisted body surface localization combined with intraoperative stereotactic anatomical localization in thoracoscopic lung nodule resection: a single-centre retrospective study.

BACKGROUND: Today, the detection rate of lung nodules is increasing. Some of these nodules may become malignant. Thus, timely resection of potentially malignant nodules is essential. However, Identifying the location of nonsurface or soft-textured nodules during surgery is challenging. Various localization techniques have been developed to accurately identify lung nodules. Common methods include preoperative CT-guided percutaneous placement of hook wires and microcoils. Nonetheless, these procedures may cause complications such as pneumothorax and haemothorax. Other methods regarding localization of pulmonary nodules have their own drawbacks. We conducted a clinical study which was retrospective to identify a safe, accurate and suitable method for determining lung nodule localization. To evaluate the clinical value of CT-assisted body surface localization combined with intraoperative stereotactic anatomical localization in thoracoscopic lung nodule resection. METHODS: We retrospectively collected the clinical data of 120 patients who underwent lung nodule localization and resection surgery at the Department of Thoracic Surgery, First Affiliated Hospital of Bengbu Medical College, from January 2020 to January 2022. Among them, 30 patients underwent CT-assisted body surface localization combined with intraoperative stereotactic anatomical localization, 30 patients underwent only CT-assisted body surface localization, 30 patients underwent only intraoperative stereotactic anatomical localization, and 30 patients underwent CT-guided percutaneous microcoil localization. The success rates, complication rates, and localization times of the four lung nodule localization methods were statistically analysed. RESULTS: The success rates of CT-assisted body surface localization combined with intraoperative stereotactic anatomical localization and CT-guided percutaneous microcoil localization were both 96.7%, which were significantly higher than the 70.0% success rate in the CT-assisted body surface localization group (P < 0.05). The complication rate in the combined group was 0%, which was significantly lower than the 60% in the microcoil localization group (P < 0.05). The localization time for the combined group was 17.73 ± 2.52 min, which was significantly less than that (27.27 ± 7.61 min) for the microcoil localization group (P < 0.05). CONCLUSIONS: CT-assisted body surface localization combined with intraoperative stereotactic anatomical localization is a safe, painless, accurate, and reliable method for lung nodule localization.

[Effects of sowing depth on seedling traits and root characteristics of summer maize].

Two summer maize hybrids, Zhengdan 958 (ZD958) and Xianyu 335 (XY335), were used as experimental materials. 4 sowing depths (3, 5, 7 and 9 cm) and uneven sowing depth (CK) were designed under sand culture and field experiments to investigate the effects of sowing depth on seedling traits and root characteristics of summer maize. The results showed that the seedling emergence rate gradually decreased and seedling emergence time gradually lengthened as the sowing depth increased. Compared with the sowing depth of 3 cm, the seedling emergence rates of ZD958 and XY335 sown at the depth of 9 cm were reduced by 9.4% and 11.8%, respectively, and the seedling emergence duration was prolonged 1.5 d. With the increasing sowing depth, the seedling length and uniformity decreased significantly, the mesocotyl length increased significantly, while the coleoptile length had no significant difference; the primary radicle length gradually decreased, the total length of secondary radicle gradually increased, and the total root length had no significant difference; the total dry mass of seedling and mesocotyl increased significantly, and the total root dry mass had no significant difference. With the increasing sowing depth, the soluble sugar content in each part of seedling increased and the amount of nutritional consumption of germinating seeds increased, the seedling root growth rate increased, but the root activity decreased, and the number of total nodal root and nodal layers increased. With the increasing sowing depth, harvested ears per unit area were reduced by decreased seedling emergence rate and seedling vigor, thus influenced the yield. In addition, uniform sowing depth could improve the canopy uniformity and relative characteristics, then increase the yield.

[Effect of light from flowering to maturity stage on dry matter accumulation and nutrient absorption of summer maize].

Using Denghai 605 (DH4605) as the experimental material, shading (S) and increasing light (L) treatments from flowering to maturity stage were designed in a field experiment to explore effects of light on dry matter accumulation and nutrient absorption of summer maize. Results showed that grain yield, dry matter accumulation and nutrient absorption decreased significantly after shading but increased after increasing light. Yields in S treatment from 2011 to 2013 were reduced by 59.4%, 79.0% and 60.6% compared to those in CK, while that in L treatment were increased by 16.3%, 12.9% and 6.8%, respectively. The relative N and P absorption increased to a certain extent because of the greater effect of shading on dry matter accumulation than that of N and P absorption. After shading, K absorption of whole plant corn decreased significantly to a greater extent than that of dry matter accumulation decrease. The proportion of nutrient allocated to grains decreased significantly after shading. Dry matter accumulation and N and P absorption rates increased significantly after increasing light, and effects of increasing light on N and P absorption were greater than that of dry matter accumulation. Nutrient accumulation and the proportion allocated to grain increased significantly after increasing light.