Table 2. Comparison of advantages and disadvantages among the watershed analysis, CT-guided localization and segmentectomy.
Localization methods | Advantages | Disadvantages |
---|---|---|
Watershed analysis | (I) Localizing the nodules not suitable for computed tomography (CT)-guided percutaneous localization; (II) as an alternative to the failure of CT-guided localization; (III) short operation time; (IV) saving resources of CT room |
(I) More lung parenchyma needs to be separated; (II) 3D reconstruction software with the function of watershed analysis is required |
CT-guided localization | (I) Simple technique; (II) short duration of operation; (III) high success rate; (IV) low cost |
(I) Having the “exclusion zone” of CT-guided localization; (II) limitations and complications can sometimes occur, including dislodgment, dye diffusion, pneumothorax and pulmonary hemorrhage; (III) pain and mental strain; (IV) occupying resources of CT room |
Segmentectomy | Resecting the nodules with the depth of more than 3.0 cm, which are not suitable for wedge resection | (I) More sophisticated surgical techniques are needed; (II) longer duration of operation; (III) removal of deeper and more lung parenchyma may cause more complications |