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Review
. 2023 Jan;14(2):119-126.
doi: 10.1111/1759-7714.14754. Epub 2022 Dec 8.

Computed tomography-guided localization of pulmonary nodules prior to thoracoscopic surgery

Lixin Wang  1 , Daqian Sun  2 , Min Gao  1 , Chunhai Li  2
Affiliations
Review

Computed tomography-guided localization of pulmonary nodules prior to thoracoscopic surgery

Lixin Wang et al. Thorac Cancer. 2023 Jan.

Abstract

With the increasing awareness of physical examination, the detection rate of pulmonary nodules is gradually increasing. For pulmonary nodules recommended for management by video-assisted thoracic surgery (VATS), preoperative localization of the nodule is required if its location is difficult to determine intraoperatively by palpation. The computed tomography (CT)-guided preoperative localization technique is the most widely used method with low operational difficulty and high efficiency, which can include hook wire, microcoil, medical dye, medical surgical adhesive, combined application, and emerging localization techniques according to the material classification. Each method has its corresponding advantages and disadvantages, but there is still a lack of unified guidelines or standards for the selection of CT-guided preoperative localization methods in clinical practice. This review summarizes the operation precautions, advantages, and shortcomings of the above localization techniques in order to provide references for clinical application.

Keywords: CT-guidance; preoperative localization; pulmonary nodules.

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Conflict of interest statement

The authors have no conflicts of interest to declare.

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