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Updated: Nov 29, 2025
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Electromagnetic Navigation Transthoracic Nodule Localization for Minimally Invasive Thoracic Surgery
Published on: May 4, 2022
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Computed Tomography-Guided Trans-scapular Coil Localization for Pulmonary Nodules.
Jian-Hua Zhang1, Shi-Qing Zhou2, Feng-Fei Xia3
1Department of Interventional Radiology, Fengjie People's Hospital, Chongqing, China.
The Thoracic and Cardiovascular Surgeon
|November 23, 2020
Summary
Computed tomography (CT)-guided trans-scapular coil localization (TSCL) is a safe and effective method for locating pulmonary nodules (PNs) hidden by the scapula. This technique successfully guides video-assisted thoracoscopic surgery (VATS) for nodule resection.
Area of Science:
- Pulmonology
- Thoracic Surgery
- Medical Imaging
Background:
- Pulmonary nodules (PNs) obscured by the scapula present a surgical localization challenge.
- Preoperative localization is crucial for successful minimally invasive resection of these PNs.
Purpose of the Study:
- To assess the feasibility, safety, and effectiveness of computed tomography (CT)-guided trans-scapular coil localization (TSCL) for scapula-blocked PNs.
- To evaluate TSCL as a method to facilitate video-assisted thoracoscopic surgery (VATS).
Main Methods:
- Eleven patients with scapula-blocked PNs underwent preoperative CT-guided TSCL between November 2015 and May 2020.
- A single coil was used for each PN localization procedure.
Main Results:
- CT-guided TSCL demonstrated a 100% technical success rate.
- All patients successfully underwent VATS-guided wedge resection of the scapula-blocked PNs.
- One patient (9.1%) experienced pneumothorax as a complication.
Conclusions:
- CT-guided TSCL is a simple and safe technique for preoperative localization of scapula-blocked PNs.
- This method effectively facilitates successful VATS-guided wedge resection of challenging PNs.
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