Preoperative localization of indeterminate pulmonary nodules before videothoracoscopic resection

M. Paci, V. Annessi, F. Giovanardi, G. Ferrari, S. De Franco, C. Casali, G. Sgarbi

Research output: Contribution to journalArticlepeer-review


Background: The management of a solitary pulmonary nodule is the subject of debate and minimally invasive diagnostic approaches have low sensitivity for small peripheral nodules. We discuss the role of video-assisted thoracoscopic surgery (VATS) in the management of solitary pulmonary nodules (SPNs) ≤1 cm performed with a preoperatory computed tomography-guided wire localization. Methods: Thirty-five selected patients underwent VATS resection for SPN, with localization by guide wire before surgery. Results: Seven patients, after VATS exploration, underwent thoracotomy because of pleuropulmonary adhesions, depth or dimensions. Histological diagnosis was obtained in all procedures; there was no postoperative morbility or morbidity. Conclusion: Preoperative computed tomography hookwire localization is a suitable strategy for peripheral nodules ≤1 cm in diameter.

Original languageEnglish
Pages (from-to)509-511
Number of pages3
JournalSurgical Endoscopy and Other Interventional Techniques
Issue number3
Publication statusPublished - 2002


  • Computed tomography
  • Hook-wire technique
  • Preoperative localization
  • Pulmonary nodule
  • Videothoracoscopy

ASJC Scopus subject areas

  • Surgery


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