{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,10,30]],"date-time":"2026-10-30T02:05:37Z","timestamp":1793325937061,"version":"4.5.0"},"reference-count":11,"publisher":"Springer Science and Business Media LLC","issue":"1","license":[{"start":{"date-parts":[[2022,9,29]],"date-time":"2022-09-29T00:00:00Z","timestamp":1664409600000},"content-version":"tdm","delay-in-days":0,"URL":"https:\/\/creativecommons.org\/licenses\/by\/4.0"},{"start":{"date-parts":[[2022,9,29]],"date-time":"2022-09-29T00:00:00Z","timestamp":1664409600000},"content-version":"vor","delay-in-days":0,"URL":"https:\/\/creativecommons.org\/licenses\/by\/4.0"}],"content-domain":{"domain":["link.springer.com"],"crossmark-restriction":false},"short-container-title":["J Cardiothorac Surg"],"abstract":"<jats:title>Abstract<\/jats:title><jats:sec>\n                <jats:title>Objective<\/jats:title>\n                <jats:p>The purpose of this study was to introduce a new feasible and effective intraoperative localization technique for small peripheral pulmonary nodules in hybrid operating room.<\/jats:p>\n              <\/jats:sec><jats:sec>\n                <jats:title>Methods<\/jats:title>\n                <jats:p>Between June 2020 and June 2021, the intraoperative localization was performed in 27 patients for 35 small pulmonary nodules at our institution. The procedure was undergone under thoracoscopic observation. After making the VATS ports, a titanium clip was clipped at the visceral pleura as near the pulmonary nodule as possible to be a marker for the nodule. VATS resection was performed next.<\/jats:p>\n              <\/jats:sec><jats:sec>\n                <jats:title>Results<\/jats:title>\n                <jats:p>A total of 27 patients were included in this study, including 6 males and 21 females. The median age was 58\u00a0years (range 34\u201378\u00a0years). All surgeries were performed by two-port VATS. A total of 35 pulmonary nodules underwent intraoperative localization. The mean diameter of nodules was 10.6\u2009\u00b1\u20093.7\u00a0mm. The distance of nodules to visceral pleura was 8.3\u2009\u00b1\u20098.7\u00a0mm. The mean localization time was 23.3\u2009\u00b1\u20093.3\u00a0min. The median time of C-arm scanning was 3 (range 2\u20134) times. The median times for clipping were 2 (range 1\u20133) times. All the nodules were localized successfully and resected precisely. No VATS were converted to thoracotomy. There were no complications related to localization procedures.<\/jats:p>\n              <\/jats:sec><jats:sec>\n                <jats:title>Conclusions<\/jats:title>\n                <jats:p>This new intraoperative localization technique was feasible, safe and effective. And also the intraoperative procedure could avoid extra suffering for patients.<\/jats:p>\n              <\/jats:sec>","DOI":"10.1186\/s13019-022-02012-4","type":"journal-article","created":{"date-parts":[[2022,9,29]],"date-time":"2022-09-29T14:03:59Z","timestamp":1664460239000},"update-policy":"https:\/\/doi.org\/10.1007\/springer_crossmark_policy","source":"Crossref","is-referenced-by-count":7,"title":["Localization of small peripheral pulmonary nodules for surgical resection: a new intraoperative technique in hybrid operating room"],"prefix":"10.1186","volume":"17","author":[{"given":"Hanbo","family":"Yu","sequence":"first","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Wenxin","family":"Tian","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Yaoguang","family":"Sun","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Qingjun","family":"Wu","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Chao","family":"Ma","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Peng","family":"Jiao","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Chuan","family":"Huang","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Donghang","family":"Li","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Hongfeng","family":"Tong","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"297","published-online":{"date-parts":[[2022,9,29]]},"reference":[{"issue":"5","key":"2012_CR1","doi-asserted-by":"publisher","first-page":"1861","DOI":"10.1016\/j.athoracsur.2015.05.029","volume":"100","author":"X Xu","year":"2015","unstructured":"Xu X, Yao Y, Shen Y, et al. Clinical analysis of percutaneous computed tomography-guided hook wire localization of 168 small pulmonary nodules. Ann Thorac Surg. 2015;100(5):1861\u20137.","journal-title":"Ann Thorac Surg"},{"issue":"10","key":"2012_CR2","doi-asserted-by":"publisher","first-page":"898.e7","DOI":"10.1016\/j.crad.2017.05.015","volume":"72","author":"T Gruber-Rouh","year":"2017","unstructured":"Gruber-Rouh T, Naguib NNN, Beeres M, et al. CT-guided hook-wire localisation prior to video-assisted thoracoscopic surgery of pulmonary lesions. Clin Radiol. 2017;72(10):898.e7-898.e11.","journal-title":"Clin Radiol"},{"key":"2012_CR3","doi-asserted-by":"publisher","first-page":"24","DOI":"10.1016\/j.ijsu.2018.01.014","volume":"51","author":"F Yao","year":"2018","unstructured":"Yao F, Wang J, Yao J, et al. Reevaluation of the efficacy of preoperative computed tomography-guided hook wire localization: a retrospective analysis. Int J Surg. 2018;51:24\u201330.","journal-title":"Int J Surg"},{"issue":"6","key":"2012_CR4","doi-asserted-by":"publisher","first-page":"1386","DOI":"10.1111\/1759-7714.13365","volume":"11","author":"F Yang","year":"2020","unstructured":"Yang F, Zhao H, Sui X, et al. Comparative study on preoperative localization techniques using microcoil and hookwire by propensity score matching. Thorac Cancer. 2020;11(6):1386\u201395.","journal-title":"Thorac Cancer"},{"issue":"2","key":"2012_CR5","doi-asserted-by":"publisher","first-page":"563","DOI":"10.1378\/chest.115.2.563","volume":"115","author":"K Suzuki","year":"1999","unstructured":"Suzuki K, Nagai K, Yoshida J, et al. Video-assisted thoracoscopic surgery for small indeterminate pulmonary nodules: indications for preoperative marking. 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Radiology. 2002;225(2):511\u20138.","journal-title":"Radiology"},{"issue":"3","key":"2012_CR8","doi-asserted-by":"publisher","first-page":"303","DOI":"10.1177\/0284185115576047","volume":"57","author":"H Miura","year":"2016","unstructured":"Miura H, Yamagami T, Tanaka O, et al. CT findings after lipiodol marking performed before video-assisted thoracoscopic surgery for small pulmonary nodules. Acta Radiol. 2016;57(3):303\u201310.","journal-title":"Acta Radiol"},{"issue":"1","key":"2012_CR9","doi-asserted-by":"publisher","first-page":"64","DOI":"10.1258\/ar.2010.100307","volume":"52","author":"YD Kim","year":"2011","unstructured":"Kim YD, Jeong YJ, Cho JS, et al. Localization of pulmonary nodules with lipiodol prior to thoracoscopic surgery. Acta Radiol. 2011;52(1):64\u20139.","journal-title":"Acta Radiol"},{"issue":"Suppl","key":"2012_CR10","first-page":"S319","volume":"8","author":"ZR Zhao","year":"2016","unstructured":"Zhao ZR, Lau RW, Ng CS. Hybrid theatre and alternative localization techniques in conventional and single-port video-assisted thoracoscopic surgery. J Thorac Dis. 2016;8(Suppl):S319\u201327.","journal-title":"J Thorac Dis"},{"issue":"3","key":"2012_CR11","doi-asserted-by":"publisher","first-page":"516","DOI":"10.1093\/ejcts\/ezx114","volume":"52","author":"K Luo","year":"2017","unstructured":"Luo K, Lin Y, Lin X, et al. Localization of peripheral pulmonary lesions to aid surgical resection: a novel approach for electromagnetic navigation bronchoscopic dye marking. Eur J Cardiothorac Surg. 2017;52(3):516\u201321.","journal-title":"Eur J Cardiothorac Surg"}],"container-title":["Journal of Cardiothoracic Surgery"],"original-title":[],"language":"en","link":[{"URL":"https:\/\/link.springer.com\/content\/pdf\/10.1186\/s13019-022-02012-4.pdf","content-type":"application\/pdf","content-version":"vor","intended-application":"text-mining"},{"URL":"https:\/\/link.springer.com\/article\/10.1186\/s13019-022-02012-4\/fulltext.html","content-type":"text\/html","content-version":"vor","intended-application":"text-mining"},{"URL":"https:\/\/link.springer.com\/content\/pdf\/10.1186\/s13019-022-02012-4.pdf","content-type":"application\/pdf","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2022,9,29]],"date-time":"2022-09-29T14:04:24Z","timestamp":1664460264000},"score":1,"resource":{"primary":{"URL":"https:\/\/cardiothoracicsurgery.biomedcentral.com\/articles\/10.1186\/s13019-022-02012-4"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2022,9,29]]},"references-count":11,"journal-issue":{"issue":"1","published-online":{"date-parts":[[2022,12]]}},"alternative-id":["2012"],"URL":"https:\/\/doi.org\/10.1186\/s13019-022-02012-4","relation":{},"ISSN":["1749-8090"],"issn-type":[{"value":"1749-8090","type":"electronic"}],"subject":[],"published":{"date-parts":[[2022,9,29]]},"assertion":[{"value":"5 December 2021","order":1,"name":"received","label":"Received","group":{"name":"ArticleHistory","label":"Article History"}},{"value":"27 September 2022","order":2,"name":"accepted","label":"Accepted","group":{"name":"ArticleHistory","label":"Article History"}},{"value":"29 September 2022","order":3,"name":"first_online","label":"First Online","group":{"name":"ArticleHistory","label":"Article History"}},{"order":1,"name":"Ethics","group":{"name":"EthicsHeading","label":"Declarations"}},{"value":"This study was approved by the Institutional Ethics Review Board of Beijing Hospital. An informed consent was obtained from all patients before surgery.","order":2,"name":"Ethics","group":{"name":"EthicsHeading","label":"Ethics approval and consent to participate"}},{"value":"Not applicable.","order":3,"name":"Ethics","group":{"name":"EthicsHeading","label":"Consent for publication"}},{"value":"The authors declare that they have no competing interests.","order":4,"name":"Ethics","group":{"name":"EthicsHeading","label":"Competing interests"}}],"article-number":"241"}}