{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,7,29]],"date-time":"2026-07-29T03:25:16Z","timestamp":1785295516775,"version":"3.55.0"},"reference-count":30,"publisher":"SAGE Publications","license":[{"start":{"date-parts":[[2022,2,25]],"date-time":"2022-02-25T00:00:00Z","timestamp":1645747200000},"content-version":"unspecified","delay-in-days":0,"URL":"https:\/\/creativecommons.org\/licenses\/by-nc\/4.0\/"}],"content-domain":{"domain":[],"crossmark-restriction":false},"short-container-title":["THC"],"published-print":{"date-parts":[[2022,2,25]]},"abstract":"<jats:p>BACKGROUND: Video-assisted thoracic surgery (VATS) is a minimally invasive technique for the diagnosis and management of small pulmonary nodular lesions However, the identification of some lung nodules remains difficult. OBJECTIVE: This research aimed to investigate the clinical value of preoperative computed tomography (CT)-guided hookwire localization of solitary pulmonary nodules (SPNs) for thoracoscopic resection. METHODS: Seventy-one patients with 74 SPNs underwent VATS wedge resection after CT-guided hookwire localization. The mean diameter of the SPNs was 8.50 \u00b1 4.53\u00a0mm,,besides, the mean distance from the SPNs to the parietal pleura was 16.81 \u00b1 5.23\u00a0mm. RESULTS: Sixty-nine of the 74 nodules were successfully localized using a CT-guided hookwire. The success rate of CT-guided localization was 93.2%. The average localization time was 15.23 \u00b1 7.21\u00a0min per lesion. Seven patients (9.5%) had asymptomatic pneumothorax and 10 (13.5%) had minimal needle tract parenchymal hemorrhages after localization no clinical intervention was required for these patients. The rate of success for VATS wedge resection of the SPNs was 100%. Histological analysis of the SPNs revealed malignant disease in 67.4% of the patients. CONCLUSIONS: Preoperative CT-guided hookwire localization for thoracoscopic resection is a safe and effective operation for the identification and stable fixation of SPNs.<\/jats:p>","DOI":"10.3233\/thc-thc228042","type":"journal-article","created":{"date-parts":[[2022,2,1]],"date-time":"2022-02-01T13:58:23Z","timestamp":1643723903000},"page":"459-467","source":"Crossref","is-referenced-by-count":16,"title":["Clinical value and application of preoperative CT-guided hookwire localization of solitary pulmonary nodules for video-assisted thoracic surgery"],"prefix":"10.1177","volume":"30","author":[{"given":"Gen","family":"Yan","sequence":"first","affiliation":[{"name":"Department of Radiology, The Second Affiliated Hospital of Xiamen Medical College, Xiamen, Fujian, China"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Xiaofang","family":"Cheng","sequence":"additional","affiliation":[{"name":"The First Affiliated Hospital of Jinan University, Guangzhou, Guangdong, China"},{"name":"Department of Radiology, Affiliated Brain Hospital of Guangzhou Medical University, Guangzhou Huiai Hospital, Guangzhou, Guangdong, China"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Shuohua","family":"Wu","sequence":"additional","affiliation":[{"name":"Department of Medical Imaging, The Second Affiliated Hospital of Shantou University Medical College, Shantou, Guangdong, China"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Yuxi","family":"Ge","sequence":"additional","affiliation":[{"name":"Department of Radiology, Affiliated Hospital, Jiangnan University, Wuxi, Jiangsu, China"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Shanhua","family":"Li","sequence":"additional","affiliation":[{"name":"Department of Basic Medical Sciences, School of Medicine, Xiamen University, Xiamen, Fujian, China"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Yinghua","family":"Xuan","sequence":"additional","affiliation":[{"name":"Department of Basic Medicine, Xiamen Medical College, Xiamen, Fujian, China"}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"179","reference":[{"key":"10.3233\/THC-THC228042_ref1","doi-asserted-by":"crossref","unstructured":"Shersher DD, Kim AW. Solitary pulmonary nodules Common surgical diseases. Springer, New York. 2015.","DOI":"10.1007\/978-1-4939-1565-1_68"},{"issue":"13","key":"10.3233\/THC-THC228042_ref2","doi-asserted-by":"crossref","first-page":"83","DOI":"10.1016\/S0272-5231(21)00839-X","article-title":"Evaluation and management of solitary and multiple pulmonary nodules","volume":"3","author":"Viggiano","year":"1992","journal-title":"Clin Chest Med."},{"key":"10.3233\/THC-THC228042_ref3","doi-asserted-by":"crossref","first-page":"2535","DOI":"10.1056\/NEJMcp012290","article-title":"The solitary pulmonary nodule","volume":"348","author":"Ost","year":"2003","journal-title":"N Engl J Med Clinical Practice."},{"key":"10.3233\/THC-THC228042_ref4","first-page":"43","article-title":"Solitary pulmonary nodules: Part I. Morphologic evaluation for differentiation of benign and malignant lesions","volume":"20","author":"Erasmus","year":"2000","journal-title":"Radio Graphics."},{"key":"10.3233\/THC-THC228042_ref5","doi-asserted-by":"publisher","first-page":"35","DOI":"10.1590\/0100-3984.2014.0012","article-title":"Solitary pulmonary nodule and 18F-FDG PET\/CT. Part 1: Epidemiology, morphological evaluation and cancer probability","volume":"49","author":"Mosmann","year":"2016","journal-title":"Radiol Bras"},{"key":"10.3233\/THC-THC228042_ref6","doi-asserted-by":"publisher","first-page":"824","DOI":"10.3892\/ol.2012.800","article-title":"Combination of CT-guided hookwire localization and video-assisted thoracoscopic surgery for pulmonary nodular lesions: analysis of 103 patients","volume":"4","author":"Li","year":"2012","journal-title":"Oncol Lett."},{"key":"10.3233\/THC-THC228042_ref7","doi-asserted-by":"crossref","first-page":"155","DOI":"10.1007\/s00330-014-3396-2","article-title":"Assessing probability of malignancy in solid solitary pulmonary nodules with a new Bayesian calculator: improving diagnostic accuracy by means of expanded and updated features","volume":"25","author":"Soardi","year":"2015","journal-title":"Eur Rad."},{"key":"10.3233\/THC-THC228042_ref8","doi-asserted-by":"crossref","first-page":"24","DOI":"10.1016\/j.ijsu.2018.01.014","article-title":"Reevaluation of the efficacy of preoperative computed tomography-guided hook wire localization: A retrospective analysis","volume":"51","author":"Yao","year":"2018","journal-title":"Int J Surg."},{"key":"10.3233\/THC-THC228042_ref9","doi-asserted-by":"crossref","first-page":"809","DOI":"10.1016\/j.jtcvs.2011.10.038","article-title":"Factors determining successful computed tomography-guided localization of lung nodules","volume":"143","author":"Seo","year":"2012","journal-title":"J Thorac Cardiovasc Surg."},{"key":"10.3233\/THC-THC228042_ref10","doi-asserted-by":"crossref","first-page":"563","DOI":"10.1378\/chest.115.2.563","article-title":"Video-assisted thoracoscopic surgery for small indeterminate pulmonary nodules: indications for preoperative marking","volume":"115","author":"Suzuki","year":"1999","journal-title":"Chest."},{"key":"10.3233\/THC-THC228042_ref11","doi-asserted-by":"crossref","first-page":"1203","DOI":"10.1016\/j.athoracsur.2013.05.026","article-title":"Efficacy and complications of computed tomography-guided hook wire localization","volume":"96","author":"Ichinose","year":"2013","journal-title":"Ann Thorac Surg."},{"key":"10.3233\/THC-THC228042_ref12","doi-asserted-by":"crossref","first-page":"911","DOI":"10.1016\/S0929-6646(08)60061-3","article-title":"CT-guided hook wire localization of subpleural lung lesions for video-assisted thoracoscopic surgery (VATS)","volume":"106","author":"Chen","year":"2007","journal-title":"J Formos Med Assoc."},{"key":"10.3233\/THC-THC228042_ref13","doi-asserted-by":"crossref","first-page":"131","DOI":"10.4103\/sja.SJA_395_17","article-title":"Anesthetic considerations for video-assisted thoracoscopic surgery in a child with Glenn shunt for thoracic duct ligation and pleurodesis","volume":"12","author":"Kakkar","year":"2018","journal-title":"Saudi J Anaesth."},{"key":"10.3233\/THC-THC228042_ref14","first-page":"3123","article-title":"Percutaneous localization of pulmonary nodules prior to thoracoscopic surgery by CT-guided hook-wire","volume":"26","author":"Kastl","year":"2016","journal-title":"Anticancer Res."},{"key":"10.3233\/THC-THC228042_ref15","doi-asserted-by":"crossref","unstructured":"Watanabe K, Nomori H, Ohtsuka T, Kaji M, Naruke T, Suemasu K. Usefulness and complications of computed tomography-guided lipiodol marking for fluoroscopy-assisted thoracoscopic resection of small pulmonary nodules: experience with 174 nodules. J Thorac Cardiovasc Surg. 2006.","DOI":"10.1016\/j.jtcvs.2006.04.012"},{"key":"10.3233\/THC-THC228042_ref16","first-page":"PA2821","article-title":"The efficacy and safety of CT-guided percutaneous hookwire localization in VATS for pulmonary nodules","volume":"48","author":"Klinkenberg","year":"2016","journal-title":"Eur Respir J."},{"key":"10.3233\/THC-THC228042_ref17","doi-asserted-by":"crossref","first-page":"1334","DOI":"10.2214\/AJR.16.16272","article-title":"Preoperative pulmonary nodule localization: A comparison of methylene blue and hookwire techniques","volume":"207","author":"Kleedehn","year":"2016","journal-title":"AJR Am J Roentgenol."},{"key":"10.3233\/THC-THC228042_ref18","doi-asserted-by":"crossref","first-page":"74","DOI":"10.1016\/j.clinimag.2019.06.015","article-title":"A simple and efficient method to perform preoperative pulmonary nodule localization: CT-guided patent blue dye injection","volume":"58","author":"Ko","year":"2019","journal-title":"Clin Imaging."},{"key":"10.3233\/THC-THC228042_ref19","doi-asserted-by":"crossref","first-page":"657","DOI":"10.1111\/1754-9485.12214","article-title":"Usefulness of CT-guided hookwire marking before video-assisted thoracoscopic surgery for small pulmonary lesions","volume":"58","author":"Suzuki","year":"2014","journal-title":"J Med Imaging Radiat Oncol."},{"key":"10.3233\/THC-THC228042_ref20","doi-asserted-by":"crossref","first-page":"26","DOI":"10.1016\/j.jtcvs.2014.08.055","article-title":"Preoperative computed tomography-guided microcoil localization of small peripheral pulmonary nodules: A prospective randomized controlled trial","volume":"149","author":"Finley","year":"2015","journal-title":"J Thorac Cardiovasc Surg"},{"key":"10.3233\/THC-THC228042_ref21","doi-asserted-by":"crossref","first-page":"898","DOI":"10.1002\/jso.24589","article-title":"CT-guided percutaneous hookwire localization increases the efficacy and safety of VATS for pulmonary nodules","volume":"115","author":"Klinkenberg","year":"2017","journal-title":"J Surg Oncol."},{"key":"10.3233\/THC-THC228042_ref22","doi-asserted-by":"crossref","first-page":"401","DOI":"10.1067\/mtc.2002.124257","article-title":"Computed tomography-guided localization of small lung nodules before video-assisted resection: experience with an efficient hook-wire system","volume":"124","author":"Wicky","year":"2002","journal-title":"J Thorac Cardiovasc Surg."},{"key":"10.3233\/THC-THC228042_ref23","doi-asserted-by":"crossref","first-page":"429","DOI":"10.1016\/j.ejcts.2003.11.036","article-title":"Video-assisted thoracoscopic surgery for pulmonary nodules: rationale for preoperative computed tomography-guided hookwire localization","volume":"25","author":"Ciriaco","year":"2004","journal-title":"Eur J Cardio Thorac Surg."},{"key":"10.3233\/THC-THC228042_ref24","doi-asserted-by":"crossref","first-page":"5","DOI":"10.1186\/s13019-016-0404-4","article-title":"\u201cPre-operative localization of solitary pulmonary nodules with computed tomography-guided hook wire: report of 181 patients\u201d","volume":"11","author":"Hanauer","year":"2016","journal-title":"J Cardiothorac Surg."},{"key":"10.3233\/THC-THC228042_ref25","doi-asserted-by":"crossref","first-page":"378","DOI":"10.1016\/j.ejcts.2009.03.039","article-title":"Clinical outcomes of short hook wire and suture marking system in thoracoscopic resection for pulmonary nodules","volume":"36","author":"Miyoshi","year":"2009","journal-title":"Eur J Cardio Thorac Surg."},{"key":"10.3233\/THC-THC228042_ref26","doi-asserted-by":"crossref","first-page":"385","DOI":"10.1007\/s11604-009-0353-0","article-title":"Systemic air embolism during preoperative pulmonary marking with a short hook wire and suture system under CT fluoroscopy guidance","volume":"27","author":"Iguchi","year":"2009","journal-title":"Jpn J Radiol"},{"issue":"9","key":"10.3233\/THC-THC228042_ref27","first-page":"492","article-title":"Arterial gas embolism: A rare complication of core needle biopsy in the diagnosis of solitary pulmonary nodule","volume":"55","author":"Ramos","year":"2019","journal-title":"Arch Bronconeumol."},{"key":"10.3233\/THC-THC228042_ref28","first-page":"388","article-title":"Role of video-assisted thoracic surgery for the diagnosis of indeterminate pulmonary nodule","volume":"12","author":"Hirai","year":"2006","journal-title":"Ann Thorac Cardiovasc Surg."},{"key":"10.3233\/THC-THC228042_ref29","doi-asserted-by":"crossref","first-page":"1729","DOI":"10.1007\/s00464-010-1502-3","article-title":"Video-assisted thoracoscopic solitary pulmonary nodule resection after CT-guided hookwire localization: 43 cases report and literature review","volume":"25","author":"Chen","year":"2011","journal-title":"Surg Endosc."},{"key":"10.3233\/THC-THC228042_ref30","doi-asserted-by":"crossref","first-page":"S42","DOI":"10.1102\/1470-7330.2006.9004","article-title":"Solitary pulmonary nodule: detection and management","author":"Diederich","year":"2006","journal-title":"Cancer Imaging 6(Special Issue a)"}],"container-title":["Technology and Health Care"],"original-title":[],"link":[{"URL":"https:\/\/content.iospress.com\/download?id=10.3233\/THC-THC228042","content-type":"unspecified","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2026,5,1]],"date-time":"2026-05-01T05:21:11Z","timestamp":1777612871000},"score":1,"resource":{"primary":{"URL":"https:\/\/journals.sagepub.com\/doi\/full\/10.3233\/THC-THC228042"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2022,2,25]]},"references-count":30,"URL":"https:\/\/doi.org\/10.3233\/thc-thc228042","relation":{},"ISSN":["0928-7329","1878-7401"],"issn-type":[{"value":"0928-7329","type":"print"},{"value":"1878-7401","type":"electronic"}],"subject":[],"published":{"date-parts":[[2022,2,25]]}}}