{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,3,25]],"date-time":"2026-03-25T09:25:34Z","timestamp":1774430734301,"version":"3.50.1"},"reference-count":17,"publisher":"Frontiers Media SA","license":[{"start":{"date-parts":[[2026,3,25]],"date-time":"2026-03-25T00:00:00Z","timestamp":1774396800000},"content-version":"vor","delay-in-days":0,"URL":"https:\/\/creativecommons.org\/licenses\/by\/4.0\/"}],"content-domain":{"domain":["frontiersin.org"],"crossmark-restriction":true},"short-container-title":["Front. Surg."],"abstract":"<jats:sec>\n                    <jats:title>Background<\/jats:title>\n                    <jats:p>Accurate preoperative localization is crucial to improving the success rates of thoracoscopic surgery and minimizing postoperative complications. Hook-wire localization can be inaccurate when marking small pulmonary nodules near the fissures of the lungs. This study aims to evaluate the accuracy and safety of indocyanine green (ICG) staining combined with electromagnetic navigation bronchoscopy (ENB) compared to hook-wire percutaneous localization for pulmonary nodules near the fissures.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Methods<\/jats:title>\n                    <jats:p>A retrospective analysis was conducted on 64 patients who underwent video-assisted thoracic surgery (VATS). The patients were divided into two groups: Group A (ENB with ICG staining) and Group B (hook-wire percutaneous localization). The two groups were compared for localization time, complication rates, specimen retrieval time, and the need for extended resection.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Results<\/jats:title>\n                    <jats:p>\n                      The ENB group required more time for localization than the hook-wire group (25.30\u2005min vs. 19.68\u2005min,\n                      <jats:italic>P<\/jats:italic>\n                      \u2009&amp;lt;\u20090.05). However, only one case in the ENB group required further resection (3.0% vs. 22.6%,\n                      <jats:italic>P<\/jats:italic>\n                      \u2009=\u20090.018). The incidence of pneumothorax was significantly lower in the ENB group than in the hook-wire group (6.10% vs. 25.80%,\n                      <jats:italic>P<\/jats:italic>\n                      \u2009=\u20090.03).\n                    <\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Conclusion<\/jats:title>\n                    <jats:p>ENB combined with ICG staining for localization of nodules near the fissures significantly reduces the likelihood of extended resection and is associated with a higher safety profile compared to hook-wire percutaneous localization.<\/jats:p>\n                  <\/jats:sec>","DOI":"10.3389\/fsurg.2026.1803258","type":"journal-article","created":{"date-parts":[[2026,3,25]],"date-time":"2026-03-25T06:53:29Z","timestamp":1774421609000},"update-policy":"https:\/\/doi.org\/10.3389\/crossmark-policy","source":"Crossref","is-referenced-by-count":0,"title":["Preoperative localization of pulmonary nodules near the fissures: electromagnetic navigation bronchoscopy vs. hook-wire percutaneous localization"],"prefix":"10.3389","volume":"13","author":[{"given":"Yuhui","family":"Gong","sequence":"first","affiliation":[{"name":"Department of Cardiothoracic Surgery, The Fourth Affiliated Hospital of Soochow University","place":["Suzhou, Jiangsu, China"]}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Shiyu","family":"Shen","sequence":"additional","affiliation":[{"name":"Department of Cardiothoracic Surgery, The Fourth Affiliated Hospital of Soochow University","place":["Suzhou, Jiangsu, China"]}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Jialiang","family":"Liu","sequence":"additional","affiliation":[{"name":"Department of Cardiothoracic Surgery, The Fourth Affiliated Hospital of Soochow University","place":["Suzhou, Jiangsu, China"]}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Haitao","family":"Huang","sequence":"additional","affiliation":[{"name":"Department of Thoracic Surgery, The First Affiliated Hospital of Soochow University","place":["Suzhou, Jiangsu, China"]}],"role":[{"role":"author","vocabulary":"crossref"}]}],"member":"1965","published-online":{"date-parts":[[2026,3,25]]},"reference":[{"key":"B1","doi-asserted-by":"publisher","first-page":"103033","DOI":"10.1016\/j.eclinm.2024.103033","article-title":"Evolving trends in lung cancer risk factors in the ten most populous countries: an analysis of data from the 2019 global burden of disease study","volume":"79","author":"Jani","year":"2025","journal-title":"EClinicalMedicine"},{"key":"B2","doi-asserted-by":"publisher","first-page":"333","DOI":"10.1007\/s11604-024-01695-0","article-title":"Guidelines for the management of pulmonary nodules detected by low-dose CT lung cancer screening 6th edition: compiled by the Japanese society 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When does it palliate, prolong survival, and potentially cure?","volume":"55","author":"Stewart","year":"2018","journal-title":"Curr Probl Surg"},{"key":"B13","doi-asserted-by":"publisher","first-page":"1628410","DOI":"10.3389\/fonc.2025.1628410","article-title":"Archimedes navigation system-guided bronchoscopic trans-parenchymal nodule access for peripheral lung nodules: a single-center experience","volume":"15","author":"Yu","year":"2025","journal-title":"Front Oncol"},{"key":"B14","doi-asserted-by":"publisher","first-page":"699","DOI":"10.1007\/s11517-022-02740-8","article-title":"Coordinate-based fast lightweight path search algorithm for electromagnetic navigation bronchoscopy","volume":"61","author":"Wu","year":"2023","journal-title":"Med Biol Eng Comput"},{"key":"B15","doi-asserted-by":"publisher","first-page":"4371","DOI":"10.21037\/jtd-21-223","article-title":"Electromagnetic navigation bronchoscopy localization of lung nodules for thoracoscopic resection","volume":"13","author":"Mariolo","year":"2021","journal-title":"J Thorac Dis"},{"key":"B16","doi-asserted-by":"publisher","first-page":"8915","DOI":"10.21037\/jtd-2025-1374","article-title":"Advantages of electromagnetic navigation bronchoscopy in localizing pulmonary nodules challenging to traditional hook-wire localization: a comparative study on precision localization dilemmas","volume":"17","author":"Fu","year":"2025","journal-title":"J Thorac Dis"},{"key":"B17","doi-asserted-by":"publisher","first-page":"7910","DOI":"10.21037\/jtd-24-1303","article-title":"Localization strategies for deep lung nodule using electromagnetic navigation bronchoscopy and indocyanine green fluorescence: a technical note","volume":"16","author":"Xu","year":"2024","journal-title":"J Thorac Dis"}],"container-title":["Frontiers in Surgery"],"original-title":[],"link":[{"URL":"https:\/\/www.frontiersin.org\/articles\/10.3389\/fsurg.2026.1803258\/full","content-type":"unspecified","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2026,3,25]],"date-time":"2026-03-25T06:53:33Z","timestamp":1774421613000},"score":1,"resource":{"primary":{"URL":"https:\/\/www.frontiersin.org\/articles\/10.3389\/fsurg.2026.1803258\/full"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2026,3,25]]},"references-count":17,"alternative-id":["10.3389\/fsurg.2026.1803258"],"URL":"https:\/\/doi.org\/10.3389\/fsurg.2026.1803258","relation":{},"ISSN":["2296-875X"],"issn-type":[{"value":"2296-875X","type":"electronic"}],"subject":[],"published":{"date-parts":[[2026,3,25]]},"article-number":"1803258"}}