%0 Journal Article %T A novel hybrid technique for localization of subcentimeter lung nodules %A Pang, Xuguang %A Xue, Liang %A Chen, Jiemin %A Ding, Jianyong %J Journal of Thoracic Disease %D 2017 %B 2017 %9 %! A novel hybrid technique for localization of subcentimeter lung nodules %K %X Background: It is technically challenging to locate non-visible, non-palpable subcentimeter ground-glass nodules (GGNs) of lung during video-assisted thoracic surgery (VATS). Computed tomography (CT)- guided marking of small pulmonary nodules using microcoils has been reported to be a practical method of preoperative localization, whereas dislodgement of microcoils remains to be a bothersome complication. The objective of this study was to assess the viability and effectiveness of a newly developed hybrid technique, which combines induced controllable pneumothorax and CT-guided microcoil marking procedure to reduce the risk of microcoil dislodgement. Methods: After induced minor pneumothorax, 35 patients with subcentimeter GGNs underwent CTguided marking with microcoils prior to VATS sublobar resection or lobectomy. Histopathological analysis was performed after surgeries. Results: All of 37 nodules were successfully marked before VATS. Segmentectomy was performed in 8 cases, wedge resection in 19 cases and lobectomy in 8 cases. All nodules were completely removed with marking microcoils. Dislodgement of microcoils was not observed in all cases and mild pulmonary hemorrhage occurred in one case. No other complications occurred. Conclusions: The newly developed hybrid technique which combines induced controllable pneumothorax and CT-guided marking using microcoils was feasible and reliable for VATS resection of subcentimeter GGNs, meanwhile significantly lowered the risk of microcoil dislocation. %U https://jtd.amegroups.org/article/view/12572 %V 9 %N 4 %P 1107-1112 %@ 2077-6624