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Ann Thorac Surg 1992;53:1123-1124
© 1992 The Society of Thoracic Surgeons


Articles

Percutaneous localization of pulmonary nodules for thoracoscopic lung resection

Michael J. Mack, MD*, Murray J. Gordon, MD, Tom W. Postma, MD, Marc S. Berger, MD, Ronald J. Aronoff, MD, Tea E. Acuff, MD, William H. Ryan, MD

Departments of Surgery and Radiology, Humana Hospital Medical City Dallas, Dallas, Texas USA

Accepted for publication February 7, 1992.

* Address reprint requests to Dr Mack, 7777 Forest Lane, Suite C-202, Dallas, TX 75230 USA.

A limiting factor in removing pulmonary nodules by videothoracoscopic techniques is the inability to locate lesions deep within the substance of the lung. We describe a technique in which a hook wire commonly used to localize nonpalpable breast lesions is placed percutaneously into the lung nodule preoperatively. Using the wire anchored into the lung as a guide, the target lesion can be successfully identified and removed thoracoscopically.




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