Trans-scapular approach coil localization for scapular-blocked pulmonary nodules: a retrospective study

Abstract Background Preoperative computed tomography (CT)-guided coil localization (CL) is commonly used to facilitate video-assisted thoracoscopic surgery (VATS)-guided diagnostic wedge resection (WR) of pulmonary nodules (PNs). When a scapular-blocked PN (SBPN) localized, the trans-scapular CL (TSCL) performed. In this study, we investigated safety, feasibility, and clinical efficacy preoperative CT-guided TSCL for SBPNs. Materials methods From January 2014 September 2020, total 152 patients with PNs underwent prior VATS-guided WR. Of these patients, 14 had SBPNs procedure. Results A were localized in patients. The mean diameter was 7.4 ± 2.4 mm. technical success rate scapula puncture 100%. No complications occurred near scapula. 92.9%. One dropped off when performing VATS duration 14.2 2.7 min. Two (14.3%) developed asymptomatic pneumothorax after TSCL. WR patient who experienced failure directly lobectomy. 90.0 42.4 min blood loss 62.9 37.2 ml. final diagnoses included invasive adenocarcinoma ( n = 4), situ 9), benign disease 1). Conclusions safe simple procedure that can high rates