Preoperative localization of pulmonary nodules near the fissures: electromagnetic navigation bronchoscopy vs. hook-wire percutaneous localization - Takeaways - MDSpire

Preoperative localization of pulmonary nodules near the fissures: electromagnetic navigation bronchoscopy vs. hook-wire percutaneous localization

  • By

  • Yuhui Gong

  • Shiyu Shen

  • Jialiang Liu

  • Haitao Huang

  • March 25, 2026

  • 0 min

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  • 1

    Electromagnetic navigation bronchoscopy (ENB) with indocyanine green (ICG) staining improves localization of pulmonary nodules near fissures.

  • 2

    ENB requires more localization time compared to hook-wire localization, averaging 25.30 minutes versus 19.68 minutes.

  • 3

    The need for extended resection was significantly lower in the ENB group, with only 3.0% requiring further surgery compared to 22.6% in the hook-wire group.

  • 4

    Pneumothorax incidence was significantly lower in the ENB group at 6.10% compared to 25.80% in the hook-wire group.

  • 5

    The study highlights the superior safety profile of ENB with ICG staining over traditional hook-wire localization for thoracoscopic surgery.

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