Abstract
Background The aim of the study is to evaluate the feasibility, safety, and effectiveness of
preoperative computed tomography (CT)-guided trans-scapular coil localization (TSCL)
of scapula-blocked pulmonary nodules (PNs).
Methods Between November 2015 and May 2020, 11 patients underwent preoperative CT-guided
TSCL procedures owing to PN occlusion by scapula.
Results A 100% technical success rate was achieved for CT-guided TSCL, with one coil being
used for each PN. One patient (9.1%) developed pneumothorax. Successful video-assisted
thoracoscopic surgery (VATS)-guided wedge resection of these scapula-blocked PNs was
conducted in all patients.
Conclusion CT-guided TSCL can be simply and safely used to facilitate successful VATS-guided
wedge resection of scapula-blocked PNs.
Keywords
localization - trans-scapular - coil - lung nodule