Step-by-step lung nodule localization in the hybrid operating room using a double marking technique with Lipiodol and indocyanine green

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Authors: M. Mammana, Giovanni Zambello, Alberto Giovanni Busetto, Giuseppe Cataldi, Francesco Zaraca, Andrea Dell'Amore
Cited by: 1

Abstract

This video tutorial presents a step-by-step description of percutaneous lung nodule localization performed in a hybrid operating room using indocyanine green and Lipiodol under cone-beam computed tomography guidance. Preoperative localization is indicated when the surgeon anticipates difficulty identifying a pulmonary nodule by digital palpation during video-assisted thoracoscopic surgery. The combined use of indocyanine green fluorescence and fluoroscopy allows accurate intraoperative detection and confirmation of adequate resection margins.

Fields of Study & Subjects

Lung Cancer Diagnosis and Treatment Advanced Radiotherapy Techniques Hepatocellular Carcinoma Treatment and Prognosis

Publication details

Journal / source
Multimedia Manual of Cardio-Thoracic Surgery
Publisher
European Association of Cardiothoracic Surgery (EACTS Publishing Ltd)
Volume
2026
Publication date
7 January 2026
Language
EN