Gaetano Rocco, MD, FRCSEd 

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A New Instrument for Intraoperative Visualization of Safe Surgical Margins for Small Lung Nodules  Gaetano Rocco, MD, FRCSEd  Seminars in Thoracic and Cardiovascular Surgery  Volume 30, Issue 1, Pages 92-94 (March 2018) DOI: 10.1053/j.semtcvs.2017.05.006 Copyright © 2017 Elsevier Inc. Terms and Conditions

Figure 1 Details of the “margin localizer” clamps. Two size clamps have been designed for nodules up to 1 and 1.5 cm, respectively. The inner diameters are measured based on the most recent literature-based recommendations on tumor-free margins for primary and secondary lung cancers. (Color version of figure is available online.) Seminars in Thoracic and Cardiovascular Surgery 2018 30, 92-94DOI: (10.1053/j.semtcvs.2017.05.006) Copyright © 2017 Elsevier Inc. Terms and Conditions

Figure 2 Schematics of the “tattooing” technique (from upper left to bottom right). After removing the clamp, the remaining tattoo around the nodule guides the resection at a safe distance from the tumor. Seminars in Thoracic and Cardiovascular Surgery 2018 30, 92-94DOI: (10.1053/j.semtcvs.2017.05.006) Copyright © 2017 Elsevier Inc. Terms and Conditions

The new lung clamp for the definition of tumor-free margins with the “tattooing” technique. Seminars in Thoracic and Cardiovascular Surgery 2018 30, 92-94DOI: (10.1053/j.semtcvs.2017.05.006) Copyright © 2017 Elsevier Inc. Terms and Conditions