Objectives: Introduction of the radiofrequency identification (RFID) marking system has enabled the precise localization of small pulmonary nodules, facilitating precise sublobar lung resection (PSR). However, the necessary hybrid operating room (HOR) for such precision procedures is mainly available in advanced medical institutions and not universally accessible. Performance of marker placement and lung resection at different facilities without the HOR can promote the widespread adoption of PSR.
Methods: We retrospectively analyzed the data of five patients who underwent thoracoscopic PSR at Fukuoka University Hospital after placement of RFID markers under cone beam computed tomography guidance at the Fukuoka Seisyukai Hospital from March to June 2024.
Results: In all patients, the RFID marker was successfully placed in the intended locations, and no marker migration and no clinical complications occurred during patient transfer from the Fukuoka Seisyukai Hospital to Fukuoka University Hospital. All patients underwent uneventful simultaneous marker removal and lesion resection within 72 h of marker placement.
Conclusion: It is feasible to transfer a patient to another facility after placing an RFID marker and subsequently perform PSR.
Keywords: Patient transfer; Precise sublobar resection; Radiofrequency identification marking; Small lung cancer; Small pulmonary nodules.
© 2025. The Author(s), under exclusive licence to The Japanese Association for Thoracic Surgery.
