LAUSR

The optimal method for resection of osteosarcoma pulmonary metastases remains controversial. Clinical equipoise between thoracoscopic approaches and traditional thoracotomy has been established. Patients with a single pulmonary nodule are a unique group that may particularly benefit from a minimally invasive approach, as they are less likely to have additional malignant lesions thus eliminating one of the main benefits of thoracotomy in this setting. Traditional preoperative localization techniques have well‐recognized limitations and drawbacks. We present a novel technique of nodule localization with near‐ infrared (NIR) intraoperative imaging using preoperative, systemic indocyanine green (ICG), and thoracoscopic resection with a thermal sealer and suturing of the visceral pleura.