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In 328 cases (100%), the location of the lesion was determined by palpation of the four-paw anchor in the lung and was successfully resected by VATS, and the correct diagnosis was obtained. In this series, CT-guided pre-operative localization of pulmonary nodules with the AWSS system was safe and had a high positioning accuracy and success rate. In this series, CT-guided pre-operative localization of pulmonary nodules with the AWSS system was safe and had a high positioning accuracy and success rate. In addition to disease-specific comp