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Low-dose computed tomography screening has recently increased the detection rate of small pulmonary nodules. The surgical techniques and policies for managing screen-detected lung nodules are different from those for advanced lung cancer. In the past decade, several novel tumor localization methods and surgical management policies have been developed for such patients. In this article, we reviewed studies related to two different screen-detected lung nodule localization techniques at our institute. We also reviewed studies related to the surgical policies of sublobar resection and the application of nonintubated thoracoscopy in the management of screen-detected lung nodules at our institute. These novel techniques and surgical policies may be helpful to physicians in the management of screen-detected lung nodules.