Fluorescence navigation with indocyanine green for identification of intersegmental planes using a photodynamic eye camera.

ABSTRACT:

Background

Pulmonary segmentectomy is an important surgical option for complete resection in patients with poor lung function. However, correctly recognizing the intersegmental plane for accurate segmentectomy is sometimes difficult. We therefore developed a novel method that allows the detection of intersegmental planes using an indocyanine green (ICG) fluorescence imaging device, photodynamic eye (PDE) camera, PDE-neo.

Methods

As a prospective study, we performed bronchial ICG-guided segmentectomy using PDE-neo. The patients were placed in a lateral position under general anesthesia, and we performed a combined muscle-sparing minithoracotomy with video assistance. The pulmonary artery, pulmonary vein, and segmental bronchi were separated, and ICG mixed with autologous bloo

SUBMITTER: Funai K 

PROVIDER: S-EPMC7578513 | biostudies-literature | 2020 Sep

REPOSITORIES: biostudies-literature