A simple and effective technique for identification of intersegmental planes by infrared thoracoscopy after transbronchial injection of indocyanine green 

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Presentation transcript:

A simple and effective technique for identification of intersegmental planes by infrared thoracoscopy after transbronchial injection of indocyanine green  Yasuo Sekine, MD, PhD, Eitetsu Ko, MD, PhD, Hideto Oishi, MD, PhD, Mitsuharu Miwa, MD  The Journal of Thoracic and Cardiovascular Surgery  Volume 143, Issue 6, Pages 1330-1335 (June 2012) DOI: 10.1016/j.jtcvs.2012.01.079 Copyright © 2012 The American Association for Thoracic Surgery Terms and Conditions

Figure 1 ICG fluorescence endoscope is equipped with a xenon light emitter and a charge-coupled device as an image detector with an optical high pass filter in front of the charge-coupled device so that the fluorescence signal can be detected efficiently. Without ICG, the object is dark. The fluorescence signal of ICG can be detected as bright white by using the ICG fluorescence endoscope. (The endoscope, lamp, and the video system are all manufactured by Hamamatsu Photonics, Hamamatsu, Japan.) CCD, Charge-coupled device. The Journal of Thoracic and Cardiovascular Surgery 2012 143, 1330-1335DOI: (10.1016/j.jtcvs.2012.01.079) Copyright © 2012 The American Association for Thoracic Surgery Terms and Conditions

Figure 2 Determination of the intersegmental line by ICG fluorescence (A, B) is shown, sparing the segmental surface between S6 and basal segments with electric cautery (C, D) (right basal segmentectomy). E, F, Identification of a residual portion of right segment S6 after right basal segmentectomy. A, C, E, Image with a normal light. B, D, F, Image with an infrared light. The Journal of Thoracic and Cardiovascular Surgery 2012 143, 1330-1335DOI: (10.1016/j.jtcvs.2012.01.079) Copyright © 2012 The American Association for Thoracic Surgery Terms and Conditions

Figure 3 Stapling of the intersegmental line between left S8 and S9 as visualized by ICG fluorescence (left S9 and S10 segmentectomy) (A, B) and identification of residual lung after left S9 + 10 segmentectomy with an infrared thoracoscope (C, D). A, C, Image with a normal light. B, D, Image with an infrared light. The Journal of Thoracic and Cardiovascular Surgery 2012 143, 1330-1335DOI: (10.1016/j.jtcvs.2012.01.079) Copyright © 2012 The American Association for Thoracic Surgery Terms and Conditions