A novel fluorescence technique for identification of the pulmonary segments by using the photodynamic diagnosis endoscope system: An experimental study.

Slides:

Advertisements

Similar presentations

Max B. Mitchell, MD The Journal of Thoracic and Cardiovascular Surgery

Advertisements

Lost in translation The Journal of Thoracic and Cardiovascular Surgery

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

The hybrid procedure for hypoplastic left heart syndrome: A procedure still looking for its place Carlos M. Mery, MD, MPH The Journal of Thoracic and.

The eighth edition TNM stage classification for lung cancer: What does it mean on main street? Frank C. Detterbeck, MD The Journal of Thoracic and Cardiovascular.

Ugonna N. Ihekweazu, BS, William D. Travis, MD, Raja M. Flores, MD

Surgery for congenital diseases of the aorta

A potential window into surgical outcomes for Berry syndrome

Pablo G. Sanchez, MD, PhD, Keshava Rajagopal, MD, PhD, Si M

Complete thoracoscopic S9 or S10 segmentectomy through a pulmonary ligament approach Takuma Kikkawa, MD, Masato Kanzaki, MD, PhD, Tamami Isaka, MD, PhD,

Interventional radiology suite or hybrid operating room: Which is the best for lung nodule localization? Robert B. Cameron, MD The Journal of Thoracic.

The days of future past Neel K. Ranganath, MD, Aubrey C. Galloway, MD

Ground glass opacity of the lung: The veil that needs lifting

Right internal thoracic artery or saphenous vein grafting

Use of indocyanine green to facilitate intersegmental plane identification during robotic anatomic segmentectomy Alessandro Pardolesi, MD, Giulia Veronesi,

Form ever follows function

Quantification of caval flow contribution to the lungs in vivo after total cavopulmonary connection with 4-dimensional flow magnetic resonance imaging

Harold L. Lazar, MD The Journal of Thoracic and Cardiovascular Surgery

Systemic and regional pulmonary function after segmentectomy

Bigger The Journal of Thoracic and Cardiovascular Surgery

The lord of the rings Antonio Miceli, MD, PhD

Is tissue the issue? Brian E. Louie, MD, MHA, MPH, FRCSC, FACS

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

New clinically applicable method for visualizing adjacent lung segments using an infrared thoracoscopy system Noriyuki Misaki, MD, Sung Soo Chang, MD,

Main stem bronchus surgery with pulmonary preservation

Fabian A. Kari, MD, Matthias Siepe, MD, Friedhelm Beyersdorf, MD

The assessment of cost effectiveness and the effectiveness of cost assessment in cardiothoracic surgery Vinay Badhwar, MD The Journal of Thoracic and.

It's not “just a shunt” but sometimes it should be…

Military surgeons just want to have fun

A first start for lung transplantation?

Ashok Muniappan, MD The Journal of Thoracic and Cardiovascular Surgery

A simplified technique for pulmonary artery aneurysm repair in a lung transplant recipient with right ventricular outflow tract obstruction Giorgio Zanotti,

Navigating the lung for hidden treasure

Imaging of tumor infiltration of the pulmonary artery amenable to sleeve resection Anna Maria Ciccone, MD, Antonio D'Andrilli, MD, Federico Venuta, MD,

A randomized comparison of different ventilator strategies during thoracotomy for pulmonary resection Andrew D. Maslow, MD, Todd S. Stafford, MD, Kristopher.

Derrick Y. Tam, MD, Stephen E. Fremes, MD, MSc

Leora B. Balsam, MD, Abe DeAnda, MD

Novel insights into lung regenerative medicine

A fate worse than death Jennifer S. Lawton, MD

Uma M. Sachdeva, MD, PhD, Daniela Molena, MD

Conservative management of an intrapericardial contained rupture of the right pulmonary artery in blunt trauma: A good idea? Pierre Demondion, MD, Patrick.

Pre-dicting post-ligation syndrome

Passing the torch The Journal of Thoracic and Cardiovascular Surgery

The thoracoabdominal saga and heroes

Shunt right or left? Decision 2016

What is the best material for extracardiac Fontan operation?

Functional tricuspid pathology: To treat or not to treat

The origins of open heart surgery at the University of Minnesota 1951 to 1956 Richard A. DeWall, MD The Journal of Thoracic and Cardiovascular Surgery

The Journal of Thoracic and Cardiovascular Surgery

The Journal of Thoracic and Cardiovascular Surgery

Discussion The Journal of Thoracic and Cardiovascular Surgery

Keep it short and sweet Ian A. Makey, MD, Scott B. Johnson, MD

The future of cardiac surgery training: A survival guide

The patent internal thoracic artery graft: Increased degree of difficulty for left-sided pulmonary resections Robbin G. Cohen, MD, MMM The Journal of.

Elaine Tang, BEng, Ajit P. Yoganathan, PhD

After neoadjuvant chemoradiation therapy, predicted pulmonary function may be reduced by 10% Benny Weksler, MD, MBA The Journal of Thoracic and Cardiovascular.

“The more things change…”: The challenges ahead

Junaid Haroon, MD, Subroto Paul, MD, MPH

Aritoshi Hattori, MD, Kenji Suzuki, MD

Out of sight, out of mind Dawn S. Hui, MD, Richard Lee, MD, MBA

Apples remain apples NO matter what

Energized lung resections

Respect the aorta The Journal of Thoracic and Cardiovascular Surgery

Preoperative PFTs: The answer is blowing in the wind

Methylene Blue Staining: A New Technique for Identifying Intersegmental Planes in Anatomic Segmentectomy Zheng Zhang, MD, Yongde Liao, MD, PhD, Bo Ai,

Who should decide margin length in pulmonary excision of lung cancer?

Samuel Kim, MD The Journal of Thoracic and Cardiovascular Surgery

Journal changes and initiatives

Edward Y. Chan, MD, Michael J. Reardon, MD

T. K. Susheel Kumar, MD, Pranava Sinha, MD, Mary T

Presentation transcript:

A novel fluorescence technique for identification of the pulmonary segments by using the photodynamic diagnosis endoscope system: An experimental study in ex vivo porcine lung Ryuichi Waseda, MD, Makoto Oda, MD, Isao Matsumoto, MD, Masaya Takizawa, MD, Mitsutaka Suzuki, MD, Masahiro Ohsima, MD, Go Watanabe, MD The Journal of Thoracic and Cardiovascular Surgery Volume 146, Issue 1, Pages 222-227 (July 2013) DOI: 10.1016/j.jtcvs.2012.09.010 Copyright © 2013 The American Association for Thoracic Surgery Terms and Conditions

Figure 1 The PDD endoscope system. The Journal of Thoracic and Cardiovascular Surgery 2013 146, 222-227DOI: (10.1016/j.jtcvs.2012.09.010) Copyright © 2013 The American Association for Thoracic Surgery Terms and Conditions

Figure 2 Schema of the porcine lung. A, Ventral aspect. B, Right lateral aspect. The right cranial lobe consists of only a cranial segment and a caudal segment. The right caudal lobe consists of lateral (L) segments 2 to 6, dorsal (D) segments 2 to 6, medial (M) segment 4, and ventral (V) segments 2 to 5. The right cranial segment is circled with a continuous line. The right L2 segment is circled with a dashed line. RPA, Right pulmonary artery; LPA, left pulmonary artery; a, cranial branch; b, caudal branch; III, cranial lobe bronchus. Reprinted with permission.10 The Journal of Thoracic and Cardiovascular Surgery 2013 146, 222-227DOI: (10.1016/j.jtcvs.2012.09.010) Copyright © 2013 The American Association for Thoracic Surgery Terms and Conditions

Figure 3 Segmentectomy of the right cranial lobe. A, Normal light imaging. B to F, Fluorescence imaging. L1, Lateral segment. The Journal of Thoracic and Cardiovascular Surgery 2013 146, 222-227DOI: (10.1016/j.jtcvs.2012.09.010) Copyright © 2013 The American Association for Thoracic Surgery Terms and Conditions

Figure 4 L2 segmentectomy in the right caudal lobe. A to F, Fluorescence imaging. L, Lateral segment; V, ventral segment; D, dorsal segment. The Journal of Thoracic and Cardiovascular Surgery 2013 146, 222-227DOI: (10.1016/j.jtcvs.2012.09.010) Copyright © 2013 The American Association for Thoracic Surgery Terms and Conditions

Figure 5 Comparison of light intensity between the fluorescent and adjacent nonfluorescent segments measured at 15-minute intervals after injection until 1 hour later. The Journal of Thoracic and Cardiovascular Surgery 2013 146, 222-227DOI: (10.1016/j.jtcvs.2012.09.010) Copyright © 2013 The American Association for Thoracic Surgery Terms and Conditions

Figure 6 Pathologic findings of the intersegmental plane. A, Hematoxylin–eosin stain; B, Azan stain. Arrows point to the fibrous tissue in the intersegmental plane. The Journal of Thoracic and Cardiovascular Surgery 2013 146, 222-227DOI: (10.1016/j.jtcvs.2012.09.010) Copyright © 2013 The American Association for Thoracic Surgery Terms and Conditions