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

Slides:

Advertisements

Similar presentations

Ricardo S. Santos, MD, Jianmin Gan, MD, Carl J

Advertisements

Effusive Tuberculous Pericarditis

Pulmonary Lobectomy in a Patient With a Left Ventricular Assist Device

A Scimitar Syndrome Variant: Anomalous Systemic Arterial Supply to the Right Lung With Normal Pulmonary Venous Return Luis Gorospe, MD, Amparo Esteban-Peris,

Michael Kalina, DO, Frederick Giberson, MD

Sternal Nourishment in Various Conditions of Vascularization

Robotic Lobectomy Utilizing the Robotic Stapler

Oncologic Outcomes After Surgical Resection of Subcentimeter Non-Small Cell Lung Cancer Matthew J. Schuchert, MD, Arman Kilic, BS, Arjun Pennathur, MD,

Anthracotic Intrapulmonal Lymph Nodes Mimicking Lung Metastases

Bronchial Flap Closure of the Right Lower Lobe Bronchus

Improved Myocardial Perfusion and Thickening After Off-Pump Revascularization: 5- Year Follow-Up Chang Young Kim, MD, Ho Young Hwang, MD, Jin Chul Paeng,

Radial Artery Angiographic String Sign: Clinical Consequences and the Role of Pharmacologic Therapy Senri Miwa, MD, PhD, Nimesh Desai, MD, Tadaaki Koyama,

Long Esophageal Segment Laceration Caused by an Orogastric Tube During Laparoscopic Sleeve Gastrectomy Sang Kuon Lee, MD, Jongho Lee, MD The Annals.

David T. Cooke, MD, Danh V. Nguyen, PhD, Ying Yang, MS, Steven L

Anomalous Great Cardiac Vein Draining Into the Superior Vena Cava

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

Dominique Gossot, MD The Annals of Thoracic Surgery

Surgical Resection of a Giant Coronary Aneurysm

Katy A. Marino, MD, Jennifer L. Sullivan, MD, Benny Weksler, MD

Late Presentation of a Right Bochdalek Hernia With Intrathoracic Liver, Gallbladder, Intestines and Omentum With Right Lower Lobe Hypoplasia Mohammad.

Origins of the Cardiothoracic Surgery Network (CTSNet)

Who Do You Say You Are? The Annals of Thoracic Surgery

Yong Wang, MD, Xiaomei Zheng, MD, Kexiang Liu, PhD

Right Upper Lobe Venous Drainage Posterior to the Bronchus Intermedius: Preoperative Identification by Computed Tomography Katsuyuki Asai, MD, Norikazu.

Use of Amiodarone After Major Lung Resection

Stapler-Based Thoracoscopic Basilar Segmentectomy

Progressive Tracheal Erosion Consecutive to a Calcified Left Thyroid Lobe Anne B. Olland, MD, MS, Pierre-Emmanuel Falcoz, MD, PhD, Nicola Santelmo, MD,

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

Anomalous Origin of Left Pulmonary Artery From Left Subclavian Artery

Accessory Liver Lobe in the Left Thoracic Cavity

Thoracoscopic lobectomy

Commissural Closure for Repair of Mitral Commissural Prolapse

Hybrid Management of a Giant Left Main Coronary Artery Aneurysm

Reply The Annals of Thoracic Surgery

Single-Incision Thoracoscopic Lobectomy and Segmentectomy With Radical Lymph Node Dissection Bing-Yen Wang, MD, Cheng-Che Tu, MD, Chao-Yu Liu, MD, Chih-Shiun.

Embolized Methyl Methacrylate to the Right Atrium After Kyphoplasty

Hisashi Ishikura, MD, PhD, Suguru Kimura, MD, PhD

New Technique for Lung Segmentectomy Using Indocyanine Green Injection

En Bloc Upper and Lower Lobe Trisegmentectomy Facilitated by Displaced Segmental Airway Akifumi Nakamura, MD, Shun-ichi Watanabe, MD, Yukio Watanabe,

Alice Wang, MD, Thomas A. D'Amico, MD, Mark F. Berry, MD

Editorial Board, January 2010

Niravkumar K. Sangani, MD, MCh, Santosh Mathew Naliath, MD, MCh

Sarah C. Huen, MD, Chirag R. Parikh, MD, PhD

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

Mark K. Ferguson, MD, Cathy Bennett, PhD

Extensive Invasion of the Left Atrium by Lung Cancer

Completely Thrombosed Tricuspid Pouch Mimicking a Cardiac Tumor

Thoracoscopic Bleb Resection Using Two-Lung Ventilation Anesthesia With Low Tidal Volume for Primary Spontaneous Pneumothorax Heezoo Kim, MD, PhD, Hyun.

Surgical Technique of Lower Lobe Lung Transplantation

Postoperative Pleural Effusion in Bronchioloalveolar Cancer

Ricardo S. Santos, MD, Jianmin Gan, MD, Carl J

Koji Kawahito, MD, Hideo Adachi, MD The Annals of Thoracic Surgery

Nonintubated Thoracoscopic Anatomical Segmentectomy for Lung Tumors

Contraceptive Implant Embolism Into the Pulmonary Artery: Thoracoscopic Retrieval Pascal A. Thomas, MD, PhD, Donatella Di Stefano, MD, Cécile Couteau,

Transthoracic Esophagectomy Using Endobronchial Blocker After Previous Pneumonectomy Haifeng Wang, MD, Ji Liu, MD, Chao Jiang, MD, Ming Liu, MD, Gening.

Invited Commentary The Annals of Thoracic Surgery

Digital Drainage System Reduces Hospitalization After Video-Assisted Thoracoscopic Surgery Lung Resection Daniel L. Miller, MD, Gerald A. Helms, MD,

Nonintubated Thoracoscopic Pneumonectomy for Bullous Emphysema

Posttraumatic Main Left Bronchial Rupture

Atsushi Sano, MD, PhD, Takuma Yotsumoto, MD

Temporary Clamping of Branch Pulmonary Artery for Pulmonary Hemorrhage After Endarterectomy Srinivasa Reddy, MCh, Balram Babu Rajanbabu, MCh, Nalkunda.

Jiang Lei, MD The Annals of Thoracic Surgery

Y. Joseph Woo, MD, Michael A. Acker, MD The Annals of Thoracic Surgery

Intraoperative Pneumothorax Presenting as Abdominal Distention

Initial Experience of Robotic Sleeve Resection for Lung Cancer Patients Xufeng Pan, MD, Chang Gu, MD, Rui Wang, MD, Heng Zhao, MD, Jianxin Shi, MD, Haiquan.

A New Classification for Right Top Pulmonary Vein

Late Consequences of a Much Earlier Decision

The Impact of New Technology on Cardiothoracic Surgical Practice

Heart Transplant Program Volume Is Not a Measure of Quality

Huseyin Okutan, MD The Annals of Thoracic Surgery

Presentation transcript:

Methylene Blue Staining: A New Technique for Identifying Intersegmental Planes in Anatomic Segmentectomy Zheng Zhang, MD, Yongde Liao, MD, PhD, Bo Ai, MD, Changyu Liu, MD The Annals of Thoracic Surgery Volume 99, Issue 1, Pages 238-242 (January 2015) DOI: 10.1016/j.athoracsur.2014.07.071 Copyright © 2015 The Society of Thoracic Surgeons Terms and Conditions

Fig 1 Methylene blue was injected into the segmental bronchus, and pictures were captured every 5 min for comparison. After the injection of methylene blue, the anterior segment of the left upper lobe turned blue, while the adjacent segment remained normal. (A) Five minutes later. (B) Thirty minutes later. The Annals of Thoracic Surgery 2015 99, 238-242DOI: (10.1016/j.athoracsur.2014.07.071) Copyright © 2015 The Society of Thoracic Surgeons Terms and Conditions

Fig 2 (A) The target segmental vein, artery, and bronchus were cut off, and methylene blue was injected into the target bronchus using an intravenous infusion needle under thoracoscopic guidance. (B) After injection of the methylene blue, the apical segment of the right lower lobe was stained blue and the basal segment remained unstained. Half the target segment was cut off using the linear stapling device. (C) During open anatomic segmentectomy, 20 mL of 0.1% methylene blue was slowly injected into the left lingular bronchus using the intravenous infusion needle. (D) Use of the linear stapling device to cut off the lung tissue along the stained boundary. The Annals of Thoracic Surgery 2015 99, 238-242DOI: (10.1016/j.athoracsur.2014.07.071) Copyright © 2015 The Society of Thoracic Surgeons Terms and Conditions