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

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Presentation transcript:

New clinically applicable method for visualizing adjacent lung segments using an infrared thoracoscopy system Noriyuki Misaki, MD, Sung Soo Chang, MD, Hitoshi Igai, MD, Shintarou Tarumi, MD, Masashi Gotoh, MD, PhD, Hiroyasu Yokomise, MD, PhD The Journal of Thoracic and Cardiovascular Surgery Volume 140, Issue 4, Pages 752-756 (October 2010) DOI: 10.1016/j.jtcvs.2010.07.020 Copyright © 2010 The American Association for Thoracic Surgery Terms and Conditions

Figure 1 The computed tomographic images were reconstructed 3 dimensionally. The left pulmonary artery (arrow) and the tumor (arrowhead) are evident. The Journal of Thoracic and Cardiovascular Surgery 2010 140, 752-756DOI: (10.1016/j.jtcvs.2010.07.020) Copyright © 2010 The American Association for Thoracic Surgery Terms and Conditions

Figure 2 Findings of thoracoscopy in case 3. A, The top of the figure represents the cranial direction and the left side the anterior direction. The intersegmental line is not clearly evident under normal light. B, The appearance under infrared light without indocyanine green. C, The intersegmental line is clearly delineated by the boundary of colors under infrared thoracoscopy with indocyanine green. The Journal of Thoracic and Cardiovascular Surgery 2010 140, 752-756DOI: (10.1016/j.jtcvs.2010.07.020) Copyright © 2010 The American Association for Thoracic Surgery Terms and Conditions

Figure 3 Findings of thoracoscopy in case 8. A, The left upper lobe was found on the left side and the lower lobe on the right. The left basilar pulmonary artery was ligated, and the left superior and lingular pulmonary artery was preserved. B, Appearance under infrared light without indocyanine green. C, The upper lobe and the superior segment in the lower lobe were dyed blue, but the basilar segment remained white under infrared thoracoscopy with indocyanine green. The Journal of Thoracic and Cardiovascular Surgery 2010 140, 752-756DOI: (10.1016/j.jtcvs.2010.07.020) Copyright © 2010 The American Association for Thoracic Surgery Terms and Conditions