New Technique for Lung Segmentectomy Using Indocyanine Green Injection

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Presentation transcript:

New Technique for Lung Segmentectomy Using Indocyanine Green Injection Shiaki Oh, MD, Kenji Suzuki, MD, Yoshikazu Miyasaka, MD, Takeshi Matsunaga, MD, Yukio Tsushima, MD, Kazuya Takamochi, MD The Annals of Thoracic Surgery Volume 95, Issue 6, Pages 2188-2190 (June 2013) DOI: 10.1016/j.athoracsur.2012.12.068 Copyright © 2013 The Society of Thoracic Surgeons Terms and Conditions

Fig 1 The indocyanine green is injected into the distal peripheral bronchus of the segment, which will be resected. It is very important to use the infusion intravenous cannula instead of a needle for prevention of injection of air into vessels, which may lead to lethal air embolism. The Annals of Thoracic Surgery 2013 95, 2188-2190DOI: (10.1016/j.athoracsur.2012.12.068) Copyright © 2013 The Society of Thoracic Surgeons Terms and Conditions

Fig 2 The apical segment of the left lower lobe turned green after the injection of indocyanine green. Note that the basal segment remains normally colored. The Annals of Thoracic Surgery 2013 95, 2188-2190DOI: (10.1016/j.athoracsur.2012.12.068) Copyright © 2013 The Society of Thoracic Surgeons Terms and Conditions

Fig 3 Segment 9 of the left lower lobe turned green after the injection of indocyanine green. Note that the segment 8 (*) and segment 10 (**) remain normally colored. The Annals of Thoracic Surgery 2013 95, 2188-2190DOI: (10.1016/j.athoracsur.2012.12.068) Copyright © 2013 The Society of Thoracic Surgeons Terms and Conditions

Fig 4 The basal segment of the left lower lobe was divided into segments 8 (*) and 9. The lung parenchyma turns green as well as surface of the lung. The Annals of Thoracic Surgery 2013 95, 2188-2190DOI: (10.1016/j.athoracsur.2012.12.068) Copyright © 2013 The Society of Thoracic Surgeons Terms and Conditions