Delineation of the intersegmental plane using systemic injection of indocyanine green under near-infrared imaging and division of the plane

ASVIDE ◽  
2018 ◽  
Vol 5 ◽  
pp. 725-725
Author(s):  
Jon Lutz ◽  
Agathe Seguin-Givelet ◽  
Dominique Gossot
2020 ◽  

Uniportal video-assisted thoracic surgery is becoming more common worldwide, but the limited angle of approach of inserted surgical instruments makes it challenging. Because of this, segmentectomy via a uniportal approach is more difficult technically than a multiportal approach. In addition, the inflation/deflation technique, which is a standard method for identifying the intersegmental plane, is often less useful because it can be difficult to get a good surgical view. To resolve this problem, a technique using near infrared imaging and indocyanine green administration technique can be very helpful in performing a uniportal segmentectomy. In this video tutorial, we demonstrate a uniportal thoracoscopic dorsal segmentectomy of the right upper lobe of a patient with primary lung cancer, using a near infrared imaging/indocyanine green technique. We explain the nuances of the procedure and how to perform it, and we discuss our successful results.


Radiology ◽  
2011 ◽  
Vol 258 (2) ◽  
pp. 409-416 ◽  
Author(s):  
Alexander Poellinger ◽  
Susen Burock ◽  
Dirk Grosenick ◽  
Axel Hagen ◽  
Lutz Lüdemann ◽  
...  

2014 ◽  
Vol 2 (4) ◽  
pp. 180-183 ◽  
Author(s):  
Yasuyuki Mitani ◽  
Akio Kubota ◽  
Masaki Ueno ◽  
Katsunari Takifuji ◽  
Takashi Watanabe ◽  
...  

2016 ◽  
Vol 31 (7) ◽  
pp. 2731-2742 ◽  
Author(s):  
S. L. Vlek ◽  
D. A. van Dam ◽  
S. M. Rubinstein ◽  
E. S. M. de Lange-de Klerk ◽  
L. J. Schoonmade ◽  
...  

2012 ◽  
Vol 10 (1) ◽  
pp. 20-24 ◽  
Author(s):  
M.B. Aldrich ◽  
C. Davies-Venn ◽  
B. Angermiller ◽  
H. Robinson ◽  
W. Chan ◽  
...  

2008 ◽  
Author(s):  
Victoria B. Rodriguez ◽  
Scott M. Henry ◽  
Allan S. Hoffman ◽  
Patrick S. Stayton ◽  
Suzie H. Pun ◽  
...  

2021 ◽  
Vol 11 (1) ◽  
Author(s):  
Keishi Yamaguchi ◽  
Takeru Abe ◽  
Kento Nakajima ◽  
Chikara Watanabe ◽  
Yusuke Kawamura ◽  
...  

AbstractAnastomotic leakage after intestinal resection is one of the most serious complications of surgical intervention for hollow viscus injury. Adequate vascular perfusion of the anastomotic site is essential to prevent anastomotic leakage. Near-infrared imaging using indocyanine green (NIR-ICG) is useful for the objective assessment of vascular perfusion. The aim of this study was to evaluate the association of NIR-ICG with intestinal and mesenteric injuries. This was a retrospective, single-center study of patients undergoing surgery for intestinal and mesenteric injuries. NIR-ICG was used to evaluate vascular perfusion. Postoperative complications were assessed between NIR-ICG and non-NIR-ICG groups.The use of NIR-ICG was associated with a lower incidence of Clavien-Dindo grade ≥ III complications with a statistical tendency (p = 0.076). When limited to patients that underwent intestinal resection, the use of NIR-ICG was significantly associated with a lower risk of perioperative complications (p = 0.009). The use of NIR-ICG tended to associate with the lower incidence of postoperative complications after intestinal and mesenteric trauma surgery. NIR-ICG was associated with a significantly lower risk of complications in patients undergoing intestinal resection. The NIR-ICG procedure is simple and quick and is expected to be useful for intestinal and mesenteric trauma.


2021 ◽  
Author(s):  
Keishi Yamaguchi ◽  
Takeru Abe ◽  
Kento Nakajima ◽  
Chikara Watanabe ◽  
Yusuke Kawamura ◽  
...  

Abstract BackgroundAnastomotic leakage after intestinal resection is one of the most serious complications of surgical intervention for hollow viscus injury. Adequate vascular perfusion of the anastomotic site is essential to prevent anastomotic leakage. Near-infrared imaging using indocyanine green (NIR-ICG) is useful for the objective assessment of vascular perfusion. The aim of this study was to evaluate the association of NIR-ICG with intestinal and mesenteric injuries.MethodsThis was a retrospective, single-center study of patients undergoing surgery for intestinal and mesenteric injuries due to abdominal trauma from December 2006 to March 2021. NIR-ICG was used to evaluate vascular perfusion. Postoperative complications were assessed between NIR-ICG and non-NIR-ICG groups. ResultsThe use of NIR-ICG was associated with a lower incidence of Clavien-Dindo grade ≥ III complications with a statistical tendency (p = 0.076). No Clavien-Dindo grade ≥ II intestinal complications were observed in the NIR-ICG group. When limited to patients that underwent intestinal resection, the use of NIR-ICG was significantly associated with a lower risk of perioperative complications (p = 0.009).ConclusionsThe use of NIR-ICG tended to associate with the lower incidence of postoperative complications after intestinal and mesenteric trauma surgery. NIR-ICG was associated with a significantly lower risk of complications in patients undergoing intestinal resection. The NIR-ICG procedure is simple and quick and is expected to be useful for intestinal and mesenteric trauma.


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