Optimal identification of the intersegmental plane can be challenging during thoracoscopic anatomical segmentectomy for lung cancer. We describe a simple new method of infrared-fluorescence-enhanced thoracoscopy with selected injection of indocyanine green into the bronchi not targeted for resection, which allows us to clearly identify the intersegmental plane in thoracoscopic segmentectomy.
TarumiSMisakiNKasaiYChangSSGoTYokomiseH. Clinical trial of video-assisted thoracoscopic segmentectomy using infrared thoracoscopy with indocyanine green. Eur J Cardiothorac Surg2014; 46: 112–115.
2.
SekineYKoEOishiHMiwaM. A simple and effective technique for identification of intersegmental planes by infrared thoracoscopy after transbronchial injection of indocyanine green. J Thorac Cardiovasc Surg2012; 143: 1330–1335.
3.
MisakiNChangSSIgaiHTarumiSGotohMYokomiseH. New clinically applicable method for visualizing adjacent lung segments using an infrared thoracoscopy system. J Thorac Cardiovasc Surg2010; 140: 752–756.
4.
OhsimaMWasedaRTanakaNUedaHOoiAMatsumotoI. A new fluorescent anatomic pulmonary segmentectomy using PDD endoscope system and vitamin B2: evaluation in a clinical setting using living animal. Surg Endosc2016; 30: 339–345.
5.
DesmettreTDevoisselleJMMordonS. Fluorescence properties and metabolic features of indocyanine green (ICG) as related to angiography. Surv Ophthalmol2000; 45: 15–27.
6.
PriceNGottfriedMRClaryEet al.Safety and efficacy of India ink and indocyanine green as colonic tattooing agents. Gastrointest Endosc2000; 51: 438–442.
7.
JacksonTLHillenkampJKnightBCet al.Safety testing of indocyanine green and trypan blue using retinal pigment epithelium and glial cell cultures. Invest Ophthalmol Vis Sci2004; 45: 2778–2785.