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Related Experiment Video

Updated: Mar 12, 2026

Indocyanine Green-Guided Intraoperative Imaging to Facilitate Video-Assisted Retroperitoneal Debridement for Treating Acute Necrotizing Pancreatitis
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Indocyanine green fluorescence-navigated robotic segmentectomy.

Chen-Ping Hsieh1,2, Yun-Hen Liu1, Yi-Cheng Wu1

  • 1Division of Thoracic and Cardiovascular Surgery, Department of Surgery, Chang Gung Memorial Hospital, Linkou; Chang Gung University, No. 5 Fu-Shing Street Kweishan, Taoyuan, 333, Taiwan.

Surgical Endoscopy
|November 12, 2016
PubMed
Summary

Identifying the intersegmental plane in lung segmentectomy is challenging. Indocyanine green (ICG) fluorescence navigation during robotic surgery provides clear visualization, making the procedure easier and faster for pulmonary segmentectomy.

Keywords:
Indocyanine greenRobotic surgerySegmentectomy

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Area of Science:

  • Thoracic Surgery
  • Minimally Invasive Surgery
  • Surgical Navigation Technologies

Background:

  • Pulmonary segmentectomy is effective for small lung cancers, offering minimally invasive advantages.
  • Identifying the intersegmental plane is a key challenge in segmentectomy, often requiring skilled surgeons and limited by lung conditions.
  • Existing methods for intersegmental plane identification have limited sensitivity, especially in complex lung conditions.

Observation:

  • A 70-year-old male with a history of rectal cancer and HCC presented with a lung nodule.
  • The nodule, initially suspected as metastatic, was located in the superior segment of the left lower lobe.
  • Robotic S6 segmentectomy was performed using indocyanine green (ICG) fluorescence navigation to visualize the intersegmental plane.

Findings:

  • ICG injection intravenously allowed clear visualization of the intersegmental plane under fluorescence navigation.
  • The intersegmental plane was marked and the target segment resected using an endostapler.
  • The patient tolerated the procedure well, with no complications and a smooth recovery.

Implications:

  • ICG fluorescence navigation simplifies and accelerates the identification of the intersegmental plane during segmentectomy.
  • This technique enhances the feasibility and safety of pulmonary segmentectomy, particularly in challenging cases.
  • The study demonstrates a promising approach for improving outcomes in minimally invasive lung cancer surgery.