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Related Experiment Video

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Stapler-Based Thoracoscopic Basilar Segmentectomy.

Keiji Yamanashi1, Norihito Okumura1, Yasuhiro Otsuki1

  • 1Department of Thoracic Surgery, Kurashiki Central Hospital, Okayama, Japan.

The Annals of Thoracic Surgery
|October 22, 2017
PubMed
Summary

Thoracoscopic S9-10 segmentectomy is challenging due to complex anatomy. Indocyanine green fluorescence navigation enhances stapler-based division of intersegmental planes, improving surgical outcomes.

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Area of Science:

  • Thoracic surgery
  • Surgical oncology
  • Minimally invasive procedures

Background:

  • Thoracoscopic segmentectomy, particularly for segments S9-10, presents significant surgical challenges.
  • Difficulty in dissecting intersegmental planes and visualizing peripheral pulmonary anatomy complicates standard procedures.

Observation:

  • The intersegmental plane between segments S6 and S8 obstructs the clear division of planes for S9-10 segmentectomy.
  • Standard stapling techniques are hampered by poor visualization of peripheral pulmonary structures.

Findings:

  • A novel technique for stapler-based thoracoscopic S9-10 segmentectomy utilizing indocyanine green (ICG) fluorescence navigation is detailed.
  • ICG fluorescence provides enhanced visualization, facilitating precise division of challenging intersegmental planes.

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Implications:

  • This technique may improve the feasibility and safety of thoracoscopic S9-10 segmentectomy.
  • Enhanced visualization through ICG fluorescence navigation can potentially reduce operative time and improve surgical precision in complex segmentectomies.