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[Techniques to Identify Inter-segmental Planes].

Masaaki Sato1

  • 1Department of Thoracic Surgery, The University of Tokyo, Tokyo, Japan.

Kyobu Geka. the Japanese Journal of Thoracic Surgery
|October 13, 2018
PubMed
Summary
This summary is machine-generated.

Identifying inter-segmental planes in lung segmentectomy involves various methods like inflation-deflation and indocyanine green (ICG) injection. Virtual-assisted lung mapping (VAL-MAP) is also applicable, especially for complex cases.

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Area of Science:

  • Thoracic Surgery
  • Pulmonary Medicine
  • Surgical Navigation

Background:

  • Accurate identification of inter-segmental planes is crucial for successful lung segmentectomy.
  • Several techniques exist, each with unique advantages and limitations.

Purpose of the Study:

  • To review and compare different methods for identifying inter-segmental planes in segmentectomy.
  • To discuss the applicability of Virtual-assisted lung mapping (VAL-MAP) in segmentectomy.

Main Methods:

  • Inflation-deflation techniques involving lung inflation or targeted bronchus inflation.
  • Indocyanine green (ICG) injection intravenously or via target bronchus.
  • Virtual-assisted lung mapping (VAL-MAP) as a bronchoscopic dye marking technique.

Main Results:

  • Each method offers distinct approaches to delineate surgical margins.
  • VAL-MAP provides geometric information useful for complex segmentectomies, focusing on resection margins.

Conclusions:

  • A variety of techniques are available for identifying inter-segmental planes in segmentectomy.
  • Technological advancements are continuously improving these methods.
  • Surgeons should select the most appropriate technique or combination for optimal segmentectomy outcomes.