印ocyanine绿色雾化可视化了视频辅助胸腔镜手术期间的肺支气管
Hao Xu1, Xun Wu2, Songjing Zhao3
1Department of Thoracic Surgery, Peking University People's Hospital, Beijing, 100044, China.
Journal of cardiothoracic surgery
|February 1, 2025
概括
在胸腔镜分片切除术期间,印ocyanine绿色 (ICG) 吸入成功可视化了肺支气管. 这种新的技术有助于外科医生识别难以定位的气道,可能减少手术内气管支气管支气管损伤.
科学领域:
- 胸部外科手术 胸部外科手术
- 手术可视化手术可视化
- 肺部医学 肺部医学
背景情况:
- 术内气管支气管损伤是肺部手术的一个罕见但严重的并发症.
- 越来越多的细分切除术需要精确地定位较小的支气管.
- 目前用于手术内支气管可视化的方法有限.
研究的目的:
- 评估绿色氨酸 (ICG) 吸入的可行性和安全性,用于在视频辅助胸腔镜手术 (VATS) 期间可视化肺支气管.
主要方法:
- 一个病例报告详细介绍了吸入ICG (3.75毫克/毫升) 在接受GGO胸腔镜分片切除术的患者的使用情况.
- 在5分钟的单肺通风后,ICG被吸入到手术肺部.
- 使用光成像与NIF成像系统实现了肺支气管可视化.
主要成果:
- 前部细分支气管最初难以定位,通过吸入ICG和NIF成像,以绿色清晰可视化.
- 正确地确定了前方和上角支气管的分叉.
- 成功进行了细分切除术,没有任何不良事件.
结论:
- ICG雾化是一种可行且安全的方法,用于在胸腔镜手术期间可视化肺支气管.
- 这种技术显示出显著的潜力,可以降低手术内气管支气管支气管损伤的风险.
- 增强的可视化帮助精确的细分和细分支气管的手术剖析.
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