Clinical Application of Near-Infrared Thoracoscopy With Indocyanine Green in Video-Assisted Thoracoscopic Anatomical Segmentectomy

• Published in: Surgical innovation Vol. 26; no. 4; p. 473
• Main Authors: Jin, Yuxiang, Wang, Mingdong, Xue, Lei, Zhao, Xuewei
• Format: Journal Article
• Language: English
• Published: United States 01.08.2019
• Subjects: Coloring Agents - administration & dosage; Female; Humans; Imaging, Three-Dimensional; Indocyanine Green - administration & dosage; Injections, Intravenous; Lung Neoplasms - surgery; Male; Mastectomy, Segmental - methods; Middle Aged; Retrospective Studies; Thoracic Surgery, Video-Assisted; Thoracoscopy - methods; Tomography, X-Ray Computed; near-infrared angiography; segmentectomy; intersegmental plane; video-assisted thoracic surgery
• ISSN: 1553-3514
• DOI: 10.1177/1553350619848197

To confirm the impact of near-infrared thoracoscopy with intravenous injection of indocyanine green (ICG) during video-assisted thoracic surgery (VATS)-based segmentectomy. . We retrospectively screened the perioperative data in total 21 patients who underwent segmentectomy by VATS. The segmental arteries and bronchi were identified with the help of preoperative 3-dimensional computed tomography images. Among them, clinical effectiveness and postoperative complications were analyzed. VATS segmentectomy was performed using a 3-port approach with systemic intravenous injection of ICG. A total of 21 patients underwent VATS-based segmentectomy with ICG injection. The mean operation time was 126.19 ± 15.32 minutes, and the mean bleeding volume was 158.10 ± 39.95 mL. In addition, the average drainage volume 1 day after surgery was 153.81 ± 32.19 mL, and mean duration of drainage was 1.62 ± 0.59 days. Complications occurred in 6 of the 21 patients. Two patients had pneumonia, 3 had arrhythmia, and 1 had prolonged air leak. There were no complications resulting from ICG angiography. Near-infrared thoracoscopy with intravenous injection of ICG is a safe, fast, simple, and highly accurate method that can be used to identify the intersegmental plane and facilitate the quality of VATS-based segmentectomy.