Uniportal video-assisted thoracic lung segmentectomy with near infrared/indocyanine green intersegmental plane identification

Elisa Meacci, Dania Nachira, Maria Teresa Congedo, Marco Chiappetta, Leonardo Petracca Ciavarella, Stefano Margaritora

Research output: Contribution to journalArticle

Abstract

In the era of lung cancer screening and early detection of lung lesions, pulmonary segmentectomy has gained wide acceptance between thoracic community reducing the need of lobectomy for diagnostic purpose and treatment in case of centrally located benign, multiple or undetermined lesions. In rigorously selected patients with stage I non-small cell lung cancer (NSCLC), segmentectomies seem to offer similar survival outcomes rather than lobectomies, but associated with a better conservation of lung function. However, segmentectomy is a more challenging procedure to be performed compared to lobectomy, especially by video-assisted thoracic surgery (VATS). Many difficulties could arise during video-assisted segmentectomy, making the procedure more demanding and stressful. Following the introduction of the near infrared (NIR)/indocyanine imaging system on standard endoscopic module, we decided to adopt peripheral intravenous injection of indocyanine green (ICG) to identify intersegmental plain during uniportal VATS lung segmentectomy. Our technique herein is widely illustrated.

Original languageEnglish
Pages (from-to)17
JournalJournal of spine surgery (Hong Kong)
Volume4
DOIs
Publication statusPublished - 2018

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Indocyanine Green
Segmental Mastectomy
Thorax
Lung
Video-Assisted Thoracic Surgery
Early Detection of Cancer
Non-Small Cell Lung Carcinoma
Intravenous Injections
Lung Neoplasms
Survival

Cite this

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title = "Uniportal video-assisted thoracic lung segmentectomy with near infrared/indocyanine green intersegmental plane identification",
abstract = "In the era of lung cancer screening and early detection of lung lesions, pulmonary segmentectomy has gained wide acceptance between thoracic community reducing the need of lobectomy for diagnostic purpose and treatment in case of centrally located benign, multiple or undetermined lesions. In rigorously selected patients with stage I non-small cell lung cancer (NSCLC), segmentectomies seem to offer similar survival outcomes rather than lobectomies, but associated with a better conservation of lung function. However, segmentectomy is a more challenging procedure to be performed compared to lobectomy, especially by video-assisted thoracic surgery (VATS). Many difficulties could arise during video-assisted segmentectomy, making the procedure more demanding and stressful. Following the introduction of the near infrared (NIR)/indocyanine imaging system on standard endoscopic module, we decided to adopt peripheral intravenous injection of indocyanine green (ICG) to identify intersegmental plain during uniportal VATS lung segmentectomy. Our technique herein is widely illustrated.",
author = "Elisa Meacci and Dania Nachira and Congedo, {Maria Teresa} and Marco Chiappetta and {Petracca Ciavarella}, Leonardo and Stefano Margaritora",
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T1 - Uniportal video-assisted thoracic lung segmentectomy with near infrared/indocyanine green intersegmental plane identification

AU - Meacci, Elisa

AU - Nachira, Dania

AU - Congedo, Maria Teresa

AU - Chiappetta, Marco

AU - Petracca Ciavarella, Leonardo

AU - Margaritora, Stefano

PY - 2018

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AB - In the era of lung cancer screening and early detection of lung lesions, pulmonary segmentectomy has gained wide acceptance between thoracic community reducing the need of lobectomy for diagnostic purpose and treatment in case of centrally located benign, multiple or undetermined lesions. In rigorously selected patients with stage I non-small cell lung cancer (NSCLC), segmentectomies seem to offer similar survival outcomes rather than lobectomies, but associated with a better conservation of lung function. However, segmentectomy is a more challenging procedure to be performed compared to lobectomy, especially by video-assisted thoracic surgery (VATS). Many difficulties could arise during video-assisted segmentectomy, making the procedure more demanding and stressful. Following the introduction of the near infrared (NIR)/indocyanine imaging system on standard endoscopic module, we decided to adopt peripheral intravenous injection of indocyanine green (ICG) to identify intersegmental plain during uniportal VATS lung segmentectomy. Our technique herein is widely illustrated.

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