Journal of Shandong University (Health Sciences) ›› 2020, Vol. 58 ›› Issue (12): 38-42.doi: 10.6040/j.issn.1671-7554.0.2020.0453

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Value of indocyanine green fluorescence in thoracoscopic segmentectomy

ZHANG Yu, TANG Xing, MA Haitao, JIANG Wei   

  1. Department of Thoracic Surgery, The First Affiliated Hospital of Soochow University, Suzhou 215006, Jiangsu, China
  • Published:2020-12-08

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Abstract: Objective To investigate the application value of indocyanine green(ICG)fluorescence in anatomical thoracoscopic segmentectomy. Methods The clinical data of 45 patients who underwent anatomical thoracoscopic segmentectomy by ICG fluorescence was retrospectively analyzed. The first appearance time, duration of fluorescence and duration of valid contrasting fluorescence were recorded. Results Apart from one patient with pulmonary emphysema, 44 patients(97.78%)showed clear demarcation lines after injecting ICG, with the first appearance time of(10.8±5.3)s and duration of(179.9±40.3)s. The mean duration of valid contrasting fluorescence was(121.1±15.2)s. All patients completed pulmonary segmentectomy successfully with the operation time of(95.7±30.2)min and bleeding volume of(51.8±16.3)mL. No obvious complications related to ICG was observed in surgery, while postoperative complications occurred in three patients. The mean drainage time was(3.6±1.8)d and the average hospitalization time was(6.6±2.1)d. All patients recovered well without recurrence at the end of follow-up, which averaged(14.5±8.7)months. Conclusion The ICG fluorescence technology is safe, accurate and convenient for identifying demarcation line. It contributes to the feasibility of the segmentectomy. Therefore, this technology is well worth promoting in clinic.

Key words: Pulmonary segmentectomy, Lung cancer, Thoracoscope, Indocyanine green, Fluorescence

CLC Number: 

  • R655.3
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