Uramoto Hidetaka, Motono Nozomu
Department of Thoracic Surgery, Kanazawa Medical University, Ishikawa, Japan.
Ann Med Surg (Lond). 2018 Feb 22;28:28-29. doi: 10.1016/j.amsu.2018.02.004. eCollection 2018 Apr.
Sublobar resection has become an acceptable alternative to lobectomy in patients with early-stage lung cancer. Most notable among these approaches is indocyanine green fluorescence (ICG) imaging.
Operative finding showed clear green staining of the left upper lobe, S6, superior pulmonary vein, and inferior PV under fluorescence navigation. Soon, the bronchial artery of right lower bronchus showed clear green staining. Next, the whole right lower bronchus is deeply colored green.
ICG imaging can lead a planned operation safely in the extreme, especially for situations of special concern for blood supply of the bronchial stump such as pneumonectomy, bronchoplasty and right lower lobectomy.
This report describes a first case concerning the course and blood distribution of the bronchial artery using ICG injection under fluorescence navigation.
对于早期肺癌患者，肺叶下切除已成为肺叶切除可接受的替代方案。这些方法中最值得注意的是吲哚菁绿荧光（ICG）成像。
手术发现显示，在荧光导航下，左肺上叶、S6、肺上静脉和下肺静脉呈清晰的绿色染色。很快，右下支气管的支气管动脉呈现清晰的绿色染色。接下来，整个右下支气管被染成深绿色。
ICG成像在极端情况下可安全地引导计划中的手术，特别是对于支气管残端血供特别令人关注的情况，如肺切除术、支气管成形术和右下肺叶切除术。
本报告描述了首例在荧光导航下使用ICG注射观察支气管动脉走行和血液分布的病例。
