Division of General Thoracic Surgery, Integrative Center of General Surgery, Gunma University Hospital, Gunma, Japan.
Division of General Thoracic Surgery, Integrative Center of General Surgery, Gunma University Hospital, Gunma, Japan.
Ann Thorac Surg. 2019 Aug;108(2):e141-e143. doi: 10.1016/j.athoracsur.2019.02.067. Epub 2019 Apr 2.
Intravenous indocyanine green injection is useful for the identification of the intersegmental border by infrared thoracoscopy during anatomic segmentectomy. However, surgeons encounter cases in which visualization of the intersegmental border is difficult. In particular, intravenous indocyanine green fluorescence in the upper lobe is occasionally obscured by to the relatively lesser blood flow in the upper lobe pulmonary arteries. This report describes an interlobar pulmonary artery compression method that is a simple and effective technique for clearly visualizing the intersegmental border through infrared thoracoscopy with intravenous indocyanine green during upper lobe segmentectomy.
静脉注射吲哚菁绿（indocyanine green）在解剖性肺段切除术中，通过红外胸腔镜对节段间边界的识别是有用的。然而，外科医生会遇到节段间边界可视化困难的情况。特别是，在上叶中，静脉注射吲哚菁绿荧光偶尔会被相对较少的上叶肺动脉血流所掩盖。本报告描述了一种叶间肺动脉压迫方法，这是一种在上叶段切除术中，通过静脉注射吲哚菁绿的红外胸腔镜，清晰地显示节段间边界的简单而有效的技术。
