Division of General Thoracic Surgery, Department of Surgery, Shinshu University School of Medicine, 3-1-1 Asahi Matsumoto, Nagano, 390-8621, Japan.
Gen Thorac Cardiovasc Surg. 2021 Mar;69(3):621-624. doi: 10.1007/s11748-020-01511-2. Epub 2020 Oct 19.
Patients with pulmonary sequestration are at risk of life-threatening bleeding during lung resection. To perform safe and adequate lung resection in patients with pulmonary sequestration, we utilized the following combination of techniques: (1) three-dimensional computed tomographic (3D-CT) imaging for preoperative planning and intraoperative identification of blood vessels, including aberrant arteries, and (2) intraoperative intravenous administration of indocyanine green (ICG). We describe our surgical technique through three cases who underwent lung resection for pulmonary sequestration using 3D-CT and fluorescence navigation with ICG. Intraoperative identification and division of the aberrant arteries, draining veins, and resection margins of the lungs were successfully completed.
患有肺隔离症的患者在肺切除术中存在生命威胁性出血的风险。为了在肺隔离症患者中进行安全和充分的肺切除，我们采用了以下技术组合：（1）术前规划和术中识别血管，包括异常动脉的三维计算机断层扫描（3D-CT）成像，以及（2）术中静脉注射吲哚菁绿（ICG）。我们通过三例使用 3D-CT 和 ICG 荧光导航进行肺隔离症肺切除的手术病例来描述我们的手术技术。术中成功地完成了异常动脉、引流静脉和肺切除边缘的识别和分离。
