Department of Cardiothoracic Surgery, Royal Prince Alfred Hospital, The University of Sydney, Sydney, NSW, Australia; Chris O'Brien Lifehouse, Sydney, NSW, Australia.
Department of Cardiothoracic Surgery, St. Vincent's Hospital, Melbourne, Vic, Australia.
Heart Lung Circ. 2024 Nov;33(11):1600-1604. doi: 10.1016/j.hlc.2024.04.310. Epub 2024 Sep 20.
Intraoperative fluorescence imaging using indocyanine green (ICG) is an innovative and safe tool in minimally invasive thoracic surgery. It provides real-time imaging capabilities that can enhance surgical precision. We describe several clinical uses of ICG including intersegmental plane identification, thoracic duct injury localisation, anomalous systemic artery identification in pulmonary sequestration, phrenic nerve identification, and sentinel lymph node mapping. Successful visualisation of ICG was achieved to identify intra-thoracic anatomical structures and boundaries, allowing for safe and precise dissection.
术中使用吲哚菁绿(ICG)荧光成像是微创胸外科领域的一项创新且安全的工具。它提供实时成像功能,可提高手术精度。我们描述了 ICG 的几种临床应用,包括节段间平面识别、胸导管损伤定位、肺隔离症中异常体循环动脉的识别、膈神经识别和前哨淋巴结定位。成功地观察到 ICG 以识别胸内解剖结构和边界,从而实现安全和精确的解剖。