ArticleSurgical endoscopy2018
Image-guided video-assisted thoracoscopic small lung tumor resection using near-infrared marking.
Article in Surgical endoscopy, 2018. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 22 papers.
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Who cites it
22 citing papers in PubMed.
- Article
- Image-guided video-assisted thoracoscopic surgery (iVATS): a single center experience and review.Journal of thoracic disease · 2023Review
- Near-infrared fluorophores methylene blue for targeted imaging of the stomach in intraoperative navigation.Frontiers in bioengineering and biotechnology · 2023Article
- Expert consensus on indocyanine green fluorescence imaging for thoracoscopic lung resection (The Version 2022).Translational lung cancer research · 2022Review
- Virtual navigation bronchoscopy-guided intraoperative indocyanine green localization in simultaneous surgery for multiple pulmonary nodules.Thoracic cancer · 2022Article
- Intraoperative cone-beam computed tomography to secure the surgical margin in pulmonary wedge resection for indistinct intrapulmonary lesions.JTCVS techniques · 2022Article
- Near-infrared fluorescence guided surgery: State of the evidence from a health technology assessment perspective.Frontiers in surgery · 2022Review
- Fluorescence-guided lung nodule identification during minimally invasive lung resections.Frontiers in surgery · 2022Review
- Single-step localization and excision of small pulmonary nodules using a mobile 3D C-arm.Interactive cardiovascular and thoracic surgery · 2021Article
- A Surgical Pen-Type Probe Design for Real-Time Optical Diagnosis of Tumor Status Using 5-Aminolevulinic Acid.Diagnostics (Basel, Switzerland) · 2021Article
- Thoracoscopic surgery for congenital lung cysts: an attempt to limit pulmonary resection in cases of lesions involving multiple lobes.Pediatric surgery international · 2021Article
- Efficacy and Safety of Preoperative vs. Intraoperative Computed Tomography-Guided Lung Tumor Localization: A Randomized Controlled Trial.Frontiers in surgery · 2021Article
- Use of the hybrid room for thoracic surgery procedures: single-stage localization and removal of non-palpable nodules.Indian journal of thoracic and cardiovascular surgery · 2021Review
- Computed Tomography-Guided Methylene Blue Localization: Single vs. Multiple Lung Nodules.Frontiers in medicine · 2021Article
- Real-time augmented fluoroscopy-guided lung marking for thoracoscopic resection of small pulmonary nodules.Surgical endoscopy · 2020Article
- Image-guided thoracoscopic lung resection using a dual-marker localization technique in a hybrid operating room.Surgical endoscopy · 2019Article
- Real-Time Fluorescence Imaging in Thoracic Surgery.The Korean journal of thoracic and cardiovascular surgery · 2019Article
- Article
- Individualized Strategies for Intraoperative Localization of Non-palpable Pulmonary Nodules in a Hybrid Operating Room.Frontiers in surgery · 2019Article
- Hybrid operating room for the intraoperative CT-guided localization of pulmonary nodules.Annals of translational medicine · 2019Review
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Authors and funding
5 authors.
Funding
No grant is acknowledged in the PubMed record.
Abstract
backgroundLocalization of non-visible, non-palpable small pulmonary nodules during video-assisted thoracoscopic surgery (VATS) remains challenging. We sought to investigate the feasibility and safety of image-guided video-assisted thoracoscopic surgery (iVATS) with near-infrared (NIR) marking in a hybrid operating room (OR).
methodsBoth localization and surgery were performed by a single team of thoracic surgeons. Diluted indocyanine green (ICG; quantity: 0.3-0.5 mL; dye concentration: 0.125 mg/mL) was injected percutaneously to pinpoint the tumor's location under cone beam computed tomography (CBCT) guidance using a laser-guided navigation system. Real-time fluorescence images were intraoperatively obtained using a NIR thoracoscopic camera to guide subsequent resection.
resultsBetween March and December 2017, 26 patients underwent NIR marking of small pulmonary nodules for iVATS. The median tumor size was 7 mm (interquartile range [IQR] 5.3-10.8 mm), whereas their median distance from the pleural surface was 5 mm (IQR 0.3-10.5 mm). Seven nodules (35%) were solid, whereas 17 (65%) were ground-glass opacities. All lesions were identifiable on intraoperative CBCT. The median time required for NIR localization was 13 min. An NIR(+) "tattoo" was identified in all cases, and no intraoperative conversion to thoracotomy occurred. The final pathological diagnoses were primary lung cancer (n = 11), metastatic cancer (n = 6), and benign lung tumor (n = 9). Adverse events were not observed, and the median length of post-operative stay was 4 days (IQR 3-4 days).
conclusionsOur data show that iVATS with NIR marking is useful, has no adverse effects, and can successfully localize difficult-to-identify small pulmonary nodules.
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