ArticleThoracic cancer2021
Feasibility investigation of near-infrared fluorescence imaging with intravenous indocyanine green method in uniport video-assisted thoracoscopic anatomical segmentectomy for identifying the intersegmental boundary line.
Article in Thoracic cancer, 2021. The graph could read no effect estimate from its abstract, so it casts no vote on the map. An erratum has been issued. Cited by 17 papers.
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Who cites it
17 citing papers in PubMed.
- Comparative study of a modified double-lumen tube ventilation control connector and traditional connector in clinical use: a randomised-controlled trial.BMC anesthesiology · 2022Trial
- Reverse watershed method applied to thoracoscopic S9 segmentectomy: a retrospective study.Journal of cardiothoracic surgery · 2025Article
- Factors Influencing the Effectiveness of Fluorescence in Determining the Intersegmental Plane During Intentional Pulmonary Segmentectomy: Results of a Prospective Study on 196 Patients.Thoracic cancer · 2025Article
- Comparison of Margin Quality for Intersegmental Plan Identification in Pulmonary Segmentectomy.Medicina (Kaunas, Lithuania) · 2025Article
- Indocyanine green fluorescence identification of the intersegmental plane by the target segmental vein-first single-blocking during thoracoscopic segmentectomy.BMC surgery · 2024Article
- Comparative Study of Indocyanine Green Intravenous Injection and the Inflation-Deflation Method for Assessing Resection Margins in Segmentectomy for Lung Cancer: A Single-Center Retrospective Study.Journal of chest surgery · 2024Article
- Application of three-dimensional printed models with near-infrared fluorescence technology in video-assisted thoracoscopic surgery segmentectomy: a single-center propensity-score matching analysis.Journal of thoracic disease · 2024Article
- Review
- Impact of indocyanine green on prolonged air leak in minimally invasive segmentectomy.Thoracic cancer · 2024Article
- The use of intravenous indocyanine green in minimally invasive segmental lung resections: a systematic review.Translational lung cancer research · 2024Review
- Robot-assisted segmentectomy with improved modified inflation-deflation combined with the intravenous indocyanine green method.Journal of robotic surgery · 2023Article
- "Separated" precise subsegmentectomy: Single-port thoracoscopic noncombined subsegmentectomy in one lung lobe.Thoracic cancer · 2023Article
- Identification of the intersegmental plane by arterial ligation method during thoracoscopic segmentectomy.Journal of cardiothoracic surgery · 2022Article
- Expert consensus on indocyanine green fluorescence imaging for thoracoscopic lung resection (The Version 2022).Translational lung cancer research · 2022Review
- CORRIGENDUM.Thoracic cancer · 2022Article
- Near-infrared fluorescence guided surgery: State of the evidence from a health technology assessment perspective.Frontiers in surgery · 2022Review
- Article
Corrections and comments
- Erratum issuedCORRIGENDUM.2022
Authors and funding
5 authors.
Funding
Abstract
objectivesTo investigate the perioperative outcomes of patients who underwent uniport video-assisted thoracoscopic (VATS) segmentectomy for identifying the intersegmental boundary line (IBL) by the near-infrared fluorescence imaging with the intravenous indocyanine green (ICG) method or the modified inflation-deflation (MID) method and assess the feasibility and effectiveness of the ICG fluorescence (ICGF)-based method.
methodsWe retrospectively analyzed the perioperative data in total 198 consecutive patients who underwent uniport VATS segmentectomy between February 2018 and August 2020. With the guidance of a preoperative imaging interpretation and analysis system (IQQA-3D), the targeted segment structures could be precisely identified and dissected, and then the IBL was confirmed by the ICGF-based method or the MID method. The clinical effectiveness and postoperative complications of the two methods were evaluated.
resultsAn IBL was visible in 98% of patients in the ICGF-based group, even with low doses of ICG. The ICGF-based group was significantly associated with a shorter IBL clear presentation time (23.6 ± 4.4 vs. 23.6 ± 4.4 s) (p < 0.01) and operative time (89.3 ± 31.6 vs. 112.9 ± 33.3 min) (p < 0.01) compared to the MID group. The incidence of postoperative prolonged air leaks was higher in the MID group than in the ICGF-based group (8/100, 8% vs. 26/98, 26.5%, p = 0.025). There were no significant differences in bleeding volume, chest tube duration, postoperative hospital stays, surgical margin width, and other postoperative complications.
conclusionThe ICGF-based method could highly accurately identify the IBL and make anatomical segmentectomy easier and faster, and therefore has the potential to be a feasible and effective technique to facilitate the quality of uniport VATS segmentectomy.
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