ArticleInteractive cardiovascular and thoracic surgery2022
Novel thoracoscopic segmentectomy combining preoperative three-dimensional image simulation and intravenous administration of indocyanine green.
Article in Interactive cardiovascular and thoracic surgery, 2022. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 14 papers.
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Who cites it
14 citing papers in PubMed, 14 citations in OpenAlex.
- Local Recurrence After Lung Segmentectomy-Risk Factors and Future Directions: A Contemporary Review.Cancers · 2026Review
- Long-Term Outcomes of Indocyanine Green Versus Inflation-Deflation for Intersegmental Plane Identification in Segmentectomy for Early-Stage Lung Cancer.Interdisciplinary cardiovascular and thoracic surgery · 2026Article
- Three-Dimensional Bronchovascular Modelling in Sublobar Pulmonary Resection: A Tool for Personalised Thoracic Surgery.Journal of personalized medicine · 2026Review
- Advancements in 3D lung models for minimally invasive lung cancer surgery: from static to real-time dynamic modeling.Translational lung cancer research · 2025Review
- A Robotic Right Posterior Basal and Subsuperior (S10+S∗) Segmentectomy.Annals of thoracic surgery short reports · 2025Article
- Robotic Left Superior and Posterior Basal (S6+S10) Segmentectomy.Annals of thoracic surgery short reports · 2025Article
- Feasibility of Uniportal Thoracoscopic Right Medial-Basal (S7) Segmentectomy.Annals of thoracic surgery short reports · 2025Article
- Postoperative day 1 discharge for segmentectomy using a minimally invasive approach after drain removal on the day of surgery.Journal of thoracic disease · 2025Article
- Preoperative simulation of uniportal thoracoscopic pulmonary segmentectomy achieves equivalent accuracy of surgical resection margins for palpable and impalpable tumors.Journal of visualized surgery · 2025Article
- Article
- Feasibility and Safety of Uniportal Thoracoscopic Segmentectomy Using a Unidirectional Dissection Approach without Dissecting a Fissure.Medicina (Kaunas, Lithuania) · 2024Article
- Impact of indocyanine green on prolonged air leak in minimally invasive segmentectomy.Thoracic cancer · 2024Article
- Effect of transbronchial or intravenous administration of indocyanine green on resection margins during near-infrared-guided segmentectomy: a review.Frontiers in surgery · 2024Review
- Early chest drain removal on the day of uniportal thoracoscopic segmentectomy.General thoracic and cardiovascular surgery · 2023Article
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Authors and funding
5 authors at 1 institution in 1 country.
Funding
No grant is acknowledged in the PubMed record.
Abstract
objectivesThe aim of this study is to assess prospectively the validity and feasibility of segmentectomy using preoperative simulation and intravenous indocyanine green (ICG) with near-infrared (NIR) light thoracoscope to ensure a sufficient surgical margin.
methodsThis study was a prospective, single-centre, phase II, feasibility study. From February to July 2021, 20 patients were enrolled in this study. All patients underwent preoperative three-dimensional computed tomography angiography and bronchography using simulation software. The dominant pulmonary artery of the targeted segment was selected to determine the dissection line and measure the surgical margin to the tumour. Intraoperatively, after the planned dissection of the pulmonary artery, ICG (0.3 mg/kg) was administered intravenously and observed with NIR, and dissection was performed along the line determined by preoperative simulation. Postoperatively, the pathological margin was compared with the simulation margin.
resultsAll surgeries were performed via an uniport (3.5-4.0-cm skin incision). The regions of segmentectomy were S2, S3, S6, S9 + 10 and S10 of the right side and S1 + 2 + 3, S3, S3 + 4 + 5, S6 and S8 of the left side. The difference between the simulation margin and the pathological margin was not significant (simulation 30.5 ± 10.1 vs pathological 31.0 ± 11.0 mm, P = 0.801). The simulation margin was well correlated with the pathological margin (R2 = 0.677). The proportion of cases successfully achieving the pathological margin of error of plus or minus 10 mm of the simulation margin was 90% (18 of 20 cases).
conclusionsThe combination of preoperative three-dimensional computed tomography simulation and ICG-NIR was effective for securing a sufficient margin in segmentectomy.
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