ArticleThoracic cancer2025
Feasibility, Safety, and Early Outcomes of Image-Guided Segmentectomy Using Near-Infrared Fluorescence Dye for Tumor Visualization and Margin Identification: A Collaborative Effort by the Surgical and Radiological Teams.
Article in Thoracic cancer, 2025. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 3 papers.
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Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.
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Who cites it
3 citing papers in PubMed.
- Lighting the path: a narrative review of non-molecular intraoperative lung imaging modalities.Journal of thoracic disease · 2026Review
- Early clinical and economic outcomes of uniportal robotic- and video-assisted thoracoscopic surgery for lung anatomic resection: a retrospective study.Journal of robotic surgery · 2026Article
- Article
Corrections and comments
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Authors and funding
6 authors.
Funding
No grant is acknowledged in the PubMed record.
Abstract
introductionDespite advances in lung cancer management, it remains the leading cause of cancer-related deaths. Low-dose computed tomography (LDCT) screening has increased detection of small, difficult-to-palpate lung lesions. MATERIALS AND
methodsThis retrospective study at Chang Gung Memorial Hospital (2014-2022) evaluated the feasibility of image-guided segmentectomy (I-segmentectomy) using indocyanine green (ICG) for lesion localization and intersegmental plane navigation.
resultsA total of 260 patients with 266 pulmonary lesions were enrolled in the study cohort, with 122 lesions undergoing image-guided segmentectomy (I-segmentectomy). After propensity score matching, lesions resected using the I-segmentectomy method provided appropriate resection margins and margin-to-tumor ratios, particularly for lesions larger than 1 cm. Additionally, operation times were shorter with I-segmentectomy. Survival analysis showed no significant differences in disease-free and overall survival; although I-segmentectomy maintained a 100% survival rate.
conclusionOverall, I-segmentectomy with dual ICG fluorescence imaging is a feasible, safe, and effective method for ensuring adequate resection margins in difficult-to-discern lung lesions. Further prospective studies are necessary to validate these findings and assess long-term outcomes.
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