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Endobronchial indocyanine green instillation to identify the intersegmental plane for successful segmentectomy

The traditional indications for lobectomy for resectable Non‐small Cell Lung Cancer (NSCLC) may be set to change. Recently, anatomical segmentectomy (AS) versus lobectomy as an approach for early‐stage NSCLC has been described in phase 3 randomised controlled trials. The demand for methods to facili...

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Detalles Bibliográficos
Autores principales: Lilburn, Paul, Kwan, Jonathan, Williamson, Jonathan, Ho‐Shon, Kevin, Azari, Mohammad, Wilson, Michael, Ing, Alvin, Saghaie, Tajalli
Formato: Online Artículo Texto
Lenguaje:English
Publicado: John Wiley & Sons, Ltd 2023
Materias:
Acceso en línea:https://www.ncbi.nlm.nih.gov/pmc/articles/PMC10277828/
https://www.ncbi.nlm.nih.gov/pubmed/37342249
http://dx.doi.org/10.1002/rcr2.1174
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author Lilburn, Paul
Kwan, Jonathan
Williamson, Jonathan
Ho‐Shon, Kevin
Azari, Mohammad
Wilson, Michael
Ing, Alvin
Saghaie, Tajalli
author_facet Lilburn, Paul
Kwan, Jonathan
Williamson, Jonathan
Ho‐Shon, Kevin
Azari, Mohammad
Wilson, Michael
Ing, Alvin
Saghaie, Tajalli
author_sort Lilburn, Paul
collection PubMed
description The traditional indications for lobectomy for resectable Non‐small Cell Lung Cancer (NSCLC) may be set to change. Recently, anatomical segmentectomy (AS) versus lobectomy as an approach for early‐stage NSCLC has been described in phase 3 randomised controlled trials. The demand for methods to facilitate AS may increase as a consequence. We describe three cases of AS using the combination of endobronchial infiltration of indocyanine green (ICG) to identify the intersegmental plane (critical for the performance of AS), and Computed Tomography (CT) guided methylene blue injection for lesion localisation. The operations were completed successfully demonstrating satisfactory post‐operative outcomes including lesion resection with clear surgical margins and acceptable length of stay. We believe that endobronchial instillation of ICG and CT‐guided methylene blue injection for lesion localisation show promise as a technique to complement parenchymal sparing thoracic oncological surgery.
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spelling pubmed-102778282023-06-20 Endobronchial indocyanine green instillation to identify the intersegmental plane for successful segmentectomy Lilburn, Paul Kwan, Jonathan Williamson, Jonathan Ho‐Shon, Kevin Azari, Mohammad Wilson, Michael Ing, Alvin Saghaie, Tajalli Respirol Case Rep Case Series The traditional indications for lobectomy for resectable Non‐small Cell Lung Cancer (NSCLC) may be set to change. Recently, anatomical segmentectomy (AS) versus lobectomy as an approach for early‐stage NSCLC has been described in phase 3 randomised controlled trials. The demand for methods to facilitate AS may increase as a consequence. We describe three cases of AS using the combination of endobronchial infiltration of indocyanine green (ICG) to identify the intersegmental plane (critical for the performance of AS), and Computed Tomography (CT) guided methylene blue injection for lesion localisation. The operations were completed successfully demonstrating satisfactory post‐operative outcomes including lesion resection with clear surgical margins and acceptable length of stay. We believe that endobronchial instillation of ICG and CT‐guided methylene blue injection for lesion localisation show promise as a technique to complement parenchymal sparing thoracic oncological surgery. John Wiley & Sons, Ltd 2023-06-19 /pmc/articles/PMC10277828/ /pubmed/37342249 http://dx.doi.org/10.1002/rcr2.1174 Text en © 2023 The Authors. Respirology Case Reports published by John Wiley & Sons Australia, Ltd on behalf of The Asian Pacific Society of Respirology. https://creativecommons.org/licenses/by/4.0/This is an open access article under the terms of the http://creativecommons.org/licenses/by/4.0/ (https://creativecommons.org/licenses/by/4.0/) License, which permits use, distribution and reproduction in any medium, provided the original work is properly cited.
spellingShingle Case Series
Lilburn, Paul
Kwan, Jonathan
Williamson, Jonathan
Ho‐Shon, Kevin
Azari, Mohammad
Wilson, Michael
Ing, Alvin
Saghaie, Tajalli
Endobronchial indocyanine green instillation to identify the intersegmental plane for successful segmentectomy
title Endobronchial indocyanine green instillation to identify the intersegmental plane for successful segmentectomy
title_full Endobronchial indocyanine green instillation to identify the intersegmental plane for successful segmentectomy
title_fullStr Endobronchial indocyanine green instillation to identify the intersegmental plane for successful segmentectomy
title_full_unstemmed Endobronchial indocyanine green instillation to identify the intersegmental plane for successful segmentectomy
title_short Endobronchial indocyanine green instillation to identify the intersegmental plane for successful segmentectomy
title_sort endobronchial indocyanine green instillation to identify the intersegmental plane for successful segmentectomy
topic Case Series
url https://www.ncbi.nlm.nih.gov/pmc/articles/PMC10277828/
https://www.ncbi.nlm.nih.gov/pubmed/37342249
http://dx.doi.org/10.1002/rcr2.1174
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