Indocyanine green fluorescence detects the blood flow of the bronchial anastomosis for bronchoplasty “case report”

INTRODUCTION: Bronchoplasty is widely accepted as a standard technique with a high degree of difficulty in maintaining a surgical margin for non-small-cell lung cancer (NSCLC). The key to the success of the bronchial anastomosis is both tension and the blood flow. However, local tension is inconsistent with blood distribution. CASE PRESENTATION: Operative finding of the right upper bronchoplasty after chemoradiotherapyshowed clear green staining of the upper bronchus, and afterwards, a membranous area of the truncus intermedius. The blood supply of the bronchial anastomosis judged to be enough. DISCUSSION: Indocyanine green imaging (ICG) can help a scheduled operation be performed safely, especially in extreme situations where there is concern about the blood supply during bronchoplasty. CONCLUSION: This report describes a first case concerning the blood distribution of the bronchial anastomosis for bronchoplasty after induction therapy under fluorescence navigation.