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Robot-assisted thoracoscopic lobectomy for severe incomplete interlober fissure
An incomplete interlobar fissure makes thoracoscopic lobectomy difficult and is predictive of morbidity after thoracoscopic lobectomy. This report demonstrates the robot-assisted thoracoscopic (RATS) lobectomy technique for patients with severe incomplete interlobar fissures. A fissureless approach...
Autores principales: | , , , , , , , , |
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Formato: | Online Artículo Texto |
Lenguaje: | English |
Publicado: |
Oxford University Press
2021
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Materias: | |
Acceso en línea: | https://www.ncbi.nlm.nih.gov/pmc/articles/PMC8364786/ https://www.ncbi.nlm.nih.gov/pubmed/34408837 http://dx.doi.org/10.1093/jscr/rjab336 |
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author | Okazaki, Mikio Suzawa, Ken Shien, Kazuhiko Miyoshi, Kentaroh Otani, Shinji Yamamoto, Hiromasa Sugimoto, Seiichiro Yamane, Masaomi Toyooka, Shinichi |
author_facet | Okazaki, Mikio Suzawa, Ken Shien, Kazuhiko Miyoshi, Kentaroh Otani, Shinji Yamamoto, Hiromasa Sugimoto, Seiichiro Yamane, Masaomi Toyooka, Shinichi |
author_sort | Okazaki, Mikio |
collection | PubMed |
description | An incomplete interlobar fissure makes thoracoscopic lobectomy difficult and is predictive of morbidity after thoracoscopic lobectomy. This report demonstrates the robot-assisted thoracoscopic (RATS) lobectomy technique for patients with severe incomplete interlobar fissures. A fissureless approach was chosen for pulmonary resection. Near-infrared fluorescence imaging with intravenous indocyanine green (ICG) was used to detect the interlobar line after transection of the bronchus, pulmonary artery and vein. Interlobar fissure was identified and divided by robotic staplers. This combined technique using ICG and fissureless lobectomy made RATS lobectomy safe for patients with severe incomplete interlobar fissures. |
format | Online Article Text |
id | pubmed-8364786 |
institution | National Center for Biotechnology Information |
language | English |
publishDate | 2021 |
publisher | Oxford University Press |
record_format | MEDLINE/PubMed |
spelling | pubmed-83647862021-08-17 Robot-assisted thoracoscopic lobectomy for severe incomplete interlober fissure Okazaki, Mikio Suzawa, Ken Shien, Kazuhiko Miyoshi, Kentaroh Otani, Shinji Yamamoto, Hiromasa Sugimoto, Seiichiro Yamane, Masaomi Toyooka, Shinichi J Surg Case Rep Surgical Technique An incomplete interlobar fissure makes thoracoscopic lobectomy difficult and is predictive of morbidity after thoracoscopic lobectomy. This report demonstrates the robot-assisted thoracoscopic (RATS) lobectomy technique for patients with severe incomplete interlobar fissures. A fissureless approach was chosen for pulmonary resection. Near-infrared fluorescence imaging with intravenous indocyanine green (ICG) was used to detect the interlobar line after transection of the bronchus, pulmonary artery and vein. Interlobar fissure was identified and divided by robotic staplers. This combined technique using ICG and fissureless lobectomy made RATS lobectomy safe for patients with severe incomplete interlobar fissures. Oxford University Press 2021-08-14 /pmc/articles/PMC8364786/ /pubmed/34408837 http://dx.doi.org/10.1093/jscr/rjab336 Text en Published by Oxford University Press and JSCR Publishing Ltd. © The Author(s) 2021. https://creativecommons.org/licenses/by/4.0/This is an Open Access article distributed under the terms of the Creative Commons Attribution License (http://creativecommons.org/licenses/by/4.0/ (https://creativecommons.org/licenses/by/4.0/) ), which permits unrestricted reuse, distribution, and reproduction in any medium, provided the original work is properly cited. |
spellingShingle | Surgical Technique Okazaki, Mikio Suzawa, Ken Shien, Kazuhiko Miyoshi, Kentaroh Otani, Shinji Yamamoto, Hiromasa Sugimoto, Seiichiro Yamane, Masaomi Toyooka, Shinichi Robot-assisted thoracoscopic lobectomy for severe incomplete interlober fissure |
title | Robot-assisted thoracoscopic lobectomy for severe incomplete interlober fissure |
title_full | Robot-assisted thoracoscopic lobectomy for severe incomplete interlober fissure |
title_fullStr | Robot-assisted thoracoscopic lobectomy for severe incomplete interlober fissure |
title_full_unstemmed | Robot-assisted thoracoscopic lobectomy for severe incomplete interlober fissure |
title_short | Robot-assisted thoracoscopic lobectomy for severe incomplete interlober fissure |
title_sort | robot-assisted thoracoscopic lobectomy for severe incomplete interlober fissure |
topic | Surgical Technique |
url | https://www.ncbi.nlm.nih.gov/pmc/articles/PMC8364786/ https://www.ncbi.nlm.nih.gov/pubmed/34408837 http://dx.doi.org/10.1093/jscr/rjab336 |
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