Clinical Application of Near-Infrared Thoracoscopy With Indocyanine Green in Video-Assisted Thoracoscopic Anatomical Segmentectomy
Clinical Application of Near-Infrared Thoracoscopy With Indocyanine Green in Video-Assisted Thoracoscopic Anatomical Segmentectomy
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DOI：
10.1177/1553350619848197
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发表时间：
2019-08-01
影响因子：
1.5
通讯作者：
Zhao, Xuewei
中科院分区：
文献类型：
--
作者：
Jin, Yuxiang;Wang, Mingdong;Zhao, Xuewei
背景。旨在确认静脉注射吲哚菁绿 (ICG) 的近红外胸腔镜在电视胸腔镜手术 (VATS) 肺段切除术中的影响。材料和方法。我们回顾性筛选了21例接受VATS肺段切除术的患者的围手术期数据。借助术前 3 维计算机断层扫描图像识别节段动脉和支气管。其中，对临床效果及术后并发症进行分析。采用 3 端口方法并全身静脉注射 ICG 进行 VATS 肺段切除术。结果。共有 21 名患者接受了基于 VATS 的肺段切除术并注射 ICG。平均手术时间为126.19+/-15.32分钟，平均出血量为158.10+/-39.95mL。此外，术后1天的平均引流量为153.81+/-32.19mL，平均引流时间为1.62+/-0.59天。 21 名患者中有 6 名出现并发症。 2 名患者患有肺炎，3 名患者出现心律失常，1 名患者出现长时间漏气。 ICG 血管造影未出现并发症。结论。近红外胸腔镜静脉注射ICG是一种安全、快速、简单、准确度高的方法，可用于识别节段间平面，提高VATS肺段切除术的质量。
Background. To confirm the impact of near-infrared thoracoscopy with intravenous injection of indocyanine green (ICG) during video-assisted thoracic surgery (VATS)-based segmentectomy. Materials and Methods. We retrospectively screened the perioperative data in total 21 patients who underwent segmentectomy by VATS. The segmental arteries and bronchi were identified with the help of preoperative 3-dimensional computed tomography images. Among them, clinical effectiveness and postoperative complications were analyzed. VATS segmentectomy was performed using a 3-port approach with systemic intravenous injection of ICG. Results. A total of 21 patients underwent VATS-based segmentectomy with ICG injection. The mean operation time was 126.19 +/- 15.32 minutes, and the mean bleeding volume was 158.10 +/- 39.95 mL. In addition, the average drainage volume 1 day after surgery was 153.81 +/- 32.19 mL, and mean duration of drainage was 1.62 +/- 0.59 days. Complications occurred in 6 of the 21 patients. Two patients had pneumonia, 3 had arrhythmia, and 1 had prolonged air leak. There were no complications resulting from ICG angiography. Conclusions. Near-infrared thoracoscopy with intravenous injection of ICG is a safe, fast, simple, and highly accurate method that can be used to identify the intersegmental plane and facilitate the quality of VATS-based segmentectomy.