Thoracoscopic lobectomy using indocyanine green fluorescence to detect the interlobar fissure in a patient with displaced B3 and absence of fissure: A case report

A 90‐year‐old woman was admitted to our hospital with suspected lung adenocarcinoma. Preoperative three‐dimensional reconstructed computed tomography revealed displacement of the anterior segmental bronchus (B3) arising from the right middle lobe bronchus with absence of the fissure between the righ...

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Main Authors: Keita Nakanishi, Hiroaki Kuroda, Takeo Nakada, Harushi Ueno, Noriaki Sakakura
Format: Article
Language:English
Published: Wiley 2019-07-01
Series:Thoracic Cancer
Subjects:
Online Access:https://doi.org/10.1111/1759-7714.13104
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spelling doaj-9403bf77dfdb4244815d760aba0f33082020-11-24T21:56:38ZengWileyThoracic Cancer1759-77061759-77142019-07-011071654165610.1111/1759-7714.13104Thoracoscopic lobectomy using indocyanine green fluorescence to detect the interlobar fissure in a patient with displaced B3 and absence of fissure: A case reportKeita Nakanishi0Hiroaki Kuroda1Takeo Nakada2Harushi Ueno3Noriaki Sakakura4Department of Thoracic Surgery Aichi Cancer Center Hospital Nagoya JapanDepartment of Thoracic Surgery Aichi Cancer Center Hospital Nagoya JapanDepartment of Thoracic Surgery Aichi Cancer Center Hospital Nagoya JapanDepartment of Thoracic Surgery Aichi Cancer Center Hospital Nagoya JapanDepartment of Thoracic Surgery Aichi Cancer Center Hospital Nagoya JapanA 90‐year‐old woman was admitted to our hospital with suspected lung adenocarcinoma. Preoperative three‐dimensional reconstructed computed tomography revealed displacement of the anterior segmental bronchus (B3) arising from the right middle lobe bronchus with absence of the fissure between the right upper and middle lobes. A complete thoracoscopic right upper lobectomy was successfully performed. It is crucial to identify such anomalies prior to lung resection to avoid intraoperative complications during thoracoscopic lobectomy or segmentectomy. Additionally, intravenous indocyanine green with a fluorescence system was useful to identify the proper interlobar fissure boundary intraoperatively. To the best of our knowledge, this is the first reported case of thoracoscopic lobectomy for lung cancer with displaced B3 and absence of the interlobar fissure to be performed by applying the intravenous indocyanine green method.https://doi.org/10.1111/1759-7714.13104Displaced bronchusindocyanine greenlung cancersurgerythoracoscopic surgery
collection DOAJ
language English
format Article
sources DOAJ
author Keita Nakanishi
Hiroaki Kuroda
Takeo Nakada
Harushi Ueno
Noriaki Sakakura
spellingShingle Keita Nakanishi
Hiroaki Kuroda
Takeo Nakada
Harushi Ueno
Noriaki Sakakura
Thoracoscopic lobectomy using indocyanine green fluorescence to detect the interlobar fissure in a patient with displaced B3 and absence of fissure: A case report
Thoracic Cancer
Displaced bronchus
indocyanine green
lung cancer
surgery
thoracoscopic surgery
author_facet Keita Nakanishi
Hiroaki Kuroda
Takeo Nakada
Harushi Ueno
Noriaki Sakakura
author_sort Keita Nakanishi
title Thoracoscopic lobectomy using indocyanine green fluorescence to detect the interlobar fissure in a patient with displaced B3 and absence of fissure: A case report
title_short Thoracoscopic lobectomy using indocyanine green fluorescence to detect the interlobar fissure in a patient with displaced B3 and absence of fissure: A case report
title_full Thoracoscopic lobectomy using indocyanine green fluorescence to detect the interlobar fissure in a patient with displaced B3 and absence of fissure: A case report
title_fullStr Thoracoscopic lobectomy using indocyanine green fluorescence to detect the interlobar fissure in a patient with displaced B3 and absence of fissure: A case report
title_full_unstemmed Thoracoscopic lobectomy using indocyanine green fluorescence to detect the interlobar fissure in a patient with displaced B3 and absence of fissure: A case report
title_sort thoracoscopic lobectomy using indocyanine green fluorescence to detect the interlobar fissure in a patient with displaced b3 and absence of fissure: a case report
publisher Wiley
series Thoracic Cancer
issn 1759-7706
1759-7714
publishDate 2019-07-01
description A 90‐year‐old woman was admitted to our hospital with suspected lung adenocarcinoma. Preoperative three‐dimensional reconstructed computed tomography revealed displacement of the anterior segmental bronchus (B3) arising from the right middle lobe bronchus with absence of the fissure between the right upper and middle lobes. A complete thoracoscopic right upper lobectomy was successfully performed. It is crucial to identify such anomalies prior to lung resection to avoid intraoperative complications during thoracoscopic lobectomy or segmentectomy. Additionally, intravenous indocyanine green with a fluorescence system was useful to identify the proper interlobar fissure boundary intraoperatively. To the best of our knowledge, this is the first reported case of thoracoscopic lobectomy for lung cancer with displaced B3 and absence of the interlobar fissure to be performed by applying the intravenous indocyanine green method.
topic Displaced bronchus
indocyanine green
lung cancer
surgery
thoracoscopic surgery
url https://doi.org/10.1111/1759-7714.13104
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