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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Online Access: | https://doi.org/10.1111/1759-7714.13104 |
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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 |
work_keys_str_mv |
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