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Three-dimensional computed tomography and indocyanine green-guided technique for pulmonary sequestration surgery

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Abstract

Patients with pulmonary sequestration are at risk of life-threatening bleeding during lung resection. To perform safe and adequate lung resection in patients with pulmonary sequestration, we utilized the following combination of techniques: (1) three-dimensional computed tomographic (3D-CT) imaging for preoperative planning and intraoperative identification of blood vessels, including aberrant arteries, and (2) intraoperative intravenous administration of indocyanine green (ICG). We describe our surgical technique through three cases who underwent lung resection for pulmonary sequestration using 3D-CT and fluorescence navigation with ICG. Intraoperative identification and division of the aberrant arteries, draining veins, and resection margins of the lungs were successfully completed.

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Funding

The authors received no financial support for this article.

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Author notes

  1. Shunichiro Matsuoka and Takashi Eguchi contributed equally.

Authors and Affiliations

  1. Division of General Thoracic Surgery, Department of Surgery, Shinshu University School of Medicine, 3-1-1 Asahi Matsumoto, Nagano, 390-8621, Japan

    Shunichiro Matsuoka, Takashi Eguchi, Tetsu Takeda, Kentaro Miura, Kazutoshi Hamanaka & Kimihiro Shimizu

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  1. Shunichiro Matsuoka
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  2. Takashi Eguchi
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  3. Tetsu Takeda
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  4. Kentaro Miura
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  5. Kazutoshi Hamanaka
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  6. Kimihiro Shimizu
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Correspondence to Kimihiro Shimizu.

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Matsuoka, S., Eguchi, T., Takeda, T. et al. Three-dimensional computed tomography and indocyanine green-guided technique for pulmonary sequestration surgery. Gen Thorac Cardiovasc Surg 69, 621–624 (2021). https://doi.org/10.1007/s11748-020-01511-2

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  • DOI: https://doi.org/10.1007/s11748-020-01511-2

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