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Lung Segmentation

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Fluorescence-Guided Surgery
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Abstract

With the development of diagnostic imaging technology, the detection of small-sized peripheral lung cancer has increased remarkably in these years. Therefore, the idea that a smaller lung resection (limited surgery) may be sufficient instead of a lobectomy, which has been considered the standard surgery, has become widespread. In accordance with this trend, the number of cases of pulmonary segmentectomy is increasing worldwide. Recently, multicenter studies in Japan clarified that the pulmonary segmentectomy prolonged overall survival more than the standard lobectomy and small partial resection was suitable in specific cases of lung cancer [1, 2].

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References

  1. Saji H, Okada M, Tsuboi M, et al.; West Japan Oncology Group and Japan Clinical Oncology Group. Segmentectomy versus lobectomy in small-sized peripheral non-small-cell lung cancer (JCOG0802/WJOG4607L): a multicentre, open-label, phase 3, randomised, controlled, non-inferiority trial. Lancet. 2022;399(10335):1607–1617. https://doi.org/10.1016/S0140-6736(21)02333-3.

  2. Sagawa M, Oizumi H, Suzuki H, et al. A prospective 5-year follow-up study after limited resection for lung cancer with ground-glass opacity. Eur J Cardiothorac Surg. 2018;53(4):849–56. https://doi.org/10.1093/ejcts/ezx418.

    Article  PubMed  Google Scholar 

  3. Okada M, Mimura T, Ikegaki J, et al. A novel video-assisted anatomic segmentectomy technique: selective segmental inflation via bronchofiberoptic jet followed by cautery cutting. J Thorac Cardiovasc Surg. 2007;133:753–8.

    Article  PubMed  Google Scholar 

  4. Gotoh M, Yamamoto Y, Igai H, et al. Clinical application of infrared thoracoscopy to detect bullous or emphysematous lesions of the lung. J Thorac Cardiovasc Surg. 2007;134:1498–501.

    Article  PubMed  Google Scholar 

  5. Yamashita S, Tokuishi K, Anami K, et al. Video-assisted thoracoscopic indocyanine green fluorescence imaging system shows sentinel lymph nodes in non-small-cell lung cancer. Thorac Cardiovasc Surg. 2011;141:141–4.

    Article  Google Scholar 

  6. Ashitate Y, Tanaka E, Stockdale A, et al. Near-infrared fluorescence imaging of thoracic duct anatomy and function in open surgery and video-assisted. J Thorac Cardiovasc Surg. 2011;142:31-8.e1-2.

    Article  PubMed  Google Scholar 

  7. Misaki N, Chang SS, Gotoh M, et al. A novel method for determining adjacent lung segments with infrared thoracoscopy. J Thorac Cardiovasc Surg. 2009;138:613–8.

    Article  PubMed  Google Scholar 

  8. Sun Y, Zhang Q, Wang Z, et al. Is the near-infrared fluorescence imaging with intravenous indocyanine green method for identifying the intersegmental plane concordant with a modified inflation-deflation method in lung segmentectomy? Thorac Cancer. 2019;10:2013–21.

    Article  CAS  PubMed  PubMed Central  Google Scholar 

  9. Sekine Y, Ko E, Oishi H, et al. A simple and effective technique for identification of intersegmental planes by infrared thoracoscopy after. J Thorac Cardiovasc Surg. 2012;143:1330–5. (8) Sekine Y, Ko E, Oishi H et al: A simple and effective technique for identification of intersegmental planes by infrared thoracoscopy after transbronchial injection of indocyanine green

    Article  PubMed  Google Scholar 

  10. Sekine Y, Itoh T, Toyoda T, et al. Precise anatomical sublobar resection using a 3D medical image analyzer and fluorescence-guided surgery with transbronchial instillation of indocyanine green. Semin Thorac Cardiovasc Surg. 2019;31:595–602.

    Article  PubMed  Google Scholar 

  11. Cao C, Chandrakumar D, Gupta S, et al. Could less be more?-A systematic review and meta-analysis of sublobar resections versus lobectomy for non-small lung cancer according to patient selection. Lung Cancer. 2015;89:121–32.

    Article  PubMed  Google Scholar 

  12. Predina JD, Newton AD, Xia L, et al. An open label trial of folate receptor-targeted intraoperative molecular imaging to localize pulmonary squamous cell carcinomas. Oncotarget. 2018;9:13517–29.

    Article  PubMed  PubMed Central  Google Scholar 

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Correspondence to Yasuo Sekine .

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1 Electronic Supplementary Material

Thoracoscopic right S9+10 segmentectomy using negative staining method. (Courtesy of Dr. Norihito Okumura, Kurashiki Central Hospital) (video duration 01:52) (MP4 29074 kb)

Transbronchial ICG injection method (video duration 00:34) (MP4 6534 kb)

Thoracoscopic right S10b+c subsegmentectomy using positive staining method (video duration 01:14) (MP4 14059 kb)

Thoracoscopic deep wedge resection of left S10ci α yx+S10aii α using the positive staining technique (video duration 04:07) (MP4 47441 kb)

Thoracoscopic left S(1 + 2) + S3 + S4ai segmentectomy using double staining method (video duration 01:48) (MP4 20924 kb)

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Sekine, Y. (2023). Lung Segmentation. In: Ishizawa, T. (eds) Fluorescence-Guided Surgery. Springer, Singapore. https://doi.org/10.1007/978-981-19-7372-7_27

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  • DOI: https://doi.org/10.1007/978-981-19-7372-7_27

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  • Publisher Name: Springer, Singapore

  • Print ISBN: 978-981-19-7371-0

  • Online ISBN: 978-981-19-7372-7

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