Identification of the Separation Range of an Incomplete Interlobar Fissure in Segmentectomy Using Near Infrared

Cureus. 2023 Apr 23;15(4):e38009. doi: 10.7759/cureus.38009. eCollection 2023 Apr.

Abstract

In segmentectomy for patients with incomplete interlobar fissures, insufficient dissection of the interlobar parenchyma may result in incomplete segmentectomy, while excessive dissection may lead to excessive bleeding and air leaks. Here, we report a case of left apicoposterior (S1+2) segmentectomy with incomplete interlobar fissure in which near-infrared thoracoscopy with indocyanine green was used to identify the separation range of interlobar fissure by dissecting the relevant vessels beforehand.

Keywords: incomplete interlobar fissure; indocyanine green (icg); lung cancer; near-infrared fluorescence imaging; segmentectomy.

Publication types

  • Case Reports