Identification of the intersegmental plane via electromagnetic navigation for anatomical segmentectomy

Thorac Cancer. 2023 Aug;14(24):2515-2518. doi: 10.1111/1759-7714.15030. Epub 2023 Jul 16.

Abstract

Accurate identification of the physiological intersegmental plane is crucial for successful anatomical segmentectomy. Current techniques, such as the inflation-deflation method, may result in uncertain cutting lines, leading to unsuitable resection extents. Here, we demonstrated the successful use of electromagnetic navigation with methylene blue dye-marking to preoperatively and precisely identify the physiological intersegmental plane in two patients with small-sized peripheral non-small cell lung cancer (NSCLC). This novel technique offers the potential for precise cutting lines that align closely with the physiological intersegmental plane, thus improving the accuracy and efficacy of anatomical segmentectomy for these selected NSCLC patients.

Keywords: anatomical segmentectomy; electromagnetic navigation; intersegmental plane; lung cancer.

Publication types

  • Case Reports
  • Research Support, Non-U.S. Gov't

MeSH terms

  • Carcinoma, Non-Small-Cell Lung* / surgery
  • Humans
  • Lung Neoplasms* / surgery
  • Mastectomy, Segmental
  • Methylene Blue
  • Pneumonectomy / methods

Substances

  • Methylene Blue