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Thoracoscopic lobectomy using indocyanine green fluorescence to detect the interlobar fissure in a patient with displaced B3 and absence of fissure: A case report

机译:使用吲哚菁绿荧光的胸腔镜肺切除术来检测患者中的患者中的患者裂缝,缺乏裂缝:案例报告

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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. ? 2019 The Authors. Thoracic Cancer published by China Lung Oncology Group and John Wiley & Sons Australia, Ltd.
机译:一名90岁的女性被疑似肺腺癌的医院接受了患者。术前三维重建的计算断层扫描揭示了从右侧叶支气管中产生的前段支气管(B3)的位移,没有右上叶和中瓣之间的裂缝。成功进行了完整的胸镜右上肺切除术。在肺切除之前鉴定这种异常是至关重要的,以避免胸腔镜肺切除术或分段切除术期间的术中并发症。另外,具有荧光体系的静脉内吲哚菁绿可用于术中识别适当的间裂隙裂缝边界。据我们所知,这是通过施加静脉内吲哚菁绿方法来进行肺癌的第一个肺癌胸腔镜肺切除术的胸腔镜肺切除术例。 ? 2019年的作者。中国肺部肿瘤集团和约翰瓦里和儿子澳大利亚发表的胸癌

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