[Indocyanine green fluorescence in thoracoscopic segmentectomy: indications and benefits].

Autor:	Pischik VG; Saint Petersburg City Clinical Oncology Center, St. Petersburg, Russia.; Sokolov North-Western District Scientific Clinical Center, St. Petersburg, Russia.; Saint Petersburg State University, St. Petersburg, Russia., Kovalenko AI; Saint Petersburg City Clinical Oncology Center, St. Petersburg, Russia.; Sokolov North-Western District Scientific Clinical Center, St. Petersburg, Russia., Molkova AV; Saint Petersburg City Clinical Oncology Center, St. Petersburg, Russia.; Saint Petersburg State University, St. Petersburg, Russia., Yuryev EY; Saint Petersburg City Clinical Oncology Center, St. Petersburg, Russia., Zinchenko EI; Sokolov North-Western District Scientific Clinical Center, St. Petersburg, Russia.; Saint Petersburg State University, St. Petersburg, Russia., Maslak OA; Saint Petersburg State University, St. Petersburg, Russia.
Jazyk:	ruština
Zdroj:	Khirurgiia [Khirurgiia (Mosk)] 2024 (2. Vyp. 2), pp. 13-23.
DOI:	10.17116/hirurgia202402213
Abstrakt:	Objective: To determine the role of ICG fluorescence in segmentectomies. Material and Methods: One surgical team performed 178 thoracoscopic anatomical segmentectomies in two hospitals between 2017 and 2023. Of these, 93 (52.2%) patients underwent ICG fluorescence perfusion tests. This study was retrospective and consecutive. Intraoperative and early postoperative results were analyzed. Patients were divided into 3 equal periods. Ventilation and perfusion methods were used to navigate the intersegmental planes in the first period. In the second one, only ventilation methods were used due to the absence of ICG. In the third period, the choice of navigation method was determined by «surgical complexity of segment». Results: In 74% of patients, surgeries were performed for primary or metastatic lung tumors. The scheduled procedure was performed in all patients. However, 2 ones required lobectomy for total resection. Uneventful postoperative period was observed in 69.7% of patients. Other ones had complications grade I-IIIA. No reoperations or mortality were recorded. Conclusion: ICG perfusion is not inferior to ventilation methods in identification of intersegmental planes. This method is also more convenient for thoracoscopy. ICG fluorescence thoracoscopy is the only method in patients with COPD scheduled for thoracoscopic segmentectomy with two or more intersegmental planes.
Databáze:	MEDLINE
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