Localization of subcentimeter pulmonary nodules using an indocyanine green near-infrared imaging system during uniportal video-assisted thoracoscopic surgery
Abstract Background To investigate the feasibility of indocyanine green (ICG) use in localizing subcentimeter pulmonary nodules during uniportal video-assisted thoracoscopic surgery. Methods This study was a retrospective analysis of 32 patients who underwent surgery due to pulmonary nodules using I...
| Main Authors: | , , , , |
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| Format: | Article |
| Language: | English |
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BMC
2021-08-01
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| Series: | Journal of Cardiothoracic Surgery |
| Subjects: | |
| Online Access: | https://doi.org/10.1186/s13019-021-01603-x |
| _version_ | 1819027261791141888 |
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| author | Zhuo Wu Lei Zhang Xi-tong Zhao Di Zhou Xue-ying Yang |
| author_facet | Zhuo Wu Lei Zhang Xi-tong Zhao Di Zhou Xue-ying Yang |
| author_sort | Zhuo Wu |
| collection | DOAJ |
| description | Abstract Background To investigate the feasibility of indocyanine green (ICG) use in localizing subcentimeter pulmonary nodules during uniportal video-assisted thoracoscopic surgery. Methods This study was a retrospective analysis of 32 patients who underwent surgery due to pulmonary nodules using ICG localization from September 2019 to March 2020 in the Department of Thoracic Surgery, The Fourth Affiliated Hospital of China Medical University. Laser positioning and large-aperture spiral CT simulation were performed preoperatively. ICG was injected into the lung (2.5 mg/ml). The clinical characteristics and postoperative indicators were recorded. Results A total of 33 subcentimeter pulmonary nodules were successfully localized in 32 patients. Twenty-three patients underwent lobectomy, with an average surgical time of 45.3 min and an average tube retention time of 2 days. Non-small cell lung cancer was confirmed intraoperatively in 9 patients, among whom the longest surgical time was 120 min, and the shortest hospital stay was 7 days. No patient was converted to thoracotomy or developed serious complications. Conclusions ICG imaging is a safe and effective technique for localization of pulmonary nodules. Due to the widespread application of near-infrared devices, fluorescent localization and imaging technology will be more widely used in thoracic surgery. |
| first_indexed | 2024-12-21T05:39:40Z |
| format | Article |
| id | doaj.art-579126909a624623818f9bdcb8cccf10 |
| institution | Directory Open Access Journal |
| issn | 1749-8090 |
| language | English |
| last_indexed | 2024-12-21T05:39:40Z |
| publishDate | 2021-08-01 |
| publisher | BMC |
| record_format | Article |
| series | Journal of Cardiothoracic Surgery |
| spelling | doaj.art-579126909a624623818f9bdcb8cccf102022-12-21T19:14:18ZengBMCJournal of Cardiothoracic Surgery1749-80902021-08-011611510.1186/s13019-021-01603-xLocalization of subcentimeter pulmonary nodules using an indocyanine green near-infrared imaging system during uniportal video-assisted thoracoscopic surgeryZhuo Wu0Lei Zhang1Xi-tong Zhao2Di Zhou3Xue-ying Yang4Department of Thoracic Surgery, The Fourth Affiliated Hospital of China Medical UniversityDepartment of Thoracic Surgery, The Fourth Affiliated Hospital of China Medical UniversityDepartment of Thoracic Surgery, The Fourth Affiliated Hospital of China Medical UniversityDepartment of Thoracic Surgery, The Fourth Affiliated Hospital of China Medical UniversityDepartment of Thoracic Surgery, The Fourth Affiliated Hospital of China Medical UniversityAbstract Background To investigate the feasibility of indocyanine green (ICG) use in localizing subcentimeter pulmonary nodules during uniportal video-assisted thoracoscopic surgery. Methods This study was a retrospective analysis of 32 patients who underwent surgery due to pulmonary nodules using ICG localization from September 2019 to March 2020 in the Department of Thoracic Surgery, The Fourth Affiliated Hospital of China Medical University. Laser positioning and large-aperture spiral CT simulation were performed preoperatively. ICG was injected into the lung (2.5 mg/ml). The clinical characteristics and postoperative indicators were recorded. Results A total of 33 subcentimeter pulmonary nodules were successfully localized in 32 patients. Twenty-three patients underwent lobectomy, with an average surgical time of 45.3 min and an average tube retention time of 2 days. Non-small cell lung cancer was confirmed intraoperatively in 9 patients, among whom the longest surgical time was 120 min, and the shortest hospital stay was 7 days. No patient was converted to thoracotomy or developed serious complications. Conclusions ICG imaging is a safe and effective technique for localization of pulmonary nodules. Due to the widespread application of near-infrared devices, fluorescent localization and imaging technology will be more widely used in thoracic surgery.https://doi.org/10.1186/s13019-021-01603-xIndocyanine greenUniportal thoracoscopePulmonary nodules |
| spellingShingle | Zhuo Wu Lei Zhang Xi-tong Zhao Di Zhou Xue-ying Yang Localization of subcentimeter pulmonary nodules using an indocyanine green near-infrared imaging system during uniportal video-assisted thoracoscopic surgery Journal of Cardiothoracic Surgery Indocyanine green Uniportal thoracoscope Pulmonary nodules |
| title | Localization of subcentimeter pulmonary nodules using an indocyanine green near-infrared imaging system during uniportal video-assisted thoracoscopic surgery |
| title_full | Localization of subcentimeter pulmonary nodules using an indocyanine green near-infrared imaging system during uniportal video-assisted thoracoscopic surgery |
| title_fullStr | Localization of subcentimeter pulmonary nodules using an indocyanine green near-infrared imaging system during uniportal video-assisted thoracoscopic surgery |
| title_full_unstemmed | Localization of subcentimeter pulmonary nodules using an indocyanine green near-infrared imaging system during uniportal video-assisted thoracoscopic surgery |
| title_short | Localization of subcentimeter pulmonary nodules using an indocyanine green near-infrared imaging system during uniportal video-assisted thoracoscopic surgery |
| title_sort | localization of subcentimeter pulmonary nodules using an indocyanine green near infrared imaging system during uniportal video assisted thoracoscopic surgery |
| topic | Indocyanine green Uniportal thoracoscope Pulmonary nodules |
| url | https://doi.org/10.1186/s13019-021-01603-x |
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