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- Title
Robot-assisted thoracoscopic lobectomy for severe incomplete interlober fissure.
- Authors
Okazaki, Mikio; Suzawa, Ken; Shien, Kazuhiko; Miyoshi, Kentaroh; Otani, Shinji; Yamamoto, Hiromasa; Sugimoto, Seiichiro; Yamane, Masaomi; Toyooka, Shinichi
- Abstract
An incomplete interlobar fissure makes thoracoscopic lobectomy difficult and is predictive of morbidity after thoracoscopic lobectomy. This report demonstrates the robot-assisted thoracoscopic (RATS) lobectomy technique for patients with severe incomplete interlobar fissures. A fissureless approach was chosen for pulmonary resection. Near-infrared fluorescence imaging with intravenous indocyanine green (ICG) was used to detect the interlobar line after transection of the bronchus, pulmonary artery and vein. Interlobar fissure was identified and divided by robotic staplers. This combined technique using ICG and fissureless lobectomy made RATS lobectomy safe for patients with severe incomplete interlobar fissures.
- Subjects
LOBECTOMY (Lung surgery); PATIENT safety; PULMONARY veins; INDOCYANINE green; PULMONARY artery
- Publication
Journal of Surgical Case Reports, 2021, Vol 2021, Issue 8, p1
- ISSN
2042-8812
- Publication type
Case Study
- DOI
10.1093/jscr/rjab336