Robot-assisted thoracoscopic lobectomy for severe incomplete interlober fissure-Reference-Cited by-同舟云学术

Robot-assisted thoracoscopic lobectomy for severe incomplete interlober fissure

Published:2021-08-01 Issue:8 Volume:2021 Page:
ISSN:2042-8812
Container-title:Journal of Surgical Case Reports
language:en
Short-container-title:

Author:

Okazaki Mikio¹^ORCID,Suzawa Ken¹,Shien Kazuhiko¹,Miyoshi Kentaroh¹,Otani Shinji¹,Yamamoto Hiromasa¹,Sugimoto Seiichiro¹,Yamane Masaomi¹,Toyooka Shinichi¹

Affiliation:

1. Department of Thoracic, Breast and Endocrinological Surgery, Okayama University Graduate School of Medicine, Okayama, Japan

Abstract

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.

Publisher

Oxford University Press (OUP)

Subject

Surgery

Link

http://academic.oup.com/jscr/article-pdf/2021/8/rjab336/39739752/rjab336.pdf

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