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Pischik V.G.

Saint Petersburg City Clinical Oncology Center;
Sokolov North-Western District Scientific Clinical Center;
Saint Petersburg State University

Kovalenko A.I.

Saint Petersburg City Clinical Oncology Center;
Sokolov North-Western District Scientific Clinical Center

Molkova A.V.

Saint Petersburg City Clinical Oncology Center;
Saint Petersburg State University

Yuryev E.Yu.

Saint Petersburg City Clinical Oncology Center

Zinchenko E.I.

Sokolov North-Western District Scientific Clinical Center;
Saint Petersburg State University

Maslak O.A.

Saint Petersburg State University

Indocyanine green fluorescence in thoracoscopic segmentectomy: indications and benefits

Authors:

Pischik V.G., Kovalenko A.I., Molkova A.V., Yuryev E.Yu., Zinchenko E.I., Maslak O.A.

More about the authors

Journal: Pirogov Russian Journal of Surgery. 2024;(2‑2): 13‑23

DOI: 10.17116/hirurgia202402213

Read: 1379 times

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Table of contents

INDOCYANINE GREEN FLUORESCENCE IN THORACOSCOPIC SEGMENTECTOMY: INDICATIONS AND BENEFITS
INDOCYANINE GREEN FLUORESCENCE IN THORACOSCOPIC SEGMENTECTOMY: INDICATIONS AND BENEFITS

To cite this article:

Pischik VG, Kovalenko AI, Molkova AV, Yuryev EYu, Zinchenko EI, Maslak OA. Indocyanine green fluorescence in thoracoscopic segmentectomy: indications and benefits. Pirogov Russian Journal of Surgery. 2024;(2‑2):13‑23. (In Russ.)
https://doi.org/10.17116/hirurgia202402213

Подписка 2026 Хирургия. Журнал им. Н.И. Пирогова (Pirogov Russian Journal of Surgery)
МСФ на ЯМ
Использование инфографики авторами научных работ
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Abstract:

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.

Keywords:

anatomical resections
thoracoscopic segmentectomy
ICG fluorescence
indocyanine green

Authors:

Pischik V.G.

Saint Petersburg City Clinical Oncology Center;
Sokolov North-Western District Scientific Clinical Center;
Saint Petersburg State University

Kovalenko A.I.

Saint Petersburg City Clinical Oncology Center;
Sokolov North-Western District Scientific Clinical Center

Molkova A.V.

Saint Petersburg City Clinical Oncology Center;
Saint Petersburg State University

Yuryev E.Yu.

Saint Petersburg City Clinical Oncology Center

Zinchenko E.I.

Sokolov North-Western District Scientific Clinical Center;
Saint Petersburg State University

Maslak O.A.

Saint Petersburg State University

Received:

03.10.2023

Accepted:

11.11.2023

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