Intraoperative Fluorescence Visualization in Thoracoscopic Surgery.

Huang, Weiyuan; Wang, Kun; Chen, Fengxia; Li, Gao; Chen, Xianshan; Yang, Qianyu; Li, Na; He, Kunshan et al. · Ann Thorac Surg · 2023

case_report · Level V

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Abstract

We report a clinical case of using indocyanine green inhalation to achieve intraoperative near-infrared fluorescence visualization of pulmonary ground-glass opacity in thoracoscopic wedge resection. The patient underwent thoracoscopic wedge resection under the real-time navigation of a near-infrared fluorescence imaging system with the indocyanine green inhalation performed 85 minutes before the surgery. The nebulized inhalation of indocyanine green (dose of 0.25 mg/kg) successfully guided surgeons to localize the small ground-glass opacity due to a filling defect of the fluorescence. The thoracoscopic near-infrared fluorescence navigation system delineated the tumor margin with high contrast and helped to minimize the damage to lung function.

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