Bibliographic Details
| Title: |
Impact of indocyanine green on prolonged air leak in minimally invasive segmentectomy. |
| Authors: |
Rudondy, Quentin1,2 (AUTHOR), Frey, Sebastien1,3 (AUTHOR), Bentellis, Imad1,4 (AUTHOR), Benkirane, Tayeb1,2 (AUTHOR), Cohen, Charlotte2 (AUTHOR), Benzaquen, Jonathan1,5 (AUTHOR), Ilie, Marius1,6 (AUTHOR), Gomez‐Caro, Abel2 (AUTHOR), Berthet, Jean‐Phillippe1,2 (AUTHOR) berthet.jp@chu-nice.fr |
| Source: |
Thoracic Cancer. 4/22/2024, Vol. 15 Issue 12, p994-1006. 13p. |
| Subject Terms: |
*VIDEO-assisted thoracic surgery, *RETROSPECTIVE studies, *MULTIVARIATE analysis, *MINIMALLY invasive procedures, *INDOLE compounds, *LUNG cancer, *LUMPECTOMY, *PERIOPERATIVE care |
| Abstract: |
Background: Video‐assisted thoracoscopic segmentectomies have become the gold standard for the treatment of early‐stage non‐small cell lung cancer less than two centimeters. The main difficulty is the identification of intersegmental boundary lines which dictate postoperative morbidities. Methods: We conducted a retrospective study to compare the perioperative outcomes of patients who underwent minimally invasive segmentectomy using the traditional deflation‐inflation method or the novel indocyanine green (ICG) technique. Using a prospectively maintained database, we performed a retrospective analysis of 197 consecutive anatomical segmentectomies, from 2020 to 2023. Clinical effectiveness, postoperative complications, and histological data were compared. Results: A total of 73 (37%) patients had the inflation‐deflation method and 124 (63%) had the intravenous ICG method. There were no significant differences in chest tube duration, prolonged air leak, postoperative complications, and postoperative hospital stays. Surgical margin width was also similar between the two groups. The multivariable analysis confirmed these results. Lastly, intravenous ICG brought no additional value in complex segmentectomies. Conclusion: This monocentric and retrospective analysis found no added value of the intravenous ICG on the perioperative results of minimally invasive segmentectomies. The place of this novel technique in the surgical armamentarium remains to be defined. Specific indications such as complex segmentectomy or patients with chronic pulmonary disease require further study. [ABSTRACT FROM AUTHOR] |
|
Copyright of Thoracic Cancer is the property of Wiley-Blackwell and its content may not be copied or emailed to multiple sites or posted to a listserv without the copyright holder's express written permission. However, users may print, download, or email articles for individual use. This abstract may be abridged. No warranty is given about the accuracy of the copy. Users should refer to the original published version of the material for the full abstract. (Copyright applies to all Abstracts.) |
| Database: |
Academic Search Complete |
