Open Access Case report

Thoracoscopic surgery for lung emphysema using an infrared camera

Keitaro Matsumoto1*, Isao Sano2, Hideki Taniguchi2, Naoya Yamasaki1, Tomoshi Tsuchiya1, Takuro Miyazaki1, Koichi Tomoshige1 and Takeshi Nagayasu1

Author Affiliations

1 Division of Surgical Oncology, Department of Translational Medical Sciences, Nagasaki University Graduate School of Biomedical Sciences, Nagasaki, Japan

2 Department of Surgery, Japanese Red Cross Nagasaki Genbaku Hospital, Nagasaki, Japan

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Journal of Cardiothoracic Surgery 2013, 8:134  doi:10.1186/1749-8090-8-134

Published: 24 May 2013

Abstract

Localized emphysema is difficult to detect on normal thoracoscopy. Indocyanine green (ICG) was used to precisely delineate an emphysematous lesion using an infrared camera system in a 75-year-old woman with a large emphysematous lesion in the right lower lobe. Due to repeated infections of the emphysematous lesion, right basal segmentectomy for localized lung emphysema was performed. During surgery, ICG (0.5 mg/kg) was injected intravenously, and the emphysematous lesion was detected as a fluorescence defect. This method could be used for precise resection of large emphysematous lesions because it permits clear detection with a small amount of ICG.

Keywords:
Emphysema; VATS; Segmentectomy; Indocyanine green; Infrared camera