TY - JOUR

T1 - Left basilar VATS segmentectomy for intra lobar pulmonary sequestration using indocyanine green for identification of the intersegmental plane

T2 - a case report

AU - Petersen, René Horsleben

PY - 2023

Y1 - 2023

N2 - Pulmonary sequestration is a rare congenital abnormality that requires surgical resection if symptomatic. The pulmonary sequestration can be extra lobar with a separate visceral pleura, artery and venous drainage or intra lobar contained within the visceral pleura of the lung with a separate artery andvenous drainage to the pulmonary vein. Rarely the entire lobe is affected in intra lobar sequestration and segmentectomy should be considered rather than lobectomy. A case of an intra lobar sequestration in the left lower lobe with a feeding artery coming from the descending thoracic aorta is presented. Thepatient was a young woman, who had experienced recurrent pneumonia for one year. A left video-assisted thoracoscopic surgery (VATS) basilar segmentectomy was performed using a standardized anterior threeport approach. Due to the recurrent infections, the hilar lymph nodes were fibrotic, and dissection wasperformed using an advanced energy system. Identification of the intersegmental plane may be challenging in segmentectomies. Most surgeons use an inflation-deflation technique. In this case identification wasperformed using a near-infra red camera and intravenous injection of indocyanine green. Identification was successful. The postoperative course was uneventful with a length of stay of two days. On follow up 6 monthspostoperatively, the patient was without any symptoms

AB - Pulmonary sequestration is a rare congenital abnormality that requires surgical resection if symptomatic. The pulmonary sequestration can be extra lobar with a separate visceral pleura, artery and venous drainage or intra lobar contained within the visceral pleura of the lung with a separate artery andvenous drainage to the pulmonary vein. Rarely the entire lobe is affected in intra lobar sequestration and segmentectomy should be considered rather than lobectomy. A case of an intra lobar sequestration in the left lower lobe with a feeding artery coming from the descending thoracic aorta is presented. Thepatient was a young woman, who had experienced recurrent pneumonia for one year. A left video-assisted thoracoscopic surgery (VATS) basilar segmentectomy was performed using a standardized anterior threeport approach. Due to the recurrent infections, the hilar lymph nodes were fibrotic, and dissection wasperformed using an advanced energy system. Identification of the intersegmental plane may be challenging in segmentectomies. Most surgeons use an inflation-deflation technique. In this case identification wasperformed using a near-infra red camera and intravenous injection of indocyanine green. Identification was successful. The postoperative course was uneventful with a length of stay of two days. On follow up 6 monthspostoperatively, the patient was without any symptoms

U2 - 10.21037/jovs-21-21

DO - 10.21037/jovs-21-21

M3 - Journal article

VL - 9

JO - Journal of Visualized Surgery

JF - Journal of Visualized Surgery

SN - 2221-2965

M1 - 15

ER -