A feasible technique for distinguishing the intersegmental plane by transbronchial injection of iron sucroseCentral MessagePerspective
Objectives: Pulmonary segmentectomy should be the standard surgical procedure for patients in certain clinical scenarios. However, detecting the intersegmental planes both on the pleural surface and within the lung parenchyma remains a challenge. We developed an intraoperative novel method for disti...
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Elsevier
2023-04-01
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| Series: | JTCVS Techniques |
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| Online Access: | http://www.sciencedirect.com/science/article/pii/S2666250723000044 |
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| author | Chengqiang Li, MD, PhD Xianfei Zhang, MD, PhD Xijia Feng, MD, PhD Dingpei Han, MD, PhD Jie Xiang, MD, PhD Hecheng Li, MD, PhD |
| author_facet | Chengqiang Li, MD, PhD Xianfei Zhang, MD, PhD Xijia Feng, MD, PhD Dingpei Han, MD, PhD Jie Xiang, MD, PhD Hecheng Li, MD, PhD |
| author_sort | Chengqiang Li, MD, PhD |
| collection | DOAJ |
| description | Objectives: Pulmonary segmentectomy should be the standard surgical procedure for patients in certain clinical scenarios. However, detecting the intersegmental planes both on the pleural surface and within the lung parenchyma remains a challenge. We developed an intraoperative novel method for distinguishing intersegmental planes of the lung via transbronchial injection of iron sucrose (ClinicalTrials.gov number, NCT03516500). Methods: We first performed a bronchial injection of iron sucrose to identify the intersegmental plane of the porcine lung. Then, we conducted a prospective study to evaluate the safety and feasibility of the technique in 20 patients who underwent anatomic segmentectomy. Iron sucrose was injected into the bronchus of target pulmonary segments, and the intersegmental planes were divided with electrocautery or stapler. Results: The median injection of iron sucrose was 90 mL (range, 70-120 mL), and the median time from injection of iron sucrose to demarcation of intersegmental plane was 8 minutes (range, 3-25 minutes). Qualified identification of the intersegmental plane was observed in 17 cases (85%). The intersegmental plane could not be recognized in 3 cases. All patients experienced no complications related to iron sucrose injection or complications of Clavien–Dindo grade 3 or more. Conclusions: Transbronchial injection of iron sucrose is a simple, safe, and feasible approach to identify the intersegmental plane (NCT03516500). |
| format | Article |
| id | doaj-art-21faf63dc82e47d5b8d8b6d3ef59e884 |
| institution | Kabale University |
| issn | 2666-2507 |
| language | English |
| publishDate | 2023-04-01 |
| publisher | Elsevier |
| record_format | Article |
| series | JTCVS Techniques |
| spelling | doaj-art-21faf63dc82e47d5b8d8b6d3ef59e8842025-08-20T03:36:42ZengElsevierJTCVS Techniques2666-25072023-04-011813714210.1016/j.xjtc.2022.12.007A feasible technique for distinguishing the intersegmental plane by transbronchial injection of iron sucroseCentral MessagePerspectiveChengqiang Li, MD, PhD0Xianfei Zhang, MD, PhD1Xijia Feng, MD, PhD2Dingpei Han, MD, PhD3Jie Xiang, MD, PhD4Hecheng Li, MD, PhD5Department of Thoracic Surgery, Ruijin Hospital, Shanghai Jiaotong University School of Medicine, Shanghai, ChinaDepartment of Thoracic Surgery, Ruijin Hospital, Shanghai Jiaotong University School of Medicine, Shanghai, ChinaDepartment of Thoracic Surgery, Ruijin Hospital, Shanghai Jiaotong University School of Medicine, Shanghai, ChinaDepartment of Thoracic Surgery, Ruijin Hospital, Shanghai Jiaotong University School of Medicine, Shanghai, ChinaDepartment of Thoracic Surgery, Ruijin Hospital, Shanghai Jiaotong University School of Medicine, Shanghai, ChinaAddress for reprints: Hecheng Li, MD, PhD, Department of Thoracic Surgery, Ruijin Hospital, Shanghai Jiaotong University School of Medicine, 197 Ruijin 2nd Rd, Shanghai, China 200025.; Department of Thoracic Surgery, Ruijin Hospital, Shanghai Jiaotong University School of Medicine, Shanghai, ChinaObjectives: Pulmonary segmentectomy should be the standard surgical procedure for patients in certain clinical scenarios. However, detecting the intersegmental planes both on the pleural surface and within the lung parenchyma remains a challenge. We developed an intraoperative novel method for distinguishing intersegmental planes of the lung via transbronchial injection of iron sucrose (ClinicalTrials.gov number, NCT03516500). Methods: We first performed a bronchial injection of iron sucrose to identify the intersegmental plane of the porcine lung. Then, we conducted a prospective study to evaluate the safety and feasibility of the technique in 20 patients who underwent anatomic segmentectomy. Iron sucrose was injected into the bronchus of target pulmonary segments, and the intersegmental planes were divided with electrocautery or stapler. Results: The median injection of iron sucrose was 90 mL (range, 70-120 mL), and the median time from injection of iron sucrose to demarcation of intersegmental plane was 8 minutes (range, 3-25 minutes). Qualified identification of the intersegmental plane was observed in 17 cases (85%). The intersegmental plane could not be recognized in 3 cases. All patients experienced no complications related to iron sucrose injection or complications of Clavien–Dindo grade 3 or more. Conclusions: Transbronchial injection of iron sucrose is a simple, safe, and feasible approach to identify the intersegmental plane (NCT03516500).http://www.sciencedirect.com/science/article/pii/S2666250723000044intersegmental planeiron sucrosesegmentectomy |
| spellingShingle | Chengqiang Li, MD, PhD Xianfei Zhang, MD, PhD Xijia Feng, MD, PhD Dingpei Han, MD, PhD Jie Xiang, MD, PhD Hecheng Li, MD, PhD A feasible technique for distinguishing the intersegmental plane by transbronchial injection of iron sucroseCentral MessagePerspective JTCVS Techniques intersegmental plane iron sucrose segmentectomy |
| title | A feasible technique for distinguishing the intersegmental plane by transbronchial injection of iron sucroseCentral MessagePerspective |
| title_full | A feasible technique for distinguishing the intersegmental plane by transbronchial injection of iron sucroseCentral MessagePerspective |
| title_fullStr | A feasible technique for distinguishing the intersegmental plane by transbronchial injection of iron sucroseCentral MessagePerspective |
| title_full_unstemmed | A feasible technique for distinguishing the intersegmental plane by transbronchial injection of iron sucroseCentral MessagePerspective |
| title_short | A feasible technique for distinguishing the intersegmental plane by transbronchial injection of iron sucroseCentral MessagePerspective |
| title_sort | feasible technique for distinguishing the intersegmental plane by transbronchial injection of iron sucrosecentral messageperspective |
| topic | intersegmental plane iron sucrose segmentectomy |
| url | http://www.sciencedirect.com/science/article/pii/S2666250723000044 |
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