Author of

• 20165

  +

  P1.16 - Surgery (ID 702)

  • Event: WCLC 2017
  • Type: Poster Session with Presenters Present
  • Track: Surgery
  • Presentations: 1
  • Moderators:
  • Coordinates: 10/16/2017, 09:30 - 16:00, Exhibit Hall (Hall B + C)

  • 22826

    +

    P1.16-024 - A Case of Bronchial Atresia Treated with Complete Thoracoscopy-Assisted Right S6 Segmentectomy Using Fluorescence Navigation (ID 10471)

    09:30 - 09:30  |  Author(s): T. Shiotani
    • Abstract
    • Slides

    Background:
    Bronchial Atresia is a congenital anomaly of the tracheobronchial tree and often pointed out as an incidental finding on routine examinations. Bronchial atresia often complicates tumor at abnormal lung segment. However it is very difficult to obtain a diagnosis of such a tumor. Because there are no bronchi into the tumor and lung tissue occurs emphysematous changes around the tumor, we can not perform bronchoscopy and computed tomography (CT) guided lung biopsy. Thus, it is important to resect abnormal lung segment clearly. Although there are several reports about imaging findings and treatment for bronchial atresia, they often do not mention about detail surgical procedure. Here we report the case of a 24 year old man with bronchial atresia successfully treated with anatomical pulmonary resection using fluorescence navigation with indocyanine green (ICG) by video-assisted thoracic surgery (VATS).
    
    Method:
    Case: A 24 year man pointed out abnormal shadow by chest X-ray in health check. A CT scan of the chest was performed and revealed limited emphysematous changes and tumor at right lower lobe superior segment (S6). According to the previous reports, our preoperative diagnosis was bronchial atresia and proposed operation was right S6 segmentectomy. Methods: The initial part of the procedure, we confirmed pulmonary artery, vein and bronchus of S6 and cut off. ICG was then injected into the peripheral vein catheter by anesthesiologist and the thoracoscope visual system changed to fluorescence mode. Tissue with blood flow appeared green within 30 to 40 seconds after ICG injection. Although perfused lung parenchyma appeared green, the isolated segment remained uncolored.
    
    Result:
    We could remove this segment with endoscopic staplers. Pathological diagnosis of removal tumor was granuloma and not cause of obstruction. After 6 months from the operation, CT scan shows no emphysematous changes lesion in right lung.
    
    Conclusion:
    Segmentectomy using fluorescence navigation with ICG is useful procedure to resect congenital bronchial atresia.
    
    

    Only Active Members that have purchased this event or have registered via an access code will be able to view this content. To view this presentation, please login or select "Add to Cart" and proceed to checkout.