1.
节间平面形成技术
Techniques of intersegmental plane formation
| Author | Method | Preparatory work (target segment) |
Target segment |
Reserved segment |
Disadvantage | ||
| Brochnus | Artery | Vein | |||||
| CT: computed tomography; VATS: video-assisted thoracoscopic surgery; ICG: indocyanine green. | |||||||
| Tusbota[10] | Inflation-deflation method | Isolated | Inflation | Deflation | Not applicable for emphysema patients, narrow field of VATS vision | ||
| Oizumi[19] | Slip-knot bronchial ligation | Isolated | Inflation | Deflation | Not applicable for patients with emphysema or airway obstruction | ||
| Matsuoka[22]
Okada[23] |
Selective target-segment bronchial ventilation with bronchoscopy | Isolated | Inflation | Deflation | Additional equipment and worker | ||
| Kamiyoshihara[24] | Butterfly needle injection | Isolated | Inflation | Deflation | Risk of air embolism, difficulty in injection | ||
| Wang[26] | Modified inflation-deflation method | Cut | Cut | Cut | Inflation | Deflation | Need for adequate 3D CT, positive pressure ventilation, Postoperative pain |
| Misaki[10] | ICG injection in systemic vein | Cut | White | Blue | Short duration, additional equipment | ||
| Sugimoto[38] | Indigo carmine injection in target-segment artery | Cut | Blue | Red | Difficulty in injection, not yet used clinically | ||
| Iwata[40] | Target segment pulmonary arteriovenous occlusion | Cut | Cut | Inflation | Deflation | Need for adequate 3D CT | |
| Sakamoto[41] | Thermal imaging method | Cut | Cut | Light red | Crimson | Extra surgical incision, not yet used clinically | |
| Sekine[30] | ICG injection in target-segment bronchus with bronchoscopy | Injection | White | Grey | Requires additional equipment and worker, risk of ICG reflux, risk of inaccurate dispersion | ||
| Zhang[27] | Methylene blue in target-Segment bronchus | Cut | Cut | Cut | Blue | Red | Risk of inaccurate dispersion |
| Oh[20] | ICG injection in target-segment bronchus | Cut | Cut | Green | Red | Risk of ICG exceed the intersegmental plane | |
| Waseda[34] | Vitamin B2 injection in target-segment bronchus with bronchoscopy | Cut | Yellow-green | Red | Additional equipment, not yet used clinically | ||
| Elkhouly[44] | ICG injection in reserved segment bronchus with bronchoscopy | Cut | Cut | Cut | Blue | White | Additional equipment and worker, risk of inaccurate dispersion |