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. 2021 Aug 5;54(4):246–252. doi: 10.5090/jcs.21.058

Table 1.

Comparison of techniques to identify the intersegmental plane during thoracoscopic segmentectomy

Method Inflation-deflation line Intravenous indocyanine green Virtual-assisted lung mapping

Target segment deflated Target segment inflated
Advantages - No preparation is necessary
- Easy and quick
- Less interference with the surgical view
- Relatively easy
- Easy and quick
- Able to create the demarcation around the hilum
- Provides geometric information on the lung surface
Disadvantages - Interference with the surgical view
- Prolongation of the operation time
- Intersegmental lines could be unclear due to collateral ventilation
- Some preparation or help of the anesthesiologist is needed
- The needle injection method has been discarded due to air embolism
- Intersegmental lines could be unclear due to collateral ventilation
- Correct identification of the pulmonary artery is necessary
- An emphysematous lung that is less-perfused may be misleading or confusing
- Infrared thoracoscopy is required
- Requires preoperative preparation
- Basic instruments and some facilities are needed