イサカ タマミ   ISAKA Tamami
  井坂 珠子
   所属   医学部 医学科(東京女子医科大学病院)
   職種   准教授
論文種別 原著
言語種別 英語
査読の有無 査読あり
表題 A novel and simple method for identifying the lung intersegmental plane using thermography.
掲載誌名 正式名:Interactive cardiovascular and thoracic surgery
略  称:Interact Cardiovasc Thorac Surg
ISSNコード:(1569-9285)1569-9285(Linking)
掲載区分国外
巻・号・頁 23(1),pp.171-173
著者・共著者 Sakamoto Kei, Kanzaki Masato, Mitsuboshi Shota, Maeda Hideyuki, Kikkawa Takuma, Isaka Tamami, Murasugi Masahide, Onuki Takamasa
発行年月 2016/07
概要 Identifying the intersegmental plane is very important for successful lung segmentectomy. Although several methods are available, they require specialized skills and pose a potential risk of losing sight of the correct intersegmental planes. Therefore, easier and more reliable methods are required. In this study, we hypothesized that surface temperatures of resecting segments or lobes decrease because of blood flow suppression after the ligation of target arteries and veins, and intersegmental planes can be visualized using a thermography. To test this hypothesis, we performed six lung resections (two lobectomies and four segmentectomies) on three pigs and, using a handheld thermography, we monitored the lung surface temperatures to identify intersegmental planes. We demonstrated that thermal imaging sharply demarcated intersegmental planes soon after the ligation of vessels in all procedures. Compared with other methods, thermography requires no special technical skills, drug injection and lung inflation. Therefore, we believe that the thermographic method described in this study will be a powerful option to identify intersegmental planes during anatomical lung segmentectomy.
DOI 10.1093/icvts/ivw076
PMID 27030684