Electromagnetic navigational bronchoscopy-guided dye marking to identify the subsegmental bronchus in thoracoscopic anatomic subsegmentectomy

Thorac Cancer. 2021 Oct;12(20):2819-2821. doi: 10.1111/1759-7714.14116. Epub 2021 Aug 18.

Abstract

Video-assisted thoracoscopic surgery (VATS) subsegmentectomy has been widely used to resect small-sized lung lesions in clinical practice. Precise identification of the subsegmental bronchus is one of the essential steps in performing thoracoscopic anatomic subsegmentectomy. Here, we report a thoracoscopic right S2 a segmentectomy with preoperative electromagnetic navigational bronchoscopy (ENB)-guided injection of methylene blue to identify the subsegmental bronchus in a 51-year-old male. We successfully performed complicated surgery using this method. This ENB-guided dye marking method may accurately distinguish the subsegmental bronchus to effectively guide surgery.

Keywords: ENB; subsegmental bronchus; thoracoscopic subsegmentectomy.

Publication types

  • Case Reports
  • Research Support, Non-U.S. Gov't

MeSH terms

  • Bronchi / surgery
  • Bronchoscopy / methods*
  • Electromagnetic Phenomena
  • Humans
  • Lung Neoplasms / surgery*
  • Male
  • Methylene Blue
  • Middle Aged
  • Thoracic Surgery, Video-Assisted / methods*

Substances

  • Methylene Blue