ICG easily detects not only the segmental plane, but also the course and blood distribution of the bronchial artery"case report".

INTRODUCTION

Sublobar resection has become an acceptable alternative to lobectomy in patients with early-stage lung cancer. Most notable among these approaches is indocyanine green fluorescence (ICG) imaging.

CASE PRESENTATION: Operative finding showed clear green staining of the left upper lobe, S6, superior pulmonary vein, and inferior PV under fluorescence navigation. Soon, the bronchial artery of right lower bronchus showed clear green staining. Next, the whole right lower bronchus is deeply colored green.

DISCUSSION: ICG imaging can lead a planned operation safely in the extreme, especially for situations of special concern for blood supply of the bronchial stump such as pneumonectomy, bronchoplasty and right lower lobectomy.

CONCLUSION

This report describes a first case concerning the course and blood distribution of the bronchial artery using ICG injection under fluorescence navigation.