Use of indocyanine green to facilitate intersegmental plane identification during robotic anatomic segmentectomy

Robotic anatomic lung segmentectomy appears to be an appropriate approach for small, early-stage lung cancer1,2; however, it can be challenging to identify the intersegmental planes during the operation. Transbronchial injection of indocyanine green (ICG) during video-assisted thoracoscopy has been shown to facilitate quick and easy identification of the intersegmental planes defining the target lung segment without the need for lung inflation.3,4 We have developed a new and simpler technique for the identification of intersegmental planes during robotic anatomic segmentectomy.