ICG fluorescence imaging for quantitative evaluation of colonic perfusion in laparoscopic colorectal surgery

Wada, Tetsuyuki; Kawada, Kenji; Takahashi, Ryo; Yoshitomi, Mami; Hida, Koya; Hasegawa, Suguru; Sakai, Yoshiharu

doi:10.1007/s00464-017-5475-3

Cited by 180 publications

(163 citation statements)

References 42 publications

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“…One study compared the anastomotic leakage rate in perfusion detection both with and without the use of ICG fluorescence imaging, which resulted in reducing the rate from 20% to 0% . Twenty‐one clinical trials reported the use of ICG as a NIR fluorescence agent with different imaging systems in intraoperative evaluation of colorectal anastomoses . ICG was often injected after anastomotic site selection to evaluate the effect of ICG in selecting the correct anastomotic site.…”

Section: Tissue Perfusionmentioning

confidence: 99%

A practical guide for the use of indocyanine green and methylene blue in fluorescence‐guided abdominal surgery

Manen

Handgraaf

Diana

et al. 2018

Journal of Surgical Oncology

250

178

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Near‐infrared (NIR) fluorescence imaging is gaining clinical acceptance over the last years and has been used for detection of lymph nodes, several tumor types, vital structures and tissue perfusion. This review focuses on NIR fluorescence imaging with indocyanine green and methylene blue for different clinical applications in abdominal surgery with an emphasis on oncology, based on a systematic literature search. Furthermore, practical information on doses, injection times, and intraoperative use are provided.

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Section: Tissue Perfusionmentioning

confidence: 99%

A practical guide for the use of indocyanine green and methylene blue in fluorescence‐guided abdominal surgery

Manen

Handgraaf

Diana

et al. 2018

Journal of Surgical Oncology

250

178

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“…There were also reports that performing radioisotope could assess colonic blood ow and reduce suture insu ciency. 7,8 ICG uorescence imaging showed good intestinal blood ow in all cases. It was con rmed that there were no complications due to impaired blood ow, such as an anastomotic leak, intestinal necrosis, or colostomy.…”

Section: Discussionmentioning

confidence: 80%

Laparoscopic Surgery and Robot-Assisted Surgery for Colorectal Cancer With Persistent Descending Mesocolon

Kojima

Sakamoto

Kawai

et al. 2020

Preprint

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Background: Persistent descending mesocolon (PDM) is a case of colonic replacement and adhesion as a result of abnormal fixation of the gastrointestinal tract. In laparoscopic surgery, it is performed when the patient is in an unconscious state. However, laparoscopic surgery, especially robot-assisted surgery, may necessarily need to devise surgical procedures such as anatomical recognition and adhesion detachment. We herein report three patients with PDM that were treated with arthroscopic surgery at our hospital. Case presentation: Patient 1: a 73-year-old man with sigmoid colon cancer. Laparoscopic sigmoidectomy was performed, and there were no problems encountered (such as difficulty in recognizing the anatomical location) other than adhesion detachment. Robot-assisted surgery was performed to the other two patients. Patient 2: a 62-year-old man with lower rectal cancer and underwent an intersphincteric resection. Patient 3: a 76-year-old man with lower rectal cancer and underwent Hartmann's operation. The surgery duration of these patients took longer, the same with robot-assisted surgeries without PDM. Conclusions: Robot-assisted surgeries have a large magnifying effect on delicately removing adhesions, which is a characteristic of PDM. Also, some parts are difficult to grasp as a whole, and it takes time to recognize adhesions anatomically and to grasp the whole image. Here, we report our experience with laparoscopic surgery and robot-assisted surgery for left-sided colorectal cancer with PDM.

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“…76 Other options include visible light spectroscopy (VLS) and near-IR spectroscopy (NIRS) using indocyanine green (ICG; (firefly, spy, etc.). 74,77 Unfortunately, while some suggest change in operative planning based on results from VLS and NIRS, 77,78 comparison studies are limited and no clear values predictive of anastomotic complication currently exist. We use palpation and visual inspection of blood supply before and after anastomosis.…”

Section: Preventing Complications: Leak Stricture and Recurrencementioning

confidence: 99%

Complicated Diverticular Disease

Coakley

Davis

Kasten

2020

Clin Colon Rectal Surg

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The modern management of colonic diverticular disease involves grouping patients into uncomplicated or complicated diverticulitis, after which the correct treatment paradigm is instituted. Recent controversies suggest overlap in management strategies between these two groups. While most reports still support surgical intervention for the treatment of complicated diverticular disease, more data are forthcoming suggesting complicated diverticulitis does not merit surgical resection in all scenarios. Given the significant risk for complication in surgery for diverticulitis, careful attention should be paid to patient and procedure selection. Here, we define complicated diverticulitis, discuss options for surgical intervention, and explain strategies for avoiding operative pitfalls that result in early and late postoperative complications.

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ICG fluorescence imaging for quantitative evaluation of colonic perfusion in laparoscopic colorectal surgery

Abstract: ICG fluorescence imaging is useful for assessing anastomotic perfusion in colorectal surgery, which can result in more precise operative decisions tailored for an individual patient.

Cited by 180 publications

References 42 publications

A practical guide for the use of indocyanine green and methylene blue in fluorescence‐guided abdominal surgery

A practical guide for the use of indocyanine green and methylene blue in fluorescence‐guided abdominal surgery

Laparoscopic Surgery and Robot-Assisted Surgery for Colorectal Cancer With Persistent Descending Mesocolon

Complicated Diverticular Disease

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