Indocyanine Green-Guided Intraoperative Imaging to Facilitate Video-Assisted Retroperitoneal Debridement for Treating Acute Necrotizing Pancreatitis

Huang, Lie; Chen, Wei; Chen, Jiancong; Chen, Dong; Zhang, Kunsong; Cai, Jinhua; Peng, Hong; Huang, Chen‐Song; Zeng, Guangyan; Ma, Mingjian; Liang, Jiahua; Xu, Borui; Yin, Xiaoyu; Lai, Jiaming; Liu, Liang

doi:10.3791/63236

Cited by 2 publications

(3 citation statements)

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“…A further administration of ICG was used to delineate the remaining viable pancreatic tissue ( 56 ). A further video report by Huang et al demonstrates ICG-guided video-assisted retroperitoneal debridement (VARD) for pancreatic necrosectomy ( 101 ).…”

Section: Pancreasmentioning

confidence: 99%

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Utility of indocyanine green fluorescent dye in emergency general surgery: a review of the contemporary literature

Khalaf,

Abdelrahman,

El-Menyar

et al. 2024

Front. Surg.

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For decades, indocyanine green (ICG) has been available for medical and surgical use. The indications for ICG use in surgery have expanded where guided surgery directed by fluorescence and near-infrared fluorescent imaging offers numerous advantages. Recently, surgeons have reported using ICG operative navigation in the emergency setting, with fluorescent cholangiography being the most common procedure. The utility of ICG also involves real-time perfusion assessment, such as ischemic organs and limbs. The rising use of ICG in surgery can be explained by the ICG's rapid technological evolution, accuracy, ease of use, and great potential to guide precision surgical diagnosis and management. The review aims to summarize the current literature on the uses of ICG in emergency general surgery. It provides a comprehensive and practical summary of the use of ICG, including indication, route of administration, and dosages. To simplify the application of ICG, we subdivided its use into anatomical mapping and perfusion assessment. Anatomical mapping includes the biliary tree, ureters, and bowel. Perfusion assessment includes bowel, pancreas, skin and soft tissue, and gonads. This review provides a reference to emergency general surgeons to aid in implementing ICG in the emergency setting for more enhanced and safer patient care.

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Section: Pancreasmentioning

confidence: 99%

“…However, ICG angiography is initially useful in assessing gonadal perfusion after detorsion and can potentially affect the operative decision. A summary of pertaining literature on perfusion assessment using ICG is provided in Table 2 ( 35 , 56 , 80 – 92 , 94 , 95 , 97 , 100 , 101 , 103 – 115 ).…”

Section: Less Common Uses Of Icgmentioning

confidence: 99%

Utility of indocyanine green fluorescent dye in emergency general surgery: a review of the contemporary literature

Khalaf,

Abdelrahman,

El-Menyar

et al. 2024

Front. Surg.

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“…Indocyanine green-guided video-assisted retroperitoneal debridement has been used for clear surface separation of debris in the management of infected ANP. This method is safe and avoids the risk of vascular and healthy pancreatic parenchymal injury resulting in persistent fistula[ 21 ].…”

Section: To the Editormentioning

confidence: 99%

Management of infected acute necrotizing pancreatitis

Pavlidis¹,

Pavlidis²

2023

World J Clin Cases

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Necrotizing or severe pancreatitis represents approximately 10%-20% of acute pancreatitis. 30%-40% of patients with acute necrotizing pancreatitis (ANP) will develop debris infection through translocation of intestinal microbial flora. Infected ANP constitutes a serious clinical condition and is complicated by severe sepsis with high mortality rates of up to 40% despite progress in current intensive care. The timely detection of sepsis is crucial. The Quick Sequential Organ Failure Assessment score, procalcitonin levels > 1.8 ng/mL and increased lactates > 2 mmol/L (> 18 mg/dL), indicate the need for urgent management. The escalated step-by-step management protocol starts with broad-spectrum antibiotics, percutaneous drainage or endoscopic management, and ends with surgical management if needed. The latter includes necrosectomy (either laparoscopic or traditional open surgery), peritoneal lavage and extensive drainage. This management protocol increases the chance of survival to approximately 60% in patients with otherwise fatal cases. Any treatment choice must be individualized, and the timing is critical.

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Indocyanine Green-Guided Intraoperative Imaging to Facilitate Video-Assisted Retroperitoneal Debridement for Treating Acute Necrotizing Pancreatitis

Cited by 2 publications

References 0 publications

Utility of indocyanine green fluorescent dye in emergency general surgery: a review of the contemporary literature

Utility of indocyanine green fluorescent dye in emergency general surgery: a review of the contemporary literature

Management of infected acute necrotizing pancreatitis

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