Minimally Invasive Ivor Lewis Esophagectomy

Jones, David R.

doi:10.1053/j.optechstcvs.2013.12.006

Cited by 1 publication

(1 citation statement)

References 7 publications

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“…In all patients a two-field (abdominal and thoracic) lymphadenectomy was performed. Procedures have been described in detail by Chen, Nguyen and Jones [13][14][15]. In brief, after mobilization of the esophagus and intrathoracic and abdominal lymphadenectomy, ligation of the left gastric artery, part of the right gastric artery, the left epiploic artery and the short gastric vessels was performed.…”

Section: Surgical Proceduresmentioning

confidence: 99%

Quantitative Fluorescence Imaging of Perfusion—An Algorithm to Predict Anastomotic Leakage

Jansen

Bruin

Wilk

et al. 2022

Life

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This study tests fluorescence imaging-derived quantitative parameters for perfusion evaluation of the gastric tube during surgery and correlates these parameters with patient outcomes in terms of anastomotic leakage. Poor fundus perfusion is seen as a major factor for the development of anastomotic leakage and strictures. Fluorescence perfusion imaging may reduce the incidence of complications. Parameters for the quantification of the fluorescence signal are still lacking. Quantitative parameters in terms of maximal intensity, mean slope and influx timepoint were tested for significant differences between four perfusion areas of the gastric tube in 22 patients with a repeated ANOVA test. These parameters were compared with patient outcomes. Maximal intensity, mean slope and influx timepoint were significantly different between the base of the gastric tube and the fundus (p < 0.0001). Patients who developed anastomotic leakage showed a mean slope of almost 0 in Location 4. The distance of the demarcation of ICG to the fundus was significantly higher in the three patients who developed anastomotic leakage (p < 0.0001). This study presents quantitative intra-operative perfusion imaging with fluorescence. Quantification of the fluorescence signal allows for early risk stratification of necrosis.

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Section: Surgical Proceduresmentioning

confidence: 99%