2024-03-28T11:28:56Zhttps://eprints.lib.hokudai.ac.jp/dspace-oai/requestoai:eprints.lib.hokudai.ac.jp:2115/813662022-11-17T02:08:08Zhdl_2115_20043hdl_2115_137Laparoscopic real-time vessel navigation using indocyanine green fluorescence during the laparoscopic-Warshaw technique: First clinical experience1000050632981Ebihara, YumaNoji, TakehiroTanaka, KimitakaNakanishi, YoshitsuguAsano, ToshimichiKurashima, YoMurakami, SoichiNakamura, ToruTsuchikawa, TakahiroOkamura, KeisukeShichinohe, ToshiakiHirano, Satoshimetadata only accessIndocyanine greenlaparoscopic-Warshaw techniqueleft gastroepiploic arterypost-operative spleen-related complicationsreal-time laparoscopic indocyanine green fluorescence angiography490『この論文はHTML版が閲覧できます』Background: Laparoscopic-Warshaw technique (lap-WT) may be selected as a function-preserving operation for malignant border lesions in the tail region of the pancreas. However, previous reports showed that there are complications such as infection and abscess formation due to lack of blood flow to the spleen after surgery. To overcome the problems, we have performed real-time vessel navigation by using indocyanine green (ICG) fluorescence during lap-WT. Materials and Methods: We report our experience of three patients with pancreatic tumour who underwent real-time vessel navigation during lap-WT at Hokkaido University from May 2017 to September 2018. Results: The median operating time was 339 min (174-420). The median intraoperative bleeding was 150 ml (0-480). There were no incidences of complications. There were no cases with post-operative spleen ischaemia or abscess formation and varices formation. Conclusion: We believe that laparoscopic real-time vessel navigation using indocyanine green fluorescence during lap-WT could contribute in reducing the post-operative spleen-related complications.Wolters Kluwer Medknow Publications2021-04engjournal articleNAhttp://hdl.handle.net/2115/81366https://doi.org/10.4103/jmas.JMAS_161_200972-9941Journal of minimal access surgery172226229