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Laparoscopic real-time vessel navigation using indocyanine green fluorescence during the laparoscopic-Warshaw technique: First clinical experience

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Title: Laparoscopic real-time vessel navigation using indocyanine green fluorescence during the laparoscopic-Warshaw technique: First clinical experience
Authors: Ebihara, Yuma Browse this author →KAKEN DB
Noji, Takehiro Browse this author
Tanaka, Kimitaka Browse this author
Nakanishi, Yoshitsugu Browse this author
Asano, Toshimichi Browse this author
Kurashima, Yo Browse this author
Murakami, Soichi Browse this author
Nakamura, Toru Browse this author
Tsuchikawa, Takahiro Browse this author
Okamura, Keisuke Browse this author
Shichinohe, Toshiaki Browse this author
Hirano, Satoshi Browse this author
Keywords: Indocyanine green
laparoscopic-Warshaw technique
left gastroepiploic artery
post-operative spleen-related complications
real-time laparoscopic indocyanine green fluorescence angiography
Issue Date: Apr-2021
Publisher: Wolters Kluwer Medknow Publications
Journal Title: Journal of minimal access surgery
Volume: 17
Issue: 2
Start Page: 226
End Page: 229
Publisher DOI: 10.4103/jmas.JMAS_161_20
Abstract: 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.
Description: 『この論文はHTML版が閲覧できます』
Type: article
URI: http://hdl.handle.net/2115/81366
Appears in Collections:北海道大学病院 (Hokkaido University Hospital) > 雑誌発表論文等 (Peer-reviewed Journal Articles, etc)

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