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Laparoscopic real-time vessel navigation using indocyanine green fluorescence during laparoscopy-assisted gastric tube reconstruction : First experience
| Title: | Laparoscopic real-time vessel navigation using indocyanine green fluorescence during laparoscopy-assisted gastric tube reconstruction : First experience |
| Authors: | Ebihara, Yuma Browse this author →KAKEN DB | | Shichinohe, Toshiaki Browse this author →KAKEN DB | | Kurashima, Yo Browse this author →KAKEN DB | | Murakami, Soichi Browse this author →KAKEN DB | | Hirano, Satoshi Browse this author →KAKEN DB |
| Keywords: | Indocyanine green | | laparoscopic fluorescence angiography | | oesophageal cancer | | oesophagogastrostomy |
| Issue Date: | Oct-2021 |
| Publisher: | Wolters Kluwer Medknow Publications |
| Journal Title: | Journal of minimal access surgery |
| Volume: | 17 |
| Issue: | 4 |
| Start Page: | 576 |
| End Page: | 579 |
| Publisher DOI: | 10.4103/jmas.JMAS_210_20 |
| Abstract: | A considerable percentage of morbidity and mortality after oesophagectomy is due to leakage of oesophagogastrostomy, which is mainly caused by ischaemia of the gastric tube. Therefore, we performed laparoscopic real-time vessel navigation (LRTVN) using indocyanine green fluorescence (ICG) during laparoscopy-assisted gastric tube reconstruction (LAGR) to evaluate gastric tube blood flow and avoid vascular injury. This study included five oesophageal cancer patients who underwent video-assisted thoracoscopic oesophagectomy and LAGR. We confirmed the presence of the left gastroepiploic artery (LGEA) in all cases, and no findings such as post-operative gastric tube ischaemia were observed. In all cases, no vascular injury was observed, and the vascularization of LGEA was confirmed. This report is the first to consider the usefulness of LRTVN using ICG during LAGR. LRTVN using ICG during LAGR was considered to be useful for evaluating gastric tube blood flow and avoiding vascular injury around the splenic hiatus. |
| Type: | article |
| URI: | http://hdl.handle.net/2115/84685 |
| 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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