Effectiveness of Intraoperative Indocyanine Green Fluorescence-Navigated Surgery for Superior Mesenteric Vein Thrombosis that Developed During Treatment for Intravascular Lymphoma: A Case Report

Nakamoto, Hiroki; Yokota, Ryoichi; Namba, Hiromasa; Yamada, Kenji; Hosoda, Mitsuchika; Taguchi, K

doi:10.12659/ajcr.929549

Cited by 9 publications

(6 citation statements)

References 25 publications

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“…Recently, the fluorescence method using indocyanine green for the intraoperative evaluation of intestinal blood perfusion has been used to prevent anastomotic leakage during gastrointestinal surgery, especially colorectal surgery [ 16 , 17 ]. This method has also been used for evaluating intestinal ischemia [ 18 – 23 ], allowing surgeons to identify the extent of ischemia objectively by visualizing the blood supply to the intestine. This method can potentially minimize the extent of intestinal sacrifice.…”

Section: Discussionmentioning

confidence: 99%

Time limit to rescue intestine with viability at risk caused by blood flow disruption in patients presenting with acute abdomen

et al. 2022

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Purpose Early management is crucial for acute intestinal blood flow disorders; however, no published study has identified criteria for the time limit for blood flow resumption. This study specifically examines the time factors for avoiding intestinal resection. Methods The subjects of this retrospective cohort study were 125 consecutive patients who underwent emergency surgery for a confirmed diagnosis of intestinal strangulation (n = 86), incarceration (n = 27), or volvulus (n = 12), between January 2015 and March 2021. Intestinal resection was performed when intestinal irreversible changes had occurred even after ischemia was relieved surgically. We analyzed the relationship between the time from computed tomography (CT) imaging to the start of surgery (C-S time) and intestinal resection using the Kaplan–Meier method and calculated the estimated intestinal rescue rate. Patient background factors affecting intestinal resection were also examined. Results The time limit for achieving 80% intestinal rescue rate was 200 min in C-S time, and when this exceeded 300 min, the intestinal rescue rate dropped to less than 50%. Multivariate analysis identified the APACHE II score as a significant influencing factor. Conclusion A rapid transition from early diagnosis to early surgery is critical for patients with acute abdomen originating from intestinal blood flow disorders. The times from presentation at the hospital to surgery should be reduced further, especially for severe cases.

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Section: Discussionmentioning

confidence: 99%

Time limit to rescue intestine with viability at risk caused by blood flow disruption in patients presenting with acute abdomen

et al. 2022

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“…In a case report by Nitori et al ICG FA aided the decision in avoiding a jejunal resection with no post-operative adverse outcome in a patient with NOMI ( 83 ). Small mesenteric venous thrombosis can also result in bowel ischemia, and ICG has been reported to help delineate the resection line in a patient with venous thrombosis ( 84 ).…”

Section: Colon Surgerymentioning

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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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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“…Resection of necrotic intestinal tubes is a necessary treatment method. Some scholars have found that intraoperative ICG uorescence imaging can be used to assess intestinal blood ow during venous thrombosis to prevent short bowel syndrome due to excessive resection [42] .…”

Section: Decisionmentioning

confidence: 99%

EBV-Positive Intravascular Large B-Cell Lymphoma of the Small Intestine: A Case Report and Literature Review

Pan

Yao

et al. 2023

Int J Surg Pathol

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Intravascular large B-cell lymphoma (IVLBCL) is a rare lymphoma that affects the brain, skin, and bone marrow. We describe the case of a 75-year-old man who was admitted to the hospital after 4 h of stomach aches. A thorough physical examination indicated stomach discomfort and skin discoloration. Laboratory tests revealed thrombocytopenia and elevated lactate dehydrogenase levels. A computed tomography scan of the abdomen revealed that the small intestine wall was thickened, edematous, and necrotic. The necrotic small bowel was surgically removed, revealing many little round, homogenous, and unusual cells in the mesenteric vein. In-situ hybridization revealed that these cells were positive for PAX5, CD20, CD79a, CD10, and BCL2, as well as Epstein-Barr virus-encoded small RNA. After 1 week of hospitalization without treatment, the patient was diagnosed with IVLBCL and died of multiple organ dysfunction syndrome. IVLBCL is a rare illness that affects the small intestine and possibly the gastrointestinal system. It has an insidious start, a fast development, and a dismal prognosis. Knowing its clinicopathologic traits helps in understanding the illness, making an early diagnosis, and preventing rapid worsening.

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Effectiveness of Intraoperative Indocyanine Green Fluorescence-Navigated Surgery for Superior Mesenteric Vein Thrombosis that Developed During Treatment for Intravascular Lymphoma: A Case Report

Cited by 9 publications

References 25 publications

Time limit to rescue intestine with viability at risk caused by blood flow disruption in patients presenting with acute abdomen

Time limit to rescue intestine with viability at risk caused by blood flow disruption in patients presenting with acute abdomen

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

EBV-Positive Intravascular Large B-Cell Lymphoma of the Small Intestine: A Case Report and Literature Review

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