Usefulness of blood flow evaluation by indocyanine green fluorescence system in laparoscopic anterior resection.

Higashijima, Jun; Shimada, Mitsuo; Yoshikawa, Kozo; Miyatani, Tomohiko; Tokunaga, Takuya; Nishi, Masaaki; Kashihara, Hideya; Takasu, Chie

doi:10.2152/jmi.66.65

Cited by 16 publications

(18 citation statements)

References 32 publications

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“…Perfusion is vital for healing and inadequate blood flow can result in failure of anastomotic healing and leakage 32 . The NIR‐ICG usefulness and effectiveness have been extensively described in colorectal surgery to assess the perfusion of the bowel and select the transecting line 33‐36 . Nevertheless, the data related to endometriosis surgery are still being debated.…”

Section: Discussionmentioning

confidence: 99%

Indocyanine green in the surgical management of endometriosis: A systematic review

Ianieri

Corte

Campolo

et al. 2020

Acta Obstet Gynecol Scand

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Introduction Endometriosis is a very common disease that affects up to 10% of the female population. The use of indocyanine green (ICG) dye has been proposed to allow the proper localization of endometriotic lesions during surgery. Our purpose is to offer an overview of near‐infrared (NIR)‐ICG in the surgical treatment of superficial peritoneal endometriosis and deep infiltrating endometriosis. Material and methods Electronic databases were searched, including MEDLINE, Embase, Web of Science, Scopus, ClinicalTrial.gov, OVID and Cochrane Library. The studies were identified with the use of a mesh combination of the following keywords: “indocyanine green”, “endometriosis”, “deep endometriosis”, “robotic surgery”, “laparoscopy”, “ureter”, “rectosigmoid” from 2000 to May 2020. All articles describing the use of ICG applied to endometriosis surgery were considered for review. Only original papers that reported specific experience data on the topic were included. Moreover, video‐articles were included in the analysis. Quality and risk of bias were evaluated by two authors, respectively. Results Fifty‐three studies were reviewed and reviews or comment articles not reporting original data and original articles lacking specific data on the application of ICG in patients affected by endometriosis were excluded. The quality of the 17 studies included was assessed. Eight studies suggested the usefulness of NIR‐ICG as a tool in the detection of endometriosis during surgery, and one randomized controlled trial and one prospective study did not confirm the advantage of its use. Eight studies found that NIR‐ICG was useful for the evaluation of vascularization in intestinal anastomoses and ureterolysis after surgery for deep infiltrating endometriosis. Conclusions NIR‐ICG appears useful in the evaluation of vascularization in intestinal anastomoses after segmental resection, confirming its role even after ureterolysis for parametrial deep infiltrating endometriosis. However, its usefulness as a tool in the detection of endometriosis during surgery is inconsistent.

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Section: Discussionmentioning

confidence: 99%

Indocyanine green in the surgical management of endometriosis: A systematic review

Ianieri

Corte

Campolo

et al. 2020

Acta Obstet Gynecol Scand

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“…In our case 1, ischemic complications of the stomach did not occur fortunately. The indocyanine green fluorescence imaging system (ICG-FS) was reported as a useful devise which can evaluate real-time blood flow of various organs [28]. Intraoperative use of ICG-FS might be recommended for the evaluation of gastric arterial flow.…”

Section: Discussionmentioning

confidence: 99%

Pancreatoduodenectomy co-morbid with celiac axis compression syndrome: a report of three cases

et al. 2020

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Background: Celiac axis compression syndrome (CACS) is a relatively rare disease. Because of the nature of the blood flow in the celiac region when a pancreatoduodenectomy (PD) is performed for CACS, the celiac region can become ischemic. The aim of this study is to report on the importance of pre-operative diagnosis of CACS in terms of the outcomes for patients post-operatively. In this study, three 3 cases of PD co-morbid with CACS are reported: one intra-operative diagnosis case and two pre-operative diagnosis cases. Case presentation: The one case, not diagnosed with CACS prior to the operation, had a hard post-operative course because of complication caused by ischemia of the celiac region compared with the two cases diagnosed prior to the operation, who had a good post-operative course because of pre-operative or intra-operative intervention. Conclusions: Post-operative complications due to CACS are preventable by pre-operative diagnosis and appropriate interventions.

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“…Among the abovementioned risk factors, the possibility of impaired blood flow cannot be ruled out. Recently, the intravenous injection and monitoring ICG has been reported as a method for assessing anastomotic blood flow during surgery [ 15 ]. The local injection of steroids is also very effective for anastomotic stenosis.…”

Section: Discussionmentioning

confidence: 99%

An endoscopic dilation method using the rendezvous approach for the treatment of severe anastomotic stenosis after rectal cancer surgery: a case report

et al. 2020

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Background Postoperative anastomotic stenosis is a common complication in colorectal cancer patients (3–30%). Complete anastomotic stenosis is rare; however, when it occurs, almost all cases require surgical treatment. We herein report a case in which endoscopic dilation was effective for treating complete anastomotic stenosis after high anterior resection in a rectal cancer patient. Case presentation The patient was a 67-year-old man who underwent laparoscopic high anterior resection for rectal cancer (RS, T4a, N0, M0, Stage IIB (TNM Classification of Malignant Tumors)) in May 2018. The postoperative course was good and the patient was discharged on the 12th postoperative day. Subsequently adjuvant chemotherapy was initiated with oral uracil and tegafur plus leucovorin (UFT/LV); however, he complained of frequent defecation and melena after completion of the first course of chemotherapy. Thus, colonoscopy was performed, which revealed anastomotic stenosis. Endoscopic dilation was initially attempted, but failed. Thus, low anterior resection was performed with diverting colostomy. Four additional courses of chemotherapy were administered for 1 month after surgery. At 6 months after the second surgery, colonoscopy was performed, and complete anastomotic stenosis was pointed out again. The patient was successfully treated by endoscopic dilation using the rendezvous method. After this treatment, the lumen of the anastomotic site was observed to have narrowed again and endoscopic dilatation to treat anastomotic stenosis was repeated. In addition, he received local injection of steroids in anastomotic stenosis site. The lumen of anastomotic stenosis remained after the local injection of steroids and closure of colostomy was performed 9 months after the second operation. Conclusions Endoscopic dilation using the rendezvous method was effective for treating anastomotic stenosis after colorectal surgery.

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Usefulness of blood flow evaluation by indocyanine green fluorescence system in laparoscopic anterior resection.

Cited by 16 publications

References 32 publications

Indocyanine green in the surgical management of endometriosis: A systematic review

Indocyanine green in the surgical management of endometriosis: A systematic review

Pancreatoduodenectomy co-morbid with celiac axis compression syndrome: a report of three cases

An endoscopic dilation method using the rendezvous approach for the treatment of severe anastomotic stenosis after rectal cancer surgery: a case report

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