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SHR Neuro Krebs Kardio Lipid

Boni, L; David, G; Mangano, A; Dionigi, G; Rausei, S; Spampatti, S; Cassinotti, E; Fingerhut, A.
Clinical applications of indocyanine green (ICG) enhanced fluorescence in laparoscopic surgery.
Surg Endosc. 2015; 29(7):2046-2055 [OPEN ACCESS]
Web of Science PubMed PUBMED Central FullText FullText_MUG

 

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Abstract:
Recently major developments in video imaging have been achieved: among these, the use of high definition and 3D imaging systems, and more recently indocyanine green (ICG) fluorescence imaging are emerging as major contributions to intraoperative decision making during surgical procedures. The aim of this study was to present our experience with different laparoscopic procedures using ICG fluorescence imaging. 108 ICG-enhanced fluorescence-guided laparoscopic procedures were performed: 52 laparoscopic cholecystectomies, 38 colorectal resections, 8 living-donor nephrectomies, 1 laparoscopic kidney autotransplantation, 3 inguino-iliac/obturator lymph node dissections for melanoma, and 6 miscellanea procedures. Visualization of structures was provided by a high definition stereoscopic camera connected to a 30° 10 mm scope equipped with a specific lens and light source emitting both visible and near infra-red (NIR) light (KARL STORZ GmbH & Co. KG, Tuttlingen, Germany). After injection of ICG, the system projected high-resolution NIR real-time images of blood flow in vessels and organs as well as highlighted biliary excretion . No intraoperataive or injection-related adverse effects were reported, and the biliary/vascular anatomy was always clearly identified. The imaging system provided invaluable information to conduct a safe cholecystectomy and ensure adequate vascular supply for colectomy, nephrectomy, or find lymph nodes. There were no bile duct injuries or anastomotic leaks. In our experience, the ICG fluorescence imaging system seems to be simple, safe, and useful. The technique may well become a standard in the near future in view of its different diagnostic and oncological capabilities. Larger studies and more specific evaluations are needed to confirm its role and to address its disadvantages.
Find related publications in this database (using NLM MeSH Indexing)
Aged -
Bile Ducts - pathology
Cholecystectomy, Laparoscopic - methods
Colectomy - methods
Colon - blood supply
Coloring Agents -
Female -
Germany -
Humans -
Indocyanine Green -
Kidney - blood supply
Laparoscopy - methods
Living Donors -
Lymph Node Excision - methods
Lymph Nodes - pathology
Male -
Middle Aged -
Nephrectomy - methods
Optical Imaging - methods
Pelvis -

Find related publications in this database (Keywords)
Laparoscopic surgery
Indocyanine green (ICG)-enhanced fluorescence
Near-infrared light (NIR)
Cholecystectomy
Colorectal resection
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