Usefulness of blood flow evaluation by indocyanine green fluorescence in laparoscopic or robot-assisted surgery for colorectal cancer with persistent descending mesocolon.

Autor: Kusafuka H; Department of Gastrointestinal Surgery, Kansai Rosai Hospital, Amagasaki, Japan., Hiraki M; Department of Gastrointestinal Surgery, Kansai Rosai Hospital, Amagasaki, Japan., Kawai K; Department of Gastrointestinal Surgery, Kansai Rosai Hospital, Amagasaki, Japan., Ikeshima R; Department of Gastrointestinal Surgery, Kansai Rosai Hospital, Amagasaki, Japan., Hata T; Department of Gastrointestinal Surgery, Kansai Rosai Hospital, Amagasaki, Japan., Yanagisawa K; Department of Gastrointestinal Surgery, Kansai Rosai Hospital, Amagasaki, Japan., Kinoshita M; Department of Gastrointestinal Surgery, Kansai Rosai Hospital, Amagasaki, Japan., Katsuyama S; Department of Gastrointestinal Surgery, Kansai Rosai Hospital, Amagasaki, Japan., Shinke G; Department of Gastrointestinal Surgery, Kansai Rosai Hospital, Amagasaki, Japan., Ohmura Y; Department of Gastrointestinal Surgery, Kansai Rosai Hospital, Amagasaki, Japan., Sugimura K; Department of Gastrointestinal Surgery, Kansai Rosai Hospital, Amagasaki, Japan., Masuzawa T; Department of Gastrointestinal Surgery, Kansai Rosai Hospital, Amagasaki, Japan., Takeda Y; Department of Gastrointestinal Surgery, Kansai Rosai Hospital, Amagasaki, Japan., Murata K; Department of Gastrointestinal Surgery, Kansai Rosai Hospital, Amagasaki, Japan.
Jazyk: angličtina
Zdroj: Asian journal of endoscopic surgery [Asian J Endosc Surg] 2023 Oct; Vol. 16 (4), pp. 804-808. Date of Electronic Publication: 2023 Jul 25.
DOI: 10.1111/ases.13237
Abstrakt: A persistent descending mesocolon is defined as a congenital fixation anomaly caused by the defective membrane fusion of the descending colon and the lateral abdominal wall. Anatomically, in persistent descending mesocolon, the left colonic artery is often shortened, and joins the marginal artery soon after its bifurcation from the inferior mesenteric artery, while the colonic mesentery often adheres firmly to the mesentery of the small intestine. As a result of these characteristics, anatomical knowledge of the persistent descending mesocolon and preservation of bowel blood flow are important during surgery for left-sided colorectal cancer to avoid adverse events. Moreover, indocyanine green based blood flow assessment is useful for the detailed evaluation of bowel ischemia at the anastomotic site. Here we report the usefulness of blood flow evaluation using indocyanine green fluorescence in laparoscopic or robot-assisted surgery for three patients with colorectal cancer and persistent descending mesocolons.
(© 2023 Asia Endosurgery Task Force and Japan Society of Endoscopic Surgery and John Wiley & Sons Australia, Ltd.)
Databáze: MEDLINE
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