Indocyanine green fluorescence angiography in colorectal surgery. First case series in Mexico
| Autor: | A. Riojas-Garza, E. Quevedo-Fernández, Luis Enrique Salgado-Cruz, A.L. García-García, H.A. Rangel-Ríos, J.I. Ortiz de Elguea-Lizárraga, Alberto Félix Chapa-Lobo |
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| Rok vydání: | 2022 |
| Předmět: |
Adult
Indocyanine Green medicine.medical_specialty RC799-869 Anastomosis Malignant disease chemistry.chemical_compound Cirugía colorrectal Patient age medicine Humans Fluorescein Angiography Mexico Aged Retrospective Studies Aged 80 and over medicine.diagnostic_test business.industry México Mortality rate General Medicine Diseases of the digestive system. Gastroenterology Middle Aged Inmunofluorescencia con verde de indocianina Surgery chemistry Dehiscencia de anastomosis Angiography Anal verge Female business Colorectal Surgery Indocyanine green Indocyanine green fluorescence |
| Zdroj: | Revista de Gastroenterología de México (English Edition), Vol 87, Iss 1, Pp 29-34 (2022) |
| ISSN: | 2255-534X |
| Popis: | Introduction and aim: Anastomosis leak occurs in 1–19% of colorrectal surgeries. Our objective was to present the first Mexican case series on colorrectal surgery using indocyanine green fluorescence angiography to evaluate perfusion prior to carrying out the anastomosis. Materials and methods: A retrospective, analytic, descriptive study was conducted. We studied the case records of consecutive patients that underwent colorrectal surgery with indocyanine green angiography performed by the same group of colorrectal surgeons. Results: Twenty-one case records were reviewed. Eleven (52.3%) of the patients were women, mean patient age was 57 years (38–82), and mean body mass index was 25 kg/m2 (17–34). Fifteen (71.4%) patients were diagnosed with malignant disease. Indocyanine green angiography changed our therapeutic decision in three (14.2%) patients. Two colorrectal anastomoses (14.2%) were performed at fewer than 5 cm from the anal verge and 13 (61.9%) were performed at more than 5 cm from the anal verge. Three of the anastomoses were ileocolic (14.2%), two were coloanal (9.5%), and one was ileoanal (4.7%). There were six (28.5%) complications, no cases of anastomotic leak, and no complications associated with the use of indocyanine green. The mortality rate was 0%. Conclusion: The present case series is the first on colorrectal surgery conducted in Mexico using indocyanine green fluorescence angiography, with excellent results. Resumen: Introducción y objetivo: La dehiscencia de anastomosis ocurre en 1 al 19% de los pacientes con cirugía colorrectal. El objetivo es presentar la primera serie de cirugía colorrectal en México en la que se utilizó la angiografía por fluorescencia con verde de indocianina para valorar la perfusión, previo a realizar la anastomosis. Material y métodos: Estudio retrospectivo, analítico y descriptivo. Se analizaron los expedientes de pacientes consecutivos con cirugía colorrectal de un mismo grupo de cirujanos colorrectales en los que se utilizó la angiografía con verde de indocianina. Resultados: Se revisaron 21 expedientes de los cuales 11 (52.3%) eran mujeres, media de edad 57 años (38 a 82) y media de índice de masa corporal (IMC) 25 kg/m2 (17 a 34). El diagnóstico fue enfermedad maligna en 15 (71.4%) pacientes. La angiografía cambió nuestra decisión terapéutica en tres (14.2%) casos. Dos anastomosis se hicieron colorrectales a menos de 5 cm del margen anal (14.2%), a menos de 5 cm del margen anal, 13 (61.9%) se hicieron a más de 5 cm, tres (14.2%) fueron ileo-colónicas, dos (9.5%) se hicieron colo-anales y una (4.7%) se hizo ileo-anal. Tuvimos seis (28.5%) complicaciones, no existió dehiscencia de anastomosis ni complicación asociada con el uso de verde de indocianina. Mortalidad de 0%. Conclusión: Presentamos la primera serie de cirugía colorrectal en México en la que se utilizó la angiografía por fluorescencia con verde de indocianina con excelentes resultados. |
| Databáze: | OpenAIRE |
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