Intraoperative ICG fluorescence contrast imaging of the main artery watershed area in colorectal cancer surgery: Report of a case
| Autor: | Masashi Yoshida, Norihiko Suzuki, Eisaku Ito, Satoru Yanagisawa, Nobuhiro Tsutsui, Keigo Nakajima, Shunjin Ryu, Ohdaira Hironori, Masaki Kitajima, Yutaka Suzuki |
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| Jazyk: | angličtina |
| Předmět: |
medicine.medical_specialty
genetic structures Colorectal cancer Watershed area ICG indocyanine green Ischemia SRA superior rectal artery Intra-arterial injection 03 medical and health sciences chemistry.chemical_compound 0302 clinical medicine medicine.artery Colorectal cancer surgery Case report medicine Superior rectal artery medicine.diagnostic_test business.industry Angiography medicine.disease eye diseases body regions ICG fluorescence medicine.anatomical_structure chemistry 030220 oncology & carcinogenesis 030211 gastroenterology & hepatology Surgery Radiology business Indocyanine green Artery |
| Zdroj: | International Journal of Surgery Case Reports |
| ISSN: | 2210-2612 |
| DOI: | 10.1016/j.ijscr.2016.06.009 |
| Popis: | Highlights • We have reported the case that underwent colorectal resection with intraoperative indocyanine green (ICG) fluorescence angiography from the resection-side of the superior rectal artery. • Watershed area of the SRA fluoresced 33 s after the intra-arterial injection of ICG. • PINPOINT, a brightfield color fluorescence camera was used for ICG fluorescence. • This method can be expected to provide useful information for maintaining the blood flow at the anastomotic site. Introduction Visualization of the main artery watershed area may be useful for determining the area that should be resected in colorectal cancer surgery. Resection of the main artery watershed area may result in complete resection of lymph nodes along the main artery and area of potential ischemia. Presentation of case A man in his 60 s with a chief complaint of hematochezia visited our hospital, was diagnosed with colorectal cancer and underwent surgery. A case that underwent colorectal resection with intraoperative indocyanine green (ICG) fluorescence angiography from the resection-side of the superior rectal artery (SRA) in order to confirm the watershed area is reported. Observation was performed using a PINPOINT® bright-field, color, near-infrared fluorescence camera, and the watershed area of the SRA fluoresced 33 s after the intra-arterial injection of ICG. After observation resection and anastomosis was performed. The patient’s postoperative course was good. Discussion The method is simple and can be performed within a short time, and it enables visual evaluation of the blood flow in the intestinal tract before anastomosis. Conclusion This method can be expected to provide useful information for complete resection of lymph nodes along the main artery and area of potential ischemia. |
| Databáze: | OpenAIRE |
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