The evaluation of the gastric tube blood flow by indocyanine green fluorescence angiography during esophagectomy: a multicenter prospective study
| Autor: | Kazuya Yamaguchi, Yutaka Tokairin, Hideyuki Ishida, Yusuke Kinugasa, Akihiro Hoshino, Yasuaki Nakajima, Katsumasa Saito, Youichi Kumagai, Shigeru Yamazaki, Kenro Kawada |
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| Rok vydání: | 2021 |
| Předmět: |
Indocyanine Green
Pulmonary and Respiratory Medicine medicine.medical_specialty Esophageal Neoplasms medicine.medical_treatment Anastomotic Leak Anastomosis Right gastroepiploic artery 03 medical and health sciences chemistry.chemical_compound 0302 clinical medicine medicine.artery medicine Humans Prospective Studies Fluorescein Angiography medicine.diagnostic_test business.industry Anastomosis Surgical Stomach General Medicine Esophageal cancer medicine.disease Cardiac surgery Esophagectomy chemistry Cardiothoracic surgery 030220 oncology & carcinogenesis Angiography 030211 gastroenterology & hepatology Surgery Cardiology and Cardiovascular Medicine business Nuclear medicine Indocyanine green |
| Zdroj: | General Thoracic and Cardiovascular Surgery. 69:1118-1124 |
| ISSN: | 1863-6713 1863-6705 |
| DOI: | 10.1007/s11748-021-01640-2 |
| Popis: | We determined the anastomotic site during gastric tube reconstruction in esophagectomy according to the "90-to 60-s rule" using indocyanine green (ICG) fluorescence angiography. We evaluated its safety and efficacy in a prospective multicenter setting. We enrolled 129 patients who underwent subtotal esophagectomy for esophageal cancer. ICG fluorescence angiography was performed after making a wide gastric tube, and the time from the initial enhancement of the right gastroepiploic artery to the tip of the gastric tube was used as a parameter. Esophago-gastro anastomosis was made at the area that was enhanced within 90 s (preferably within 60 s). The enhancement time and the incidence of anastomotic leakage were compared. In all cases, anastomosis was made at the site enhanced within 90 s. Anastomotic leakage was found in only 4 (3.1%) of 129 cases; specifically, it was detected in 3 (2.4%) of 126 cases whose anastomotic site was enhanced within 60 s and in 1 (33.3%) of 3 cases where the enhancement time exceeded 60 s (p = 0.09). Determining the anastomotic site using the 90-to 60-s rule with ICG imaging in gastric tube reconstruction helps reduce the rate of anastomotic leakage. |
| Databáze: | OpenAIRE |
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