Using fluorescence lymphangiography to define the ileocolic mesentery: proof of concept for the watershed area using real-time imaging
| Autor: | Manuel Rodriguez-Justo, Dara Walsh, Manish Chand, Deborah S. Keller, John Calvin Coffey, H. M. Joshi |
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| Rok vydání: | 2017 |
| Předmět: |
Indocyanine Green
medicine.medical_specialty Pathology Watershed area Colon medicine.medical_treatment Dissection (medical) Proof of Concept Study 03 medical and health sciences chemistry.chemical_compound 0302 clinical medicine Ileum medicine Humans Mesentery Fluorescein Angiography Coloring Agents Colectomy Aged business.industry Gastroenterology Lymphography Bowel resection medicine.disease Lymphatic system medicine.anatomical_structure chemistry Proof of concept 030220 oncology & carcinogenesis Colonic Neoplasms Lymph Node Excision 030211 gastroenterology & hepatology Surgery Lymphadenectomy Female Radiology Lymph Nodes business Indocyanine green |
| Zdroj: | Techniques in coloproctology. 21(9) |
| ISSN: | 1128-045X |
| Popis: | Recent advances in mesenteric science have demonstrated that the mesentery is a continuous structure with a ‘watershed’ area at the mesenteric apex between the right colon and terminal ileum, where lymphatic flow can proceed either proximally or distally. With this new understanding of the anatomy, functional features are emerging, which can have an impact on surgical management. Fluorescence lymphangiography or lymphoscintigraphy with indocyanine green allows real-time visualization of lymphatic channels, which highlights sentinel lymph nodes and may facilitate identification of the ideal margins for mesenteric lymphadenectomy during bowel resection for colon cancer. By using this novel technology, it is possible to demonstrate a watershed area in the ileocolic region and may facilitate more precise mesenteric dissection. In the present study, we provide proof of concept for the ileocolic watershed area using fluorescence lymphangiography. |
| Databáze: | OpenAIRE |
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