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Safe and Accurate Laparoscopic Total Gastrectomy for Remnant Gastric Cancer With Severe Adhesions Using Indocyanine Green Fluorescence Imaging: Guidance in Detection of the Accurate Dissection Layer to Avoid Organ Injury.
- Source :
-
The American surgeon [Am Surg] 2024 Jun; Vol. 90 (6), pp. 1794-1796. Date of Electronic Publication: 2024 Mar 28. - Publication Year :
- 2024
-
Abstract
- Laparoscopic total gastrectomy (LTG) for remnant gastric cancer (RGC) requires advanced techniques due to severe postoperative adhesions and anatomic changes. We performed LTG in 2 patients with RGC using intraoperative indocyanine green (ICG) fluorescence imaging. Both cases previously underwent distal gastrectomy with Billroth-I reconstruction for gastric cancer and were subsequently diagnosed with early-stage gastric cancer of the remnant stomach. Indocyanine green (2.5 mg/body) was administered intravenously during surgery. The liver and common bile duct were clearly visualized during surgery using near-infrared fluorescence laparoscopy, and the adhesions between the hepatobiliary organs and remnant stomach were safely dissected. Laparoscopic total gastrectomy was successfully performed without complications, and the postoperative course was uneventful in both cases. Intraoperative real-time ICG fluorescence imaging allows clear visualization of the liver and common bile duct and can be useful in LTG for RGC with severe adhesions.<br />Competing Interests: Declaration of Conflicting InterestsThe author(s) declared no potential conflicts of interest with respect to the research, authorship, and/or publication of this article.
- Subjects :
- Humans
Male
Middle Aged
Coloring Agents
Dissection methods
Gastric Stump surgery
Gastric Stump diagnostic imaging
Gastric Stump pathology
Liver diagnostic imaging
Liver surgery
Liver pathology
Tissue Adhesions diagnostic imaging
Aged, 80 and over
Gastrectomy methods
Indocyanine Green
Laparoscopy methods
Optical Imaging methods
Stomach Neoplasms surgery
Stomach Neoplasms pathology
Subjects
Details
- Language :
- English
- ISSN :
- 1555-9823
- Volume :
- 90
- Issue :
- 6
- Database :
- MEDLINE
- Journal :
- The American surgeon
- Publication Type :
- Academic Journal
- Accession number :
- 38546543
- Full Text :
- https://doi.org/10.1177/00031348241241720