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Usefulness of blood flow evaluation with indocyanine green fluorescence imaging during laparoscopic surgery for strangulated bowel obstruction: A cohort study
- Source :
- Asian Journal of Surgery, Vol 45, Iss 3, Pp 867-873 (2022)
- Publication Year :
- 2022
- Publisher :
- Elsevier, 2022.
-
Abstract
- Introduction Intestinal blood flow evaluation during strangulated bowel obstruction is often based on the subjective assessment of the operator. Therefore, we aimed to comprehensively determine the presence or absence of intestinal blood flow based on normal light and indocyanine green (ICG) fluorescence imaging. Moreover, we ascertained whether the chosen surgical plan was appropriate, based on the patients' postoperative course and pathological findings. Methods All 14 patients diagnosed with strangulated bowel obstruction at our hospital who underwent laparoscopic surgery between July 2019 and January 2021 were enrolled. Surgical plans were chosen based on normal light imaging combined with near-infrared imaging after intravenous ICG injection. Intestinal resection was performed via a small laparotomy if resection was considered necessary. In the intestinal resection group, the presence of intestinal necrosis was examined based on the pathological findings of the resected specimens. In the intestinal preservation group, postoperative complications, such as delayed intestinal perforation and intestinal stricture, were examined. Results Intestinal resection was performed in 4 cases. The pathological findings of the resected specimens showed necrosis of the small intestine in all cases. No intra-abdominal complication occurred any of the cases, and the median postoperative hospital stay was 9.9 days. Conclusions The selection of a surgical plan in conjunction with ICG fluorescence findings was valid in all 14 cases. ICG fluorescence imaging is useful in laparoscopic surgery for strangulated bowel obstruction and may be a novel method for evaluating intestinal blood flow during surgery.
- Subjects :
- Indocyanine Green
Laparoscopic surgery
medicine.medical_specialty
RD1-811
medicine.medical_treatment
Perforation (oil well)
Cohort Studies
chemistry.chemical_compound
Laparotomy
Intestinal Stricture
medicine
Humans
ICG
business.industry
Optical Imaging
Blood flow
medicine.disease
Surgery
Bowel obstruction
chemistry
Laparoscopy
business
Complication
Cohort study
Indocyanine green
Intestinal Obstruction
Subjects
Details
- Language :
- English
- ISSN :
- 10159584
- Volume :
- 45
- Issue :
- 3
- Database :
- OpenAIRE
- Journal :
- Asian Journal of Surgery
- Accession number :
- edsair.doi.dedup.....5d56e29f8ddda02702598af8d810f176