Real-Time Fluorescence Vessel Navigation Using Indocyanine Green During Laparoscopic Colorectal Cancer Surgery

Indocyanine green (ICG) fluorescence technique is known to help visualize blood vessels. The efficacy of real-time fluorescence vessel navigation (FVN) using ICG for ligation of the inferior mesenteric vein (IMV) and left colic artery (LCA) during laparoscopic left colorectal cancer surgery was inve...

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Bibliographic Details
Published in:Anticancer research 2019-06, Vol.39 (6), p.3009-3013
Main Authors: Ryu, Shunjin, Suwa, Katsuhito, Kitagawa, Takahiro, Aizawa, Marie, Ushigome, Takurou, Okamoto, Tomoyoshi, Eto, Ken, Yanaga, Katsuhiko
Format: Article
Language:English
Subjects:
Aged
Aged, 80 and over
Blood vessels
Cancer
Cancer surgery
Colic
Colorectal cancer
Colorectal carcinoma
Colorectal Neoplasms - diagnostic imaging
Colorectal Neoplasms - pathology
Colorectal Neoplasms - surgery
Digestive System Surgical Procedures - adverse effects
Digestive System Surgical Procedures - methods
Female
Fluorescence
Fluorescent Dyes - administration & dosage
Humans
Indocyanine Green - administration & dosage
Laparoscopy
Laparoscopy - adverse effects
Laparoscopy - methods
Ligation
Male
Mesenteric Arteries - diagnostic imaging
Mesenteric Arteries - surgery
Mesenteric Veins - diagnostic imaging
Mesenteric Veins - surgery
Middle Aged
Operative Time
Optical Imaging - methods
Postoperative Complications - etiology
Real time
Retrospective Studies
Surgery
Surgery, Computer-Assisted - adverse effects
Surgery, Computer-Assisted - methods
Time Factors
Treatment Outcome
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Summary:Indocyanine green (ICG) fluorescence technique is known to help visualize blood vessels. The efficacy of real-time fluorescence vessel navigation (FVN) using ICG for ligation of the inferior mesenteric vein (IMV) and left colic artery (LCA) during laparoscopic left colorectal cancer surgery was investigated. Participants were 59 patients who underwent laparoscopic left colorectal cancer surgery from February 2017 to November 2018, and were divided into groups: i) with FVN (FVN+, n=21) and ii) without FVN (FVN-, n=38). Groups were compared for the time it took to ligate their IMV and LCA. The results are expressed as median values. The time to ligate the IMV and LCA was significantly shorter for FVN+ (230 seconds; range 126-346) than for FVN- (417.5 seconds; range 137-1327) (p
ISSN:0250-7005
1791-7530
DOI:10.21873/anticanres.13433