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The outcome of real-time evaluation of biliary flow using near-infrared fluorescence cholangiography with Indocyanine green in biliary atresia surgery
Indocyanine green (ICG) fluorescence imaging is a promising tool for intraoperative decision-making. The aim of this study was to evaluate the utility of near-infrared fluorescence cholangiography (NIR-FCG) with ICG in primary surgery for biliary atresia (BA). We performed NIR-FCG with ICG in 10 BA...
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| Published in: | Journal of pediatric surgery 2019-12, Vol.54 (12), p.2574-2578 |
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| Main Authors: | , , , , , , , , , |
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| cited_by | cdi_FETCH-LOGICAL-c368t-827f340311c616ffb54cd0938cccc63ecae21f75bd70de1d36618348ecdaecbd3 |
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| cites | cdi_FETCH-LOGICAL-c368t-827f340311c616ffb54cd0938cccc63ecae21f75bd70de1d36618348ecdaecbd3 |
| container_end_page | 2578 |
| container_issue | 12 |
| container_start_page | 2574 |
| container_title | Journal of pediatric surgery |
| container_volume | 54 |
| creator | Yanagi, Yusuke Yoshimaru, Koichiro Matsuura, Toshiharu Shibui, Yuichi Kohashi, Kenichi Takahashi, Yoshiaki Obata, Satoshi Sozaki, Ryota Izaki, Tomoko Taguchi, Tomoaki |
| description | Indocyanine green (ICG) fluorescence imaging is a promising tool for intraoperative decision-making. The aim of this study was to evaluate the utility of near-infrared fluorescence cholangiography (NIR-FCG) with ICG in primary surgery for biliary atresia (BA).
We performed NIR-FCG with ICG in 10 BA patients and observed the fluorescence of their hilar micro-bile ducts and hilar exudate in order to assess the appropriate level at which to dissect the hilar fibrous corn. We compared the jaundice outcome of 10 patients using NIR-FCG (Group A) to that of 35 historical patients in whom NIR-FCG had not been used (Group B).
The mean age of patients was 74.8 days. The classification of BA was type I in two cases and type-III in eight cases. NIR-FCG visualized the hilar micro-bile ducts, and the incidence of positive fluorescence was 80%. The ratio of postoperative normalization of hyperbilirubinemia in Group A was significantly higher than that in Group B (1.0 vs. 0.65, p |
| doi_str_mv | 10.1016/j.jpedsurg.2019.08.029 |
| format | article |
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We performed NIR-FCG with ICG in 10 BA patients and observed the fluorescence of their hilar micro-bile ducts and hilar exudate in order to assess the appropriate level at which to dissect the hilar fibrous corn. We compared the jaundice outcome of 10 patients using NIR-FCG (Group A) to that of 35 historical patients in whom NIR-FCG had not been used (Group B).
The mean age of patients was 74.8 days. The classification of BA was type I in two cases and type-III in eight cases. NIR-FCG visualized the hilar micro-bile ducts, and the incidence of positive fluorescence was 80%. The ratio of postoperative normalization of hyperbilirubinemia in Group A was significantly higher than that in Group B (1.0 vs. 0.65, p < 0.05).
NIR-FCG provided important objectifiable information about the biliary structures in surgery of BA. Although the number of cases was small, our results suggest that NIR-FCG may be useful for improving the outcome of primary surgery for BA.
Study of Diagnostic Test.
Level III.</description><identifier>ISSN: 0022-3468</identifier><identifier>EISSN: 1531-5037</identifier><identifier>DOI: 10.1016/j.jpedsurg.2019.08.029</identifier><identifier>PMID: 31575415</identifier><language>eng</language><publisher>United States: Elsevier Inc</publisher><subject>Bile Ducts - diagnostic imaging ; Bile Ducts - surgery ; Biliary atresia ; Biliary Atresia - diagnostic imaging ; Biliary Atresia - surgery ; Cholangiography - methods ; Female ; Humans ; ICG ; Indocyanine green ; Indocyanine Green - therapeutic use ; Infant ; Kasai portoenterostomy ; Male ; Near-infrared fluorescence imaging ; Optical Imaging - methods ; Retrospective Studies ; Spectroscopy, Near-Infrared - methods ; Surgery, Computer-Assisted - methods</subject><ispartof>Journal of pediatric surgery, 2019-12, Vol.54 (12), p.2574-2578</ispartof><rights>2019 Elsevier Inc.</rights><rights>Copyright © 2019 Elsevier Inc. All rights reserved.</rights><lds50>peer_reviewed</lds50><woscitedreferencessubscribed>false</woscitedreferencessubscribed><citedby>FETCH-LOGICAL-c368t-827f340311c616ffb54cd0938cccc63ecae21f75bd70de1d36618348ecdaecbd3</citedby><cites>FETCH-LOGICAL-c368t-827f340311c616ffb54cd0938cccc63ecae21f75bd70de1d36618348ecdaecbd3</cites></display><links><openurl>$$Topenurl_article</openurl><openurlfulltext>$$Topenurlfull_article</openurlfulltext><thumbnail>$$Tsyndetics_thumb_exl</thumbnail><link.rule.ids>314,780,784,27924,27925</link.rule.ids><backlink>$$Uhttps://www.ncbi.nlm.nih.gov/pubmed/31575415$$D View this record in MEDLINE/PubMed$$Hfree_for_read</backlink></links><search><creatorcontrib>Yanagi, Yusuke</creatorcontrib><creatorcontrib>Yoshimaru, Koichiro</creatorcontrib><creatorcontrib>Matsuura, Toshiharu</creatorcontrib><creatorcontrib>Shibui, Yuichi</creatorcontrib><creatorcontrib>Kohashi, Kenichi</creatorcontrib><creatorcontrib>Takahashi, Yoshiaki</creatorcontrib><creatorcontrib>Obata, Satoshi</creatorcontrib><creatorcontrib>Sozaki, Ryota</creatorcontrib><creatorcontrib>Izaki, Tomoko</creatorcontrib><creatorcontrib>Taguchi, Tomoaki</creatorcontrib><title>The outcome of real-time evaluation of biliary flow using near-infrared fluorescence cholangiography with Indocyanine green in biliary atresia surgery</title><title>Journal of pediatric surgery</title><addtitle>J Pediatr Surg</addtitle><description>Indocyanine green (ICG) fluorescence imaging is a promising tool for intraoperative decision-making. The aim of this study was to evaluate the utility of near-infrared fluorescence cholangiography (NIR-FCG) with ICG in primary surgery for biliary atresia (BA).
We performed NIR-FCG with ICG in 10 BA patients and observed the fluorescence of their hilar micro-bile ducts and hilar exudate in order to assess the appropriate level at which to dissect the hilar fibrous corn. We compared the jaundice outcome of 10 patients using NIR-FCG (Group A) to that of 35 historical patients in whom NIR-FCG had not been used (Group B).
The mean age of patients was 74.8 days. The classification of BA was type I in two cases and type-III in eight cases. NIR-FCG visualized the hilar micro-bile ducts, and the incidence of positive fluorescence was 80%. The ratio of postoperative normalization of hyperbilirubinemia in Group A was significantly higher than that in Group B (1.0 vs. 0.65, p < 0.05).
NIR-FCG provided important objectifiable information about the biliary structures in surgery of BA. Although the number of cases was small, our results suggest that NIR-FCG may be useful for improving the outcome of primary surgery for BA.
Study of Diagnostic Test.
Level III.</description><subject>Bile Ducts - diagnostic imaging</subject><subject>Bile Ducts - surgery</subject><subject>Biliary atresia</subject><subject>Biliary Atresia - diagnostic imaging</subject><subject>Biliary Atresia - surgery</subject><subject>Cholangiography - methods</subject><subject>Female</subject><subject>Humans</subject><subject>ICG</subject><subject>Indocyanine green</subject><subject>Indocyanine Green - therapeutic use</subject><subject>Infant</subject><subject>Kasai portoenterostomy</subject><subject>Male</subject><subject>Near-infrared fluorescence imaging</subject><subject>Optical Imaging - methods</subject><subject>Retrospective Studies</subject><subject>Spectroscopy, Near-Infrared - methods</subject><subject>Surgery, Computer-Assisted - methods</subject><issn>0022-3468</issn><issn>1531-5037</issn><fulltext>true</fulltext><rsrctype>article</rsrctype><creationdate>2019</creationdate><recordtype>article</recordtype><recordid>eNqFUU1v2zAMFYYNa9rtLwQ69mKXsmzZua0o9hGgwC7dWZAlylHgSJlkt8gf6e-djKS9ThdC5HskHx8hawYlAybu9uX-iCbNcSgrYJsSuhKqzQeyYg1nRQO8_UhWAFVV8Fp0V-Q6pT1ATgP7TK44a9qmZs2KvD7tkIZ50uGQo6UR1VhMLn_wWY2zmlzwS753o1PxRO0YXuicnB-oRxUL521UEU0uzCFi0ug1Ur0Lo_KDC0NUx92JvrhpR7feBH1S3nmkQ0T01Pn3vmrKZKfoogjj6Qv5ZNWY8Osl3pA_P74_PfwqHn__3D7cPxaai24quqq1vAbOmBZMWNs3tTaw4Z3OT3DUCitm26Y3LRhkhgvBOl53qI1C3Rt-Q27PfY8x_J0xTfLgsoYxb49hTrLiAKzd5BNmqDhDdQwpRbTyGN0h7y4ZyMUTuZdvnsjFEwmdzJ5k4voyY-4PaN5pbyZkwLczALPSZ4dRJu2WOxoXUU_SBPe_Gf8AkvSmAg</recordid><startdate>201912</startdate><enddate>201912</enddate><creator>Yanagi, Yusuke</creator><creator>Yoshimaru, Koichiro</creator><creator>Matsuura, Toshiharu</creator><creator>Shibui, Yuichi</creator><creator>Kohashi, Kenichi</creator><creator>Takahashi, Yoshiaki</creator><creator>Obata, Satoshi</creator><creator>Sozaki, Ryota</creator><creator>Izaki, Tomoko</creator><creator>Taguchi, Tomoaki</creator><general>Elsevier Inc</general><scope>CGR</scope><scope>CUY</scope><scope>CVF</scope><scope>ECM</scope><scope>EIF</scope><scope>NPM</scope><scope>AAYXX</scope><scope>CITATION</scope><scope>7X8</scope></search><sort><creationdate>201912</creationdate><title>The outcome of real-time evaluation of biliary flow using near-infrared fluorescence cholangiography with Indocyanine green in biliary atresia surgery</title><author>Yanagi, Yusuke ; Yoshimaru, Koichiro ; Matsuura, Toshiharu ; Shibui, Yuichi ; Kohashi, Kenichi ; Takahashi, Yoshiaki ; Obata, Satoshi ; Sozaki, Ryota ; Izaki, Tomoko ; Taguchi, Tomoaki</author></sort><facets><frbrtype>5</frbrtype><frbrgroupid>cdi_FETCH-LOGICAL-c368t-827f340311c616ffb54cd0938cccc63ecae21f75bd70de1d36618348ecdaecbd3</frbrgroupid><rsrctype>articles</rsrctype><prefilter>articles</prefilter><language>eng</language><creationdate>2019</creationdate><topic>Bile Ducts - diagnostic imaging</topic><topic>Bile Ducts - surgery</topic><topic>Biliary atresia</topic><topic>Biliary Atresia - diagnostic imaging</topic><topic>Biliary Atresia - surgery</topic><topic>Cholangiography - methods</topic><topic>Female</topic><topic>Humans</topic><topic>ICG</topic><topic>Indocyanine green</topic><topic>Indocyanine Green - therapeutic use</topic><topic>Infant</topic><topic>Kasai portoenterostomy</topic><topic>Male</topic><topic>Near-infrared fluorescence imaging</topic><topic>Optical Imaging - methods</topic><topic>Retrospective Studies</topic><topic>Spectroscopy, Near-Infrared - methods</topic><topic>Surgery, Computer-Assisted - methods</topic><toplevel>peer_reviewed</toplevel><toplevel>online_resources</toplevel><creatorcontrib>Yanagi, Yusuke</creatorcontrib><creatorcontrib>Yoshimaru, Koichiro</creatorcontrib><creatorcontrib>Matsuura, Toshiharu</creatorcontrib><creatorcontrib>Shibui, Yuichi</creatorcontrib><creatorcontrib>Kohashi, Kenichi</creatorcontrib><creatorcontrib>Takahashi, Yoshiaki</creatorcontrib><creatorcontrib>Obata, Satoshi</creatorcontrib><creatorcontrib>Sozaki, Ryota</creatorcontrib><creatorcontrib>Izaki, Tomoko</creatorcontrib><creatorcontrib>Taguchi, Tomoaki</creatorcontrib><collection>Medline</collection><collection>MEDLINE</collection><collection>MEDLINE (Ovid)</collection><collection>MEDLINE</collection><collection>MEDLINE</collection><collection>PubMed</collection><collection>CrossRef</collection><collection>MEDLINE - Academic</collection><jtitle>Journal of pediatric surgery</jtitle></facets><delivery><delcategory>Remote Search Resource</delcategory><fulltext>fulltext</fulltext></delivery><addata><au>Yanagi, Yusuke</au><au>Yoshimaru, Koichiro</au><au>Matsuura, Toshiharu</au><au>Shibui, Yuichi</au><au>Kohashi, Kenichi</au><au>Takahashi, Yoshiaki</au><au>Obata, Satoshi</au><au>Sozaki, Ryota</au><au>Izaki, Tomoko</au><au>Taguchi, Tomoaki</au><format>journal</format><genre>article</genre><ristype>JOUR</ristype><atitle>The outcome of real-time evaluation of biliary flow using near-infrared fluorescence cholangiography with Indocyanine green in biliary atresia surgery</atitle><jtitle>Journal of pediatric surgery</jtitle><addtitle>J Pediatr Surg</addtitle><date>2019-12</date><risdate>2019</risdate><volume>54</volume><issue>12</issue><spage>2574</spage><epage>2578</epage><pages>2574-2578</pages><issn>0022-3468</issn><eissn>1531-5037</eissn><abstract>Indocyanine green (ICG) fluorescence imaging is a promising tool for intraoperative decision-making. The aim of this study was to evaluate the utility of near-infrared fluorescence cholangiography (NIR-FCG) with ICG in primary surgery for biliary atresia (BA).
We performed NIR-FCG with ICG in 10 BA patients and observed the fluorescence of their hilar micro-bile ducts and hilar exudate in order to assess the appropriate level at which to dissect the hilar fibrous corn. We compared the jaundice outcome of 10 patients using NIR-FCG (Group A) to that of 35 historical patients in whom NIR-FCG had not been used (Group B).
The mean age of patients was 74.8 days. The classification of BA was type I in two cases and type-III in eight cases. NIR-FCG visualized the hilar micro-bile ducts, and the incidence of positive fluorescence was 80%. The ratio of postoperative normalization of hyperbilirubinemia in Group A was significantly higher than that in Group B (1.0 vs. 0.65, p < 0.05).
NIR-FCG provided important objectifiable information about the biliary structures in surgery of BA. Although the number of cases was small, our results suggest that NIR-FCG may be useful for improving the outcome of primary surgery for BA.
Study of Diagnostic Test.
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| subjects | Bile Ducts - diagnostic imaging Bile Ducts - surgery Biliary atresia Biliary Atresia - diagnostic imaging Biliary Atresia - surgery Cholangiography - methods Female Humans ICG Indocyanine green Indocyanine Green - therapeutic use Infant Kasai portoenterostomy Male Near-infrared fluorescence imaging Optical Imaging - methods Retrospective Studies Spectroscopy, Near-Infrared - methods Surgery, Computer-Assisted - methods |
| title | The outcome of real-time evaluation of biliary flow using near-infrared fluorescence cholangiography with Indocyanine green in biliary atresia surgery |
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