The Impact of Indocyanine-green Fluorescence Angiography on Intraoperative Decision-making and Postoperative Outcome in Free Flap Surgery

ABSTRACT Background Reliable perfusion of the distal portions of free flaps is decisive for the reconstructive success. Indocyanine green near-infrared video angiography (ICG-NIR-VA) has been adopted for objective assessment of free flap tissue perfusion but is thus far not used on a routine basis. Therefore, we investigated its intraoperative impact on decision-making and postoperative outcome.…

Intraureteral Indocyanine Green Augments Ureteral Identification And Avoidance During Complex Robotic‐assisted Colorectal Surgery

ABSTRACT Aim Up to 10% of patients undergoing non‐urologic abdominopelvic operations suffer a ureteral injury. While preoperative ureteral stenting to facilitate ureteral identification is common, it does not reduce the incidence of intraoperative ureteral injury and is not without risk. As we continue to broaden the application of minimally invasive surgical techniques, a new form…

Indocyanine Green Fluorescence Angiography and the Incidence of Anastomotic Leak after Colorectal Resection for Colorectal Cancer: A Meta-analysis

ABSTRACT BACKGROUND Anastomotic leak is a life-threatening complication of colorectal surgery. Recent studies showed that indocyanine green fluorescence angiography might be a method to prevent anastomotic leak. OBJECTIVE The purpose of this study was to investigate whether intraoperative indocyanine green fluorescence angiography can reduce the incidence of anastomotic leak. DATA SOURCES Potential relevant studies were identified from the…

Indocyanine Green Fluorescence Angiography Decreases the Risk of Colorectal Anastomotic Leakage: Systematic Review and Meta-analysis

Background Anastomotic leakage after a colorectal resection results in devastating consequences for patients. Indocyanine green fluorescence angiography is a modality to visualize vascular perfusion at the anastomotic site and can help surgeons decide the viability of the anastomosis. We performed this systematic review and meta-analysis to evaluate the efficacy of indocyanine green fluorescence angiography in…

Use of Near-infrared Incisionless Fluorescent Cholangiography (Nifc) for Identification of the Anatomy in Biliary Surgery

Case Report The following case study discusses a 37 years old, morbidly obese woman (BMI 43 Kg/m2) with impaired fasting glucose and no significant surgical history who presented to the clinic with a 3-month history of right upper quadrant (RUQ) abdominal pain, especially after meals. The physical exam revealed tenderness in the RUQ with a…

Indocyanine Green Perfusion Assessment During Colonic Interposition for Graft Necrosis after Esophagectomy

Case Report A 72-year-old Caucasian male with a past medical history of type 2 diabetes mellitus, hypertension, hyperlipidemia, myocardial infarction, gastric ulcer, gastroesophageal reflux disease (GERD), presented to the clinic complaining of lower chest discomfort and progressive dysphagia to both liquid and solid food for approximately four months. At the endoscopy he was found to…

The use of Fluorescence Imaging in Colon Interposition for Esophageal Replacement: A Technical Note

Abstract Every field of surgery has seen an explosion of new technologies aimed at improving surgical technique and reducing complications. The use of near-infrared (NIR) fluorescence to assess perfusion has been described in several surgical disciplines. NIR provides the surgeon with real-time perfusion assessment of a target organ or anastomosis and can be invaluable in…

Indocyanine Green Use in Laparoscopic Cholecystectomy

ABSTRACT Laparoscopic cholecystectomy is the surgical treatment of choice for benign diseases of the gallbladder because of the advantage of shorter postoperative hospital stays with faster recovery and cosmetic superiority. However, complications like iatrogenic vascular and bile duct injury are associated with a severe outcome. Most of the intraoperative injuries during use of the laparoscopic…

A Novel Method for Near‐infrared Fluorescence Imaging of the Urethra During Perineal and Transanal Surgery: Demonstration in a Cadaveric Model

ABSTRACT Aim Transanal total mesorectal excision is a promising novel sphincter‐saving procedure for low rectal cancer. However, the transanal bottom‐up dissection is associated with increased rates of iatrogenic urethral injuries. Near‐infrared fluorescence (NIRF) imaging, given its deeper tissue penetration, has been explored in a limited number of studies for enhanced intra‐operative urethral visualization. In this…