scholarly journals Optimization of Indocyanine Green (ICG) Angiography for Colon Perfusion during Laparoscopic Colorectal Surgery

2021 ◽  
Author(s):  
Hong‐min Ahn ◽  
Gyung Mo Son ◽  
In Young Lee ◽  
Sang‐Ho Park ◽  
Nam Su Kim ◽  
...  

2018 ◽  
Vol 33 (5) ◽  
pp. 1640-1649 ◽  
Author(s):  
Gyung Mo Son ◽  
Myeong Sook Kwon ◽  
Yoonhong Kim ◽  
Jisu Kim ◽  
Seung Hwa Kim ◽  
...  




2018 ◽  
Vol 21 (1) ◽  
pp. 25-30 ◽  
Author(s):  
Dong-hyun Kim ◽  
Gyung Mo Son ◽  
Myeong Sook Kwon ◽  
Seung-hyun Baek ◽  
Byung-Soo Park ◽  
...  




2020 ◽  
Vol 64 (1) ◽  
pp. e9-e13
Author(s):  
Dong Woon Lee ◽  
Dae Kyung Sohn ◽  
Kyung Su Han ◽  
Chang Won Hong ◽  
Hyoung Chul Park ◽  
...  




2021 ◽  
Vol 0 (0) ◽  
pp. 0
Author(s):  
Abhijith Acharya ◽  
VN V. R. Satish ◽  
Srinivasan Ramachandran ◽  
Mohan Narasimhan ◽  
Ramesh Ardhanari


2016 ◽  
Vol 59 (2) ◽  
pp. e14-e18 ◽  
Author(s):  
Jun Nagata ◽  
Yosuke Fukunaga ◽  
Takashi Akiyoshi ◽  
Tsuyoshi Konishi ◽  
Yoshiya Fujimoto ◽  
...  


Author(s):  
Hong-min Ahn ◽  
Gyung Mo Son ◽  
In Young Lee ◽  
Dong-Hoon Shin ◽  
Tae Kyun Kim ◽  
...  

Abstract Background Indocyanine green (ICG) is a multifunctional dye used in tumor localization, tissue perfusion, and lymph node (LN) mapping during fluorescence-guided laparoscopic colorectal surgery. Purpose This study aimed to establish the optimal protocol for preoperative endoscopic submucosal ICG injection to perform fluorescence lymph node mapping (FLNM), along with undisturbed fluorescent tumor localization and ICG angiography during a single surgery. Methods Colorectal cancer patients (n = 192) were enrolled from May 2017 to December 2019. Colonoscopic submucosal ICG injection was performed 12 to 18 h before surgery. ICG injection protocols were modified based on the total injected ICG (mg) and tattooing site number. The concentrations of ICG were gradually decreased from the standard dose (2.5 mg/ml) to the minimum dose (0.2 mg/ml). Successful FLNM (FLNM-s) was defined as distinct fluorescent LNs observed under NIR camera. The patient’s age, sex, body mass index (BMI), stage, cancer location, obstruction, and laboratory findings were compared between the FLNM-s and failed FLNM (FLNM-f) groups to identify clinical and pathological factors that affect FLNM. Results In the ICG dose section of 0.5 to 1 mg, the success rate was highest within all functions including FLNM, fluorescent tumor localization, and ICG angiography. FLNM-s was related to ICG dose (0.5–1 mg), multiple submucosal injections, location of cancer, camera light source, and lower BMI. In the multivariate analysis, camera light source, non-obesity, and multiple injections were independent factors for FLNM-s). The mean total number of harvested LNs was significantly higher in the FLNM-s group than that in the FLNM-f group (p < 0.001). The number of metastatic lymph nodes was comparable between the two groups (p = 0.859). Conclusions Preoperative, endoscopic submucosal ICG injection with dose range 0.5 to 1 mg would be optimal protocol for multifunctional ICG applications during fluorescence-guided laparoscopic colorectal surgery.



2018 ◽  
Vol 34 (4) ◽  
pp. 206-211 ◽  
Author(s):  
Sang Jae Lee ◽  
Dae Kyung Sohn ◽  
Kyung Su Han ◽  
Byung Chang Kim ◽  
Chang Won Hong ◽  
...  


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