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Using fluorescence lymphangiography to define the ileocolic mesentery: proof of concept for the watershed area using real-time imaging

Keller, DS; Joshi, HM; Rodriguez-Justo, M; Walsh, D; Coffey, JC; Chand, M; (2017) Using fluorescence lymphangiography to define the ileocolic mesentery: proof of concept for the watershed area using real-time imaging. Techniques in Coloproctology , 21 (9) pp. 757-760. 10.1007/s10151-017-1677-x. Green open access

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Abstract

Recent advances in mesenteric science have demonstrated that the mesentery is a continuous structure with a ‘watershed’ area at the mesenteric apex between the right colon and terminal ileum, where lymphatic flow can proceed either proximally or distally. With this new understanding of the anatomy, functional features are emerging, which can have an impact on surgical management. Fluorescence lymphangiography or lymphoscintigraphy with indocyanine green allows real-time visualization of lymphatic channels, which highlights sentinel lymph nodes and may facilitate identification of the ideal margins for mesenteric lymphadenectomy during bowel resection for colon cancer. By using this novel technology, it is possible to demonstrate a watershed area in the ileocolic region and may facilitate more precise mesenteric dissection. In the present study, we provide proof of concept for the ileocolic watershed area using fluorescence lymphangiography.

Type: Article
Title: Using fluorescence lymphangiography to define the ileocolic mesentery: proof of concept for the watershed area using real-time imaging
Open access status: An open access version is available from UCL Discovery
DOI: 10.1007/s10151-017-1677-x
Publisher version: http://doi.org/10.1007/s10151-017-1677-x
Language: English
Additional information: © Springer International Publishing AG 2017. This version is the author accepted manuscript. For information on re-use, please refer to the publisher’s terms and conditions.
Keywords: Science & Technology, Life Sciences & Biomedicine, Gastroenterology & Hepatology, Surgery, Ileocolic, Mesentery, Watershed area, Fluorescence lymphangiography, Oncologic resection, COMPLETE MESOCOLIC EXCISION, CENTRAL VASCULAR LIGATION, SIDED COLON-CANCER, SURGERY
UCL classification: UCL
UCL > Provost and Vice Provost Offices
UCL > Provost and Vice Provost Offices > School of Life and Medical Sciences
UCL > Provost and Vice Provost Offices > School of Life and Medical Sciences > Faculty of Medical Sciences
UCL > Provost and Vice Provost Offices > School of Life and Medical Sciences > Faculty of Medical Sciences > Cancer Institute
UCL > Provost and Vice Provost Offices > School of Life and Medical Sciences > Faculty of Medical Sciences > Cancer Institute > Research Department of Pathology
UCL > Provost and Vice Provost Offices > School of Life and Medical Sciences > Faculty of Medical Sciences > Div of Surgery and Interventional Sci
UCL > Provost and Vice Provost Offices > School of Life and Medical Sciences > Faculty of Medical Sciences > Div of Surgery and Interventional Sci > Department of Targeted Intervention
URI: https://discovery.ucl.ac.uk/id/eprint/10045277
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