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Fluorescence‐Guided Surgery (FGS) during a laparoscopic Redo Nissen Fundoplication: The First Case in Children

Paraboschi, I; Privitera, L; Loukogeorgakis, S; Giuliani, S; (2022) Fluorescence‐Guided Surgery (FGS) during a laparoscopic Redo Nissen Fundoplication: The First Case in Children. Children , 9 (7) p. 947. 10.3390/children9070947. Green open access

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Abstract

We present the first case of fluorescence‐guided surgery (FGS) using indocyanine green (ICG) in a pediatric redo‐Nissen fundoplication. The patient is a 17‐year‐old male with recurrent gastroesophageal symptoms who underwent primary antireflux surgery at 10 months of age. During the redo fundoplication, ICG was intravenously administered to help the visualization during the adhesiolysis between liver, stomach and right crus of the diaphragm and to spare small oesoph-ageal vessels and the left gastric artery. In this case, FGS made the surgery easier than usual and likely reduced the risk of intra‐operative complications. Therefore, we believe that this new tech-nology should be regularly used in these types of complex intra‐abdominal redo operations.

Type: Article
Title: Fluorescence‐Guided Surgery (FGS) during a laparoscopic Redo Nissen Fundoplication: The First Case in Children
Open access status: An open access version is available from UCL Discovery
DOI: 10.3390/children9070947
Publisher version: https://doi.org/10.3390/children9070947
Language: English
Additional information: © 2022 MDPI. This is an open access article distributed under the Creative Commons Attribution License (https://creativecommons.org/licenses/by/4.0/).
Keywords: fluorescence-guided surgery; indocyanine green; Nissen fundoplication; antireflux surgery; children; real-time imaging; near-infrared; device; redo surgery
UCL classification: UCL
UCL > Provost and Vice Provost Offices > School of Life and Medical Sciences > Faculty of Population Health Sciences > UCL GOS Institute of Child Health > Developmental Biology and Cancer Dept
UCL > Provost and Vice Provost Offices > School of Life and Medical Sciences > Faculty of Population Health Sciences > UCL GOS Institute of Child Health
UCL > Provost and Vice Provost Offices > School of Life and Medical Sciences
URI: https://discovery.ucl.ac.uk/id/eprint/10152239
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