Konstantinidis, Michael KK;
Ioannidis, Argyrios;
Vasiliou, Pantelis;
Arkadopoulos, Nikolaos;
Papanikolaou, Ioannis SS;
Chand, Manish;
Pampiglione, Tom;
... Konstantinidis, Konstantinos; + view all
(2022)
Preoperative tumor marking with indocyanine green prior of robotic colorectal resections.
Frontiers in Surgery
, 9
, Article 1087889. 10.3389/fsurg.2022.1087889.
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Abstract
This prospective case-series study aimed to assess the usefulness of preoperative colonoscopic marking of colorectal tumors using Indocyanine Green (ICG) fluorescence in patients that underwent robotic surgical colorectal resections. Consecutive patients that were eligible for colorectal resection with intent to cure in a single hospital (Athens Medical Center), from February 2022 to June 2022, were included. ICG solution was injected into the submucosal layer at 2 opposite sites (180 degrees apart) distal to the tumor, without submucosal elevation. Identification of the tumor marking was then performed after switching to near-infrared (NIR) fluorescence mode. During the robotic procedure, qualitative evaluation of fluorescence was performed by the surgical team (primary surgeon, first assistant, second assistant, research fellow). All 10 patients underwent robotic surgical approach and operations included right-sided colectomy (n = 1), left-sided colectomy (n = 6) and low anterior resection (n = 3). Visualisation of this dye with near-infrared light was very clear with bright intensity in all patients when the marking was performed one day prior of surgery. Preoperative tumor marking with ICG was identified intraoperatively in all cases and the techinque was easily reproducible.
| Type: | Article |
|---|---|
| Title: | Preoperative tumor marking with indocyanine green prior of robotic colorectal resections |
| Location: | Switzerland |
| Open access status: | An open access version is available from UCL Discovery |
| DOI: | 10.3389/fsurg.2022.1087889 |
| Publisher version: | https://doi.org/10.3389/fsurg.2022.1087889 |
| Language: | English |
| Additional information: | © 2022 Konstantinidis, Ioannidis, Vasiliou, Arkadopoulos, Papanikolaou, Chand, Pampiglione, Karagiannis and Konstantinidis. This is an open-access article distributed under the terms of the Creative Commons Attribution License (CC BY). The use, distribution or reproduction in other forums is permitted, provided the original author(s) and the copyright owner(s) are credited and that the original publication in this journal is cited, in accordance with accepted academic practice. No use, distribution or reproduction is permitted which does not comply with these terms. |
| Keywords: | Science & Technology, Life Sciences & Biomedicine, Surgery, colorectal surgery, indocyanine green, near-infrared fluorescence imaging system, fluorescent guided surgery, robotic surgery, INDIA INK, OPEN COLECTOMY, COLON, SURGERY, CANCER, SAFETY |
| UCL classification: | UCL 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 > 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/10163584 |
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