1. Near-infrared fluorescence-guided surgery using indocyanine green facilitates secure infrapyloric lymph node dissection during laparoscopic distal gastrectomy
- Author
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Ji Hyeon Park, Jong Ho Choi, Felix Berlth, Han-Kwang Yang, Seong Ho Kong, Hyuk Joon Lee, Yun Suhk Suh, Shin Hoo Park, and Do Joong Park
- Subjects
Male ,Laparoscopic surgery ,Right gastroepiploic vein ,genetic structures ,medicine.medical_treatment ,Endoscopy, Gastrointestinal ,chemistry.chemical_compound ,0302 clinical medicine ,Surgical oncology ,Pyloric Antrum ,Prospective Studies ,Lymph node ,Aged, 80 and over ,Optical Imaging ,General Medicine ,Middle Aged ,medicine.anatomical_structure ,Surgery, Computer-Assisted ,medicine.vein ,030220 oncology & carcinogenesis ,Female ,030211 gastroenterology & hepatology ,Safety ,Adult ,Indocyanine Green ,medicine.medical_specialty ,Infrared Rays ,Operative Time ,Dissection (medical) ,Young Adult ,03 medical and health sciences ,Gastrectomy ,Stomach Neoplasms ,medicine ,Humans ,Aged ,business.industry ,medicine.disease ,eye diseases ,Early Gastric Cancer ,Surgery ,body regions ,Omentectomy ,chemistry ,Lymph Node Excision ,Laparoscopy ,Lymph Nodes ,business ,Indocyanine green - Abstract
We aimed to investigate the usefulness of near-infrared indocyanine green (ICG)-enhanced fluorescence guidance for infrapyloric LN dissection in laparoscopic distal gastrectomy. This study enrolled patients with early gastric cancer scheduled for laparoscopic distal gastrectomy. After intraoperative submucosal injection of ICG (0.1 mg/mL), LN dissection was conducted under near-infrared ICG fluorescence guidance. The operation time, bleeding events during infrapyloric LN dissection were analyzed. Cases were retrospectively 1:3 propensity-score matched to patients who underwent laparoscopic distal gastrectomy without ICG injection. The mean time from midline omentectomy to exposure of the right gastroepiploic vein was significantly shorter in the ICG group (n = 20) than in the non-ICG group (n = 60) (13.05 ± 5.77 vs 18.68 ± 7.92 min; p = 0.001), and the incidence of bleeding during infrapyloric LN dissection was lower in the ICG group (20% vs 68.3%, p
- Published
- 2020
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