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A Hypothetical New Challenging Use for Indocyanine Green Fluorescence during Laparoscopic Appendectomy: A Mini-Series of Our Experience and Literary Review.

Authors :
Zorzetti N
Lauro A
Cuoghi M
La Gatta M
Marino IR
Sorrenti S
D'Andrea V
Mingoli A
Navarra GG
Source :
Journal of clinical medicine [J Clin Med] 2023 Aug 08; Vol. 12 (16). Date of Electronic Publication: 2023 Aug 08.
Publication Year :
2023

Abstract

Laparoscopic appendectomy (LA) is a well-standardized surgical procedure, but there are still controversies about the different devices to be used for the appendiceal stump closure and the related postoperative complications. Indocyanine green (ICG) fluorescence angiography (FA) has already been shown to be helpful in elective and emergency surgery, providing intraoperative information on tissue and organ perfusion, thus guiding the surgical decisions and the technical strategies. According to these two aspects, we report a mini-series of the first five patients affected by gangrenous and flegmonous acute appendicitis intraoperatively evaluated with ICG-FA during LA. The patients were admitted to the Emergency Department with an usual range of symptoms for acute appendicitis. The patients were successfully managed by fully LA with the help of a new hypothetical challenging use of ICG-FA.

Details

Language :
English
ISSN :
2077-0383
Volume :
12
Issue :
16
Database :
MEDLINE
Journal :
Journal of clinical medicine
Publication Type :
Academic Journal
Accession number :
37629215
Full Text :
https://doi.org/10.3390/jcm12165173