Abstract
The purpose of blood flow assessment in upper gastrointestinal surgery is to decrease the incidence of postoperative anastomotic leakage by making anastomosis at a site with sufficient blood perfusion. In particular, leakage from cervical anastomosis after esophageal cancer surgery is more likely to occur and is associated with mortality. Among various factors affecting the outcomes of anastomosis, decreased blood perfusion in the reconstructed organs is thought to be the major cause of anastomotic leakage.
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References
Miwa M. ICG Keikouhou no Genri to Kikikaihatsu. (ICG fluorescence method principles and instrument development). Geka. 2009;71:913–7. (in Japanese)
Ikeda Y, Niimi M, Kan S, et al. Clinical significance of tissue blood flow during esophagectomy by laser doppler flowmetry. J Thorac Cardiovasc Surg. 2001;122:1101–6.
Zehetner J, DeMeester SR, Alicuben ET, et al. Intraoperative assessment of perfusion of the gastric graft and correlation with anastomotic leaks after esophagectomy. Ann Surg. 2015;262:74–8.
Shimada Y, Okumura T, Nagata T, et al. Usefulness of blood supply visualization by indocyanine green fluorescence for reconstruction during esophagectomy. Esophagus. 2011;8:259–66.
Yukaya T, Saeki H, Kasagi Y, et al. Indocyanine green fluorescence angiography for quantitative evaluation of gastric tube perfusion in patients undergoing esophagectomy. Am Coll Surg. 2015;221:e37–42.
Kumagai Y, Hatano S, Sobajima J, et al. Indocyanine green fluorescence angiography of the reconstructed gastric tube during esophagectomy: efficacy of the 90-second rule. Dis Esophagus. 2018;31:1–4.
Kamiya K, Unno N, Miyazaki S, et al. Quantitative assessment of the free jejunal graft perfusion. J Surg Res. 2015;194:394–9.
Koyanagi K, Ozawa S, Oguma J, et al. Blood flow speed of the gastric conduit assessed by indocyanine green fluorescence: new predictive evaluation of anastomotic leakage after esophagectomy. Medicine. 2016;95:30(e4386).
Daele EV, van Nieuwenhove Y, Ceelen W, et al. Near-infrared fluorescence guided esophageal reconstructive surgery: a systematic review. World J Gastrointest Oncol. 2019;11:250–63.
Ladak F, Dang JT, Switzer N, et al. Indocyanine green for the prevention of anastomotic leaks following esophagectomy: a meta-analysis. Surg Endosc. 2019;33:384–94.
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Indocyanine green fluorescence imaging of gastric tube (Video duration 01:20) (MP4 15755 kb)
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Koyanagi, K., Ozawa, S., Ninomiya, Y., Yatabe, K., Higuchi, I., Yamamoto, M. (2023). Evaluation of Blood Perfusion in the Upper Gastrointestinal Tract. In: Ishizawa, T. (eds) Fluorescence-Guided Surgery. Springer, Singapore. https://doi.org/10.1007/978-981-19-7372-7_11
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DOI: https://doi.org/10.1007/978-981-19-7372-7_11
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