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Indocyanine Green Perfusion Imaging-Guided Laparoscopic Pancreaticoduodenectomy: Potential Application in Retroperitoneal Margin Dissection.

DC FieldValueLanguage
dc.contributor.author강창무-
dc.contributor.author김지수-
dc.contributor.author노승윤-
dc.contributor.author윤동섭-
dc.contributor.author이우정-
dc.contributor.author황호경-
dc.date.accessioned2018-09-28T08:54:07Z-
dc.date.available2018-09-28T08:54:07Z-
dc.date.issued2018-
dc.identifier.issn1091-255X-
dc.identifier.urihttps://ir.ymlib.yonsei.ac.kr/handle/22282913/163207-
dc.description.abstractBACKGROUND: During laparoscopic pancreaticoduodenectomy (LPD), dissecting uncinate process from the superior mesenteric artery (SMA) will determine one of the important surgical margins (retroperitoneal margin) for predicting oncological outcomes and the quality of LPD. However, clear identification of the division line for retroperitoneal margin is not easy as the uncinate process of the pancreas is anatomically very close to SMA and intermingled with the nerve plexus and soft tissues around SMA. In this study, we present data regarding the potential usefulness of indocyanine green (ICG)-enhanced approach in obtaining retroperitoneal margin during LPD. METHODS: From January to September 2017, medical records of patients who underwent LPD for periampullary pathological conditions were retrospectively reviewed. ICG (5 mg/2 cm3) was prepared and intravenously injected when dissecting uncinate process of the pancreas. Perioperative outcomes, including gender, age, diagnosis, body mass index, operation time, estimated blood loss, transfusion, presence of postoperative pancreatic fistulas (POPFs), and length of hospital stay, were evaluated. RESULTS: During the study period, a total of 37 patients underwent LPD for periampullary pathological lesions. Among them, ICG-enhanced dissection of uncinate process of the pancreas was applied in 10 patients (27%). All patients were able to obtain margin-negative resection. There were no significant differences between the perioperative outcomes of patients who did and did not undergo ICG-enhanced approach. DISCUSSION: ICG perfusion-based laparoscopic dissection of retroperitoneal margin is feasible and safe in LPD. This intraoperative visual difference can provide the surgeon with very helpful real-time visual information. Further study is mandatory.-
dc.description.statementOfResponsibilityrestriction-
dc.languageEnglish-
dc.publisherSpringer-
dc.relation.isPartOfJOURNAL OF GASTROINTESTINAL SURGERY-
dc.rightsCC BY-NC-ND 2.0 KR-
dc.rightshttps://creativecommons.org/licenses/by-nc-nd/2.0/kr/-
dc.titleIndocyanine Green Perfusion Imaging-Guided Laparoscopic Pancreaticoduodenectomy: Potential Application in Retroperitoneal Margin Dissection.-
dc.typeArticle-
dc.contributor.collegeCollege of Medicine-
dc.contributor.departmentDept. of Surgery-
dc.contributor.googleauthorSeoung Yoon Rho-
dc.contributor.googleauthorJi Su Kim-
dc.contributor.googleauthorJae Uk Chong-
dc.contributor.googleauthorHo Kyoung Hwang-
dc.contributor.googleauthorDong Sub Yoon-
dc.contributor.googleauthorWoo Jung Lee-
dc.contributor.googleauthorChang Moo Kang-
dc.identifier.doi10.1007/s11605-018-3760-7-
dc.contributor.localIdA00088-
dc.contributor.localIdA05465-
dc.contributor.localIdA05469-
dc.contributor.localIdA02548-
dc.contributor.localIdA02993-
dc.contributor.localIdA04497-
dc.relation.journalcodeJ01418-
dc.identifier.eissn1873-4626-
dc.identifier.pmid29633118-
dc.identifier.urlhttps://link.springer.com/article/10.1007%2Fs11605-018-3760-7-
dc.subject.keywordICG-
dc.subject.keywordIndocyanine green-
dc.subject.keywordLaparoscopic pancreaticoduodenectomy-
dc.subject.keywordRetroperitoneal margin-
dc.contributor.alternativeNameKang, Chang Moo-
dc.contributor.alternativeNameKim, Ji Su-
dc.contributor.alternativeNameRho, Seoung Yoon-
dc.contributor.alternativeNameYoon, Dong Sup-
dc.contributor.alternativeNameLee, Woo Jung-
dc.contributor.alternativeNameHwang, Ho Kyoung-
dc.contributor.affiliatedAuthorKang, Chang Moo-
dc.contributor.affiliatedAuthorKim, Ji Su-
dc.contributor.affiliatedAuthorRho, Seoung Yoon-
dc.contributor.affiliatedAuthorYoon, Dong Sup-
dc.contributor.affiliatedAuthorLee, Woo Jung-
dc.contributor.affiliatedAuthorHwang, Ho Kyoung-
dc.citation.volume22-
dc.citation.number8-
dc.citation.startPage1470-
dc.citation.endPage1474-
dc.identifier.bibliographicCitationJOURNAL OF GASTROINTESTINAL SURGERY, Vol.22(8) : 1470-1474, 2018-
Appears in Collections:
1. College of Medicine (의과대학) > Dept. of Surgery (외과학교실) > 1. Journal Papers

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