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Intraoperative Near Infrared Fluorescence Imaging in Robotic Low Anterior Resection: Three Case Reports

 Sung Uk Bae  ;  Se Jin Baek  ;  Hyuk Hur  ;  Seung Hyuk Baik  ;  Nam Kyu Kim  ;  Byung Soh Min 
 Yonsei Medical Journal, Vol.54(4) : 1066-1069, 2013 
Journal Title
 Yonsei Medical Journal 
Issue Date
Aged ; Digestive System Surgical Procedures/methods* ; Female ; Fluorescence ; Humans ; Image Processing, Computer-Assisted/instrumentation ; Image Processing, Computer-Assisted/methods* ; Intraoperative Care* ; Male ; Middle Aged ; Rectal Neoplasms/surgery* ; Rectum/surgery* ; Robotics/methods* ; Spectroscopy, Near-Infrared/methods* ; Treatment Outcome
Robotics ; fluorescence ; indocyanine green ; rectal neoplasms
The recent introduction of an intraoperative near infrared fluorescence (INIF) imaging system installed on the da Vinci Si® robotic system has enabled surgeons to identify intravascular NIF signals in real time. This technology is useful in identifying hidden vessels and assessing blood supply to bowel segments. In this study, we report 3 cases of patients with rectal cancer who underwent robotic low anterior resection (LAR) with INIF imaging for the first time in Asia. In September 2012, robotic- assisted rectal resection with INIF imaging was performed on three consecutive rectal cancer patients. LAR was performed in 2 cases, and abdominoperineal resection was performed in the third case. INIF imaging was used to identify the left colic branch of the inferior mesenteric artery and to assess blood supply to the distal rectum. We evaluated the utility of INIF imaging in performing robotic-assisted colorectal procedures. Our preliminary results suggest that this technique is safe and effective, and that INIF imaging may be a useful tool to colorectal surgeons.
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1. College of Medicine (의과대학) > Dept. of Surgery (외과학교실) > 1. Journal Papers
Yonsei Authors
Kim, Nam Kyu(김남규) ORCID logo https://orcid.org/0000-0003-0639-5632
Min, Byung Soh(민병소) ORCID logo https://orcid.org/0000-0003-0180-8565
Bae, Sung Uk(배성욱)
Baek, Se Jin(백세진)
Baik, Seung Hyuk(백승혁) ORCID logo https://orcid.org/0000-0003-4183-2332
Hur, Hyuk(허혁) ORCID logo https://orcid.org/0000-0002-9864-7229
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