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Near-infrared laparoscopy for real-time intra-operative arterial and lymphatic perfusion imaging

Cahill, R A
Mortensen, N J
Published in Colorectal disease. 2011, vol. 13 Suppl 7, p. 12-7
Abstract Multimodal laparoscopic imaging systems possessing the capability for extended spectrum irradiation and visualization within a unified camera system are now available to provide enhanced intracorporeal operative anatomic and dynamic perfusion assessment and potentially augmented patient outcome. While ultraviolet-range energies have limited penetration and hence are probably more useful for endoscopic mucosal interrogation, the near-infrared (NIR) spectrum is of greater potential utility for the purposes of examining inducible fluorescence in abdominopelvic tissue that can be achieved by administration of specific tracer agents, either directly into the circulation (e.g. for anastomotic perfusion assessment at the time of stapling) or into the lymphatic system (e.g. for lymph basin road-mapping and/or focussed target nodal assessment). This technology is also capable of supplementing anatomic recognition of the biliary system while implantable fibres can also be inserted intraoperatively for the purpose of safeguarding vital structures such as the oesphagus and ureters especially in difficult reoperations. It is likely that this technological capability will find a clear and common indication in colorectal specialist and general surgical departments worldwide in the near future.
Keywords Anastomosis, SurgicalAngiographyCholangiographyColon/surgeryColorectal Neoplasms/pathology/surgeryEsophagus/radiographyFluorescenceFluorescent Dyes/diagnostic useHumansIndocyanine Green/diagnostic useLaparoscopy/instrumentationLymphatic MetastasisLymphographyRectum/surgerySpectroscopy, Near-Infrared/instrumentationUreter/radiography
PMID: 22098511
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Research groups Chirurgie viscérale (104)
Chirurgie viscérale (HUG)
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CAHILL, R A, RIS, Frédéric, MORTENSEN, N J. Near-infrared laparoscopy for real-time intra-operative arterial and lymphatic perfusion imaging. In: Colorectal disease, 2011, vol. 13 Suppl 7, p. 12-7. doi: 10.1111/j.1463-1318.2011.02772.x https://archive-ouverte.unige.ch/unige:25048

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Deposited on : 2013-01-07

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