Indocyanine Green Fluorescence Imaging in the Surgical Management of an Iatrogenic Lymphatic Fistula: Description of a Surgical Technique

被引:9
作者
Papadia, Andrea [1 ,2 ]
Imboden, Sara [1 ,2 ]
Mohr, Stefan [1 ,2 ]
Lanz, Susanne [1 ,2 ]
Nirgianakis, Konstantinos [1 ,2 ]
Mueller, Michael D. [1 ,2 ]
机构
[1] Univ Hosp Berne, Dept Obstet & Gynecol, CH-3010 Bern, Switzerland
[2] Univ Bern, Bern, Switzerland
关键词
Indocyanine green fluorescence; Laparoscopy; Lymphorrhea; CHYLOUS ASCITES; PARAAORTIC LYMPHADENECTOMY; GYNECOLOGIC MALIGNANCIES; NODE DISSECTION; LYMPHANGIOGRAPHY;
D O I
10.1016/j.jmig.2015.06.014
中图分类号
R71 [妇产科学];
学科分类号
100211 ;
摘要
We present a case of laparoscopic surgical management of an iatrogenic lymphorrhea using indocyanine green (ICG). A case of a patient who developed recurrent symptomatic lymphorrhea after laparoscopic radical hysterectomy and bilateral pelvic lymphadenectomy for an early stage cervical cancer is presented. Intraoperative bipedal interdigital subcutaneous injection of ICG exactly localized the disrupted lymphatic duct on fluorescence imaging performed with a near-infrared laparoscopic fluorescent optic device, thus allowing a successful surgical repair. (C) 2015 AAGL. All rights reserved.
引用
收藏
页码:1304 / 1306
页数:3
相关论文
共 9 条
[1]   Chylous ascites following para-aortic lymphadenectomy: a case report [J].
Boran, N ;
Cil, AP ;
Tulunay, G ;
Ozgul, N ;
Kose, MF .
GYNECOLOGIC ONCOLOGY, 2004, 93 (03) :711-714
[2]   Laparoscopic Approach for Correction of Chylous Fistula after Pelvic and Paraaortic Lymphadenectomy [J].
Favero, Giovanni ;
Lanowska, Malgorzata ;
Schneider, Achim ;
Marnitz, Simone ;
Koehler, Christhardt .
JOURNAL OF MINIMALLY INVASIVE GYNECOLOGY, 2010, 17 (02) :262-264
[3]   Direct lymphangiography as treatment option of lymphatic leakage: Indications, outcomes and role in patient's management [J].
Gruber-Rouh, Tatjana ;
Naguib, Nagy N. N. ;
Lehnert, Thomas ;
Harth, Marc ;
Thalhammer, Axel ;
Beeres, Martin ;
Tsaur, Igor ;
Hammersting, Renate ;
Wichmann, Julian L. ;
Vogl, Thomas J. ;
Jacobi, Volkmar .
EUROPEAN JOURNAL OF RADIOLOGY, 2014, 83 (12) :2167-2171
[4]   Intraoperative indocyanine green fluorescence lymphography, a novel imaging technique to detect a chyle fistula after an esophagectomy: Report of a case [J].
Kamiya, Kinji ;
Unno, Naoki ;
Konno, Hiroyuki .
SURGERY TODAY, 2009, 39 (05) :421-424
[5]  
Kjeldsberg C., 1993, BODY FLUID LAB EXAMI
[6]   Chylous ascites following treatment for gynecologic malignancies [J].
Manolitsas, TP ;
Abdessalam, S ;
Fowler, JM .
GYNECOLOGIC ONCOLOGY, 2002, 86 (03) :370-374
[7]   DIAGNOSIS AND LOCALIZATION OF LACERATION OF THE THORACIC-DUCT - USEFULNESS OF LYMPHANGIOGRAPHY AND CT [J].
SACHS, PB ;
ZELCH, MG ;
RICE, TW ;
GEISINGER, MA ;
RISIUS, B ;
LAMMERT, GK .
AMERICAN JOURNAL OF ROENTGENOLOGY, 1991, 157 (04) :703-705
[8]   Chylous ascites after pelvic lymph node dissection for gynecologic cancer [J].
Williams, C. ;
Petignat, P. ;
Alobaid, A. ;
Provencher, D. ;
Gauthier, R. .
EJSO, 2007, 33 (03) :399-400
[9]   Chylous Ascites After Laparoscopic Lymph Node Dissection in Gynecologic Malignancies [J].
Zhao, Yuqing ;
Hu, Weiguo ;
Hou, Xiaofan ;
Zhou, Qi .
JOURNAL OF MINIMALLY INVASIVE GYNECOLOGY, 2014, 21 (01) :90-96