Indocyanine Green-Guided Intraoperative Imaging to Facilitate Video-Assisted Retroperitoneal Debridement for Treating Acute Necrotizing Pancreatitis

被引：4
作者：
Huang, Li [1 ]
Chen, Wei [1 ]
Chen, Jiancong [1 ]
Chen, Dong [1 ]
Zhang, Kunsong [1 ]
Cai, Jianpeng [1 ]
Peng, Hong [1 ]
Huang, Chensong [1 ]
Zeng, Guangyan [1 ]
Ma, Mingjian [1 ]
Liang, Jiahua [1 ]
Xu, Borui [1 ]
Yin, Xiaoyu [1 ]
Lai, Jiaming [1 ]
Liang, Lijian [1 ]
机构：
[1] Sun Yat Sen Univ, Affiliated Hosp 1, Dept Pancreatobiliary Surg, Guangzhou, Peoples R China
来源：
JOVE-JOURNAL OF VISUALIZED EXPERIMENTS | 2022年 / 187期
基金：
中国国家自然科学基金;
关键词：
MINIMAL ACCESS RETROPERITONEAL; STEP-UP APPROACH; NECROSECTOMY;
D O I：
10.3791/63236
中图分类号：
O [数理科学和化学]; P [天文学、地球科学]; Q [生物科学]; N [自然科学总论];
学科分类号：
07 ; 0710 ; 09 ;
摘要：
Video-assisted retroperitoneal debridement (VARD) is a feasible, minimally invasive necrosectomy method for treating severe acute necrotizing pancreatitis, if it does not resolve or is accompanied with infected necrosis in the retroperitoneum. As there are rarely any visually clear separating surface in white light image between necrotic debris and adjacent inflammatory normal tissues due to extensive retroperitoneal adhesions, VARD is accompanied with the risk of vascular injury, external pancreatico-cutaneous or enterocutaneous fistulae. In view of the above disadvantages, we apply real-time intraoperative near-infrared fluorescence imaging with indocyanine green (ICG) during VARD, which enables visualization of the well-perfused adjacent normal tissues. This modified technique (ICG-guided VARD) can provide a clear separating surface during debridement and reduce the risk of vascular or enteric injury. ICG-guided VARD may facilitate surgeons to perform safer debridement in treating severe acute necrotizing pancreatitis.
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页数：7
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