Skip to main content
Key Specialties
Cardiology Diabetology Endocrinology Gastroenterology Geriatrics and Gerontology Gynecology and Obstetrics Hematology Infectious Disease Internal Medicine Nephrology Neurology Oncology Pediatrics Respiratory Medicine Rheumatology Surgery
Congress Coverage
2024 ACC Congress 2023 ESMO Congress 2023 EASD Congress 2023 ERS Congress 2023 ESC Congress 2023 EHA Congress 2023 ASCO Annual Meeting
Clinical Collections
Advances in Alzheimer’s

At a glance: The ONWARDS insulin icodec trials

A round-up of the ONWARDS phase 3 clinical trials evaluating the novel weekly insulin icodec in people with diabetes.
ADVANCED SEARCH
Log in
Top
Surgical Endoscopy
Published in: Surgical Endoscopy 10/2017

01-10-2017 | SAGES Committee Report

SAGES Technology and Value Assessment Committee safety and effectiveness analysis on immunofluorescence in the operating room for biliary visualization and perfusion assessment

Authors: Bryan J. Sandler, Danny Sherwinter, Lucian Panait, Richard Parent, Jennifer Schwartz, David Renton

Published in: Surgical Endoscopy | Issue 10/2017

Login to get access

Excerpt

The ability to assess tissue perfusion and identify vital structures in the operating room in order to potentially decrease complication rates remains a key goal for surgeons. The introduction of immunofluorescence utilizing indocyanine green intraoperatively to evaluate areas such as an anastomosis, a free flap, biliary anatomy, or lymphatics has the possibility of decreasing postoperative complications by addressing identification and perfusion concerns at the time of surgery. …
Literature
1.
Cherrick GR, Stein SW, Leevy CM, Davidson CS (1960) Indocyanine green: observations on its physical properties, plasma decay, and hepatic extraction. J Clin Invest 39:592–600CrossRefPubMedPubMedCentral
2.
DeLong JC, Hoffman RM, Bouvet M (2016) Current Status and Future Perspectives of Fluorescence-Guided Surgery for Cancer. Expert Rev Anticancer Ther 16(1):71–81CrossRefPubMed
3.
Ando N, Ozawa S, Kitagawa Y, Shinozawa Y, Kitajima M (2000) Improvement in the results of surgical treatment of advanced squamous esophageal carcinoma during 15 consecutive years. Ann Surg 232:225–232CrossRefPubMedPubMedCentral
4.
Tachimori Y, Kanamori N, Uemura N, Hokamura N, Igaki H, Kato H (2009) Salvage esophagectomy after high-dose chemoradiotherapy for esophageal squamous cell carcinoma. J Thorac Cardiovasc Surg 137:49–54CrossRefPubMed
5.
Lee Y, Fujita H, Yamana H, Kakegawa T (1994) Factors affecting leakage following esophageal anastomosis. Surg Today 24:24–29CrossRefPubMed
6.
Sarela AI, Tolan DJ, Harris K, Dexter SP, Sue-Ling HM (2008) Anastomotic leakage after esophagectomy for cancer: a mortality-free experience. J Am Coll Surg 206:516–523CrossRefPubMed
7.
Korst R, Port JL, Lee PC, Altorki NK (2005) Intrathoracic manifestations of cervical anastomotic leaks after transthoracic esophagectomy for carcinoma. Ann Thorac Surg 80:1185–1190CrossRefPubMed
8.
Atkins BZ, Shah AS, Hutcheson KA, Mangum JH, Pappas TN, Harpole DH et al (2004) Reducing hospital morbidity and mortality following esophagectomy. Ann Thorac Surg 78:1170–1176CrossRefPubMed
9.
Udagawa H, Akiyama H (2001) Surgical treatment of esophageal cancer: Tokyo experience of the three-field technique. Dis Esophagus 14:110–114CrossRefPubMed
10.
Nederlof N, Tilanus HW, Tran TK, Hop WC, Wijnhoven BP, de Jonge J (2011) End-to-end versus end-to-side esophagogastrostomy after esophageal cancer resection: a prospective randomized study. Ann Surg 254:26–33CrossRef
11.
Lindgren R, Hallbook O, Rutegard J, Sjodahl R, Matthiessen P (2011) What is the risk for a permanent stoma after low anterior resection of the rectum for cancer? A six-year follow-up of a multicenter trial. Dis Colon Rectum 54:41–47CrossRefPubMed
12.
Kingham TP, Pachter HL (2009) Colonic anastomotic leak: risk factors, diagnosis, and treatment. J Am Coll Surg 208:269–278CrossRefPubMed
13.
14.
Markus PM, Martell J, Leister I, Horstmann O, Brinker J, Becker H (2005) Predicting postoperative morbidity by clinical assessment. Br J Surg 92:101–106CrossRefPubMed
15.
Karliczek A, Harlaar NJ, Zeebregts CJ, Wiggers T, Baas PC, van Dam GM (2009) Surgeons lack predictive accuracy for anastomotic leakage in gastrointestinal surgery. Int J Colorectal Dis 24:569–576CrossRefPubMed
16.
Kudszus S, Roesel C, Schachtrupp A, Höer JJ (2010) Intraoperative laser fluorescence angiography in colorectal surgery: a non invasive analysis to reduce the rate of anastomotic leakage. Langenbecks Arch Surg 395(8):1025–1030CrossRefPubMed
17.
Jafari MD, Lee KH, Halabi WJ, Mills SD, Carmichael JC, Stamos MJ, Pigazzi A (2013) The use of indocyanine green fluorescence to assess anastomotic perfusion during robotic assisted laparoscopic rectal surgery. Surg Endosc 27:3003–3008CrossRefPubMed
18.
Hellan M, Spinoglio G, Pigazzi A, Lagares-Garcia JA (2014) The influence of fluorescence imaging on the location of bowel transection during robotic left-sided colorectal surgery. Surg Endosc 28:1695–702CrossRefPubMed
19.
Foppa C, Denoya PI, Tarta C, Bergamaschi R (2014) Indocyanine green fluorescent dye during bowel surgery: are the blood supply “guessing days” over? Tech Coloproctol 18(8):753–758CrossRefPubMed
20.
Ris F, Hompes R, Cunningham C, Lindsey I, Guy R, Jones O, George B, Cahill RA, Mortensen NJ (2014) Near-infrared (NIR) perfusion angiography in minimally invasive colorectal surgery. Surg Endosc 28(7):2221–2226CrossRefPubMedPubMedCentral
21.
Guillou PJ, Quirke P, Thorpe H et al (2005) Short-term endpoints of conventional versus laparoscopic-assisted surgery in patients with colorectal cancer (MRC CLASICC trial): multicentre, randomised controlled trial. Lancet 365:1718–1726CrossRefPubMed
22.
Senagore A, Lee EC, Wexner SD et al (2014) Bioabsorbable staple line reinforcement in restorative proctectomy and anterior resection: a prospective randomized study. Dis Colon Rectum 57:324–330CrossRefPubMed
23.
Pigazzi A, Luca F, Patriti A et al (2010) Multicentric study on robotic tumor-specific mesorectal excision for the treatment of rectal cancer. Ann Surg Oncol 17:1614–1620CrossRefPubMed
24.
Sauer R, Fietkau R, Wittekind C et al (2003) Adjuvant vs. neoadjuvant radiochemotherapy for locally advanced rectal cancer: the German trial CAO/ARO/AIO-94. Colorectal Dis 5:406–415CrossRefPubMed
25.
Boni L, David G, Mangano A, Dionigi G, Rausei S, Spampatti S, Cassinotti E, Fingerhut A (2015) Clinical applications of indocyanine green (ICG) enhanced fluorescence in laparoscopic surgery. Surg Endosc 29(7):2046–2055CrossRefPubMed
26.
Watanabe J, Ota M, Suwa Y, Suzuki S, Suwa H, Momiyama M, Ishibe A, Watanabe K, Masui H, Nagahori K, Ichikawa Y, Endo I (2015) Evaluation of the intestinal blood flow near the rectosigmoid junction using the indocyanine green fluorescence method in a colorectal cancer surgery. Int J Colorectal Dis 30(3):329–335CrossRefPubMed
27.
Gröne J, Koch D, Kreis ME (2015) Impact of intraoperative microperfusion assessment with Pinpoint Perfusion Imaging on surgical management of laparoscopic low rectal and anorectal anastomoses. Colorectal Dis 17(Suppl 3):22–28CrossRefPubMed
28.
Protyniak B, Dinallo AM, Boyan WP Jr, Dressner RM, Arvanitis ML (2015) Intraoperative indocyanine green fluorescence angiography–an objective evaluation of anastomotic perfusion in colorectal surgery. Am Surg 81(6):580–584PubMed
29.
Kin C, Vo H, Welton L, Welton M (2015) Equivocal effect of intraoperative fluorescence angiography on colorectal anastomotic leaks. Dis Colon Rectum 58(6):582–587CrossRefPubMed
30.
Pacheco PE, Hill SM, Henriques SM, Paulsen JK, Anderson RC (2013) The novel use of intraoperative laser-induced fluorescence of indocyanine green tissue angiography for evaluation of the gastric conduit in esophageal reconstructive surgery. Am J Surg 205(3):349–352CrossRefPubMed
31.
Yukaya et al (2015) Indocyanine green fluorescence angiography for quantitative evaluation of gastric tube perfusion in patients undergoing esophagectomy. JACS 221:37–42
32.
Shimada et al (2011) Usefulness of blood supply visualization by indocyanine green fluorescence for reconstruction during esophagectomy. Esophagus 8:259–266CrossRefPubMedPubMedCentral
33.
Zehetner J, DeMeester SR, Alicuben ET, Oh DS, Lipham JC, Hagen JA, DeMeester TR (2015) Intraoperative assessment of perfusion of the gastric graft and correlation with anastomotic leaks after esophagectomy. Ann Surg 262(1):74–78CrossRefPubMedPubMedCentral
34.
Flum DR, Cheadle A, Prela C, Dellinger EP, Chan L (2003) Bile duct injury during Laparoscopic cholecystectomy and survival in medicare beneficiaries. J Am Med Assoc 290(2):2168–2173CrossRef
35.
Nuzzo G, Giuliante F, Giovannini I, Ardito F, D’Acapito F, Vellone M, Murazio M, Bile Capelli G (2005) Duct injury during laparoscopic cholecystectomy: results of an Italian national survey on 56,591 cholecystectomies. Arch Surg 140:986–992CrossRefPubMed
36.
Waage A, Nilsson M (2006) Iatrogenic bile duct injury: a population-based Study of 152,776 cholecystectomies in the swedish inpatient registry. Arch Surg 141:1207–1213CrossRefPubMed
37.
Flum DR, Dellinger EP, Cheadle A, Chan L, Koepsell T (2003) Intraoperative cholangiogram and risk of common bile duct injury during cholecystectomy. J Am Med Assoc 289:1639–1644CrossRef
38.
Schwaitzberg SD, Scott DJ, Jones DB, McKinley SK, Castrillion J, Hunter TD, Brunt LM (2014) Threefold Increased bile duct injury rate is associated with less surgeon experience in an insurance claims database. Surg Endosc 28:3068–3073CrossRefPubMed
39.
Ishizawa T, Tamura S, Masuda K, Aoki T, Hasegawa K, Imamura H, Beck Y, Kokudo N (2008) Intraoperative fluorescent cholangiography using indocyanine green: a biliary road map for safe surgery. J Am Coll Surg 208:e1–e4CrossRefPubMed
40.
Ishizawa T, Bandai Y, Kokudo N (2009) Fluorescent cholangiography using indocyanine green for laparoscopic cholecystectomy: an initial experience. Arch Surg 144:381–382CrossRefPubMed
41.
Alander JT, Kaartinen I, Laakso A, Pätilä T, Spillmann T, Tuchin VV, Venermo M, Välisuo P (2012) A review of indocyanine green fluorescent imaging in surgery. Int J Biomed Imaging 940585:1–26CrossRef
42.
Kaneko J, Ishizawa T, Masuda K, Kawaguchi Y, Aoki T, Sakamoto Y, Hasegawa K, Sugawara Y, Kokudo N (2012) Indocyanine green re-injection technique for use in fluorescent angiography concomitant with cholangiography during laparoscopic cholecystectomy. Surg Laparosc Endosc Percutan Tech 22(4):341–344CrossRefPubMed
43.
Kono Y, Ishizawa T, Tani K, Harada N, Kaneko J, Saiura A, Bandai Y, Kokudo N (2015) Techniques of fluorescence cholangiography during laparoscopic cholecystectomy for better delineation of the bile duct anatomy. Medicine. 94(25):e1005CrossRefPubMedPubMedCentral
44.
Osayi SN, Wendling MR, Drosdeck JM, Chaudhry UI, Perry KA, Noria SF, Mikami DJ, Needleman BJ, Muscarella P, Abdel-Rasoul M, Renton DB (2015) Near-infrared fluorescent cholangiography facilitates identification of biliary anatomy during laparoscopic cholecystectomy. Surg Endosc 29:368–375CrossRefPubMed
45.
van Dam DA, Ankersmit M, van de Ven P, van Rijswijk AS, Tuynman JB, Meijerink WJ (2015) Comparing near-infrared Imaging with indocyanine green to conventional imaging during laparoscopic cholecystectomy: a prospective cross-over Study. J laparoendosc Adv Surg tech 25(6):486–492CrossRef
46.
Verbeek FP, Schaafsma BE, Tummers QR, van der Vorst JR, van der Made WJ, Baeten CI, Bonsing BA, Frangioni JV, van de Velde CJ, Vahrmeijer AL (2014) Optimization of near-infrared fluorescence cholangiography for open and laparoscopic surgery. Surg Endosc 28(4):1076–1082CrossRefPubMedPubMedCentral
47.
Daskalaki D, Fernandes E, Wang X, Bianco FM, Elli EF, Ayloo S, Masrur M, Milone L, Giulianotti PC (2014) Indocyanine green (ICG) fluorescent cholangiography during robotic cholecystectomy: results of 184 consecutive cases in a single Institution. Surg Innov 21(6):615–621CrossRefPubMed
48.
Spinoglio G, Priora F, Bianchi PP, Lucido FS, Licciardello A, Maglione V, Grosso F, Quarati R, Ravazzoni F, Lenti LM (2013) Real-time near-infrared (NIR) fluorescent cholangiography in single site robotic cholecystectomy (SSRC): a single institutional study. Surg Endosc 27:2156–2162CrossRefPubMed
49.
Schols RM, Bouvy ND, van Dam RM, Masclee AA, Dejong CH, Stassen LP (2013) Combined vascular and ciliary fluorescence imaging in laparoscopic cholecystectomy. Surg Endosc 27:4511–4517CrossRefPubMed
50.
Liu YY, Kong SH, Diana M, Lègner A, Wu CC, Kameyama N, Dallemagne B, Marescaux J (2015) Near-infrared cholecysto-cholangiography with indocyanine green may secure cholecystectomy in difficult clinical situations: proof of the concept in a porcine model. Surg Endosc 30:4115–4223CrossRefPubMed
51.
Ishizawa T, Bandai Y, Ijichi M, Kaneko J, Hasegawa K, Kokudo N (2010) Fluorescent cholangiography illuminating the biliary tree during laparoscopic cholecystectomy. Br J Surg 97:1269–1377CrossRef
52.
Metadata
Title
SAGES Technology and Value Assessment Committee safety and effectiveness analysis on immunofluorescence in the operating room for biliary visualization and perfusion assessment
Authors
Bryan J. Sandler
Danny Sherwinter
Lucian Panait
Richard Parent
Jennifer Schwartz
David Renton
Publication date
01-10-2017
Publisher
Springer US
Published in
Surgical Endoscopy / Issue 10/2017
Print ISSN: 0930-2794
Electronic ISSN: 1432-2218
DOI
https://doi.org/10.1007/s00464-017-5638-2

Other articles of this Issue 10/2017

Surgical Endoscopy 10/2017 Go to the issue

OriginalPaper

Robotic versus laparoscopic rectal resection for sphincter-saving surgery: pathological and short-term outcomes in a single-center analysis of 130 consecutive patients

New Technology

Near-infrared fluorescence laparoscopy of the cystic duct and cystic artery: first experience with two new preclinical dyes in a pig model

OriginalPaper

Prior experience in laparoscopic rectal surgery can minimise the learning curve for robotic rectal resections: a cumulative sum analysis

White Paper

Educational implications for surgical telementoring: a current review with recommendations for future practice, policy, and research

OriginalPaper

Repair of symptomatic paraesophageal hernias in elderly (>70 years) patients results in sustained quality of life at 5 years and beyond

OriginalPaper

Fully covered stents are similar to semi-covered stents with regard to migration in palliative treatment of malignant strictures of the esophagus and gastric cardia: results of a randomized controlled trial