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Open Access 01-12-2018 | Correspondence

Evaluation of blood flow on the remnant distal bowel during left-sided colectomy

Authors: Takayuki Ogino, Masaki Okuyama, Tomoki Hata, Junji Kawada, Miho Okano, Yongkook Kim, Toshimasa Tsujinaka

Published in: World Journal of Surgical Oncology | Issue 1/2018

Abstract

Adequate blood flow in anastomosis is of paramount importance to prevent anastomotic leakage. However, it is sometimes difficult to predict the viability of the intestine during surgery. During left-sided colectomy, blood flow on the remnant distal bowel is supplied only from the middle and inferior rectal arteries. The blood backflow after the root ligation of the inferior mesenteric artery is often said to be kept up to promontorium levels; however, this premise is actually based on experience, without reliable evidence. Here, we introduce the intraoperative evaluation of blood flow on the remnant distal bowel during left-sided colectomy using an indocyanine green fluorescence technique.

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Title: Evaluation of blood flow on the remnant distal bowel during left-sided colectomy
Authors: Takayuki Ogino
Masaki Okuyama
Tomoki Hata
Junji Kawada
Miho Okano
Yongkook Kim
Toshimasa Tsujinaka
Publication date: 01-12-2018
Publisher: BioMed Central
Published in: World Journal of Surgical Oncology / Issue 1/2018
Electronic ISSN: 1477-7819
DOI: https://doi.org/10.1186/s12957-018-1487-2

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Springer Medicine

Evaluation of blood flow on the remnant distal bowel during left-sided colectomy

Abstract

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Springer Medicine

Abstract

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