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Open Access 01-12-2022 | Sleeve Gastrectomy | Research

Can indocyanine green during laparoscopic sleeve gastrectomy be considered a new intraoperative modality for leak testing?

Authors: Giovanna Pavone, Alberto Fersini, Mario Pacilli, Michele De Fazio, Piercarmine Panzera, Antonio Ambrosi, Nicola Tartaglia

Published in: BMC Surgery | Issue 1/2022

Abstract

Background

Indocyanine green (ICG) when injected intravenously into the bloodstream allows us to show stomach vascularity in real time. The aim of our study was to observe the preliminary results of the application of indocyanine green fluorescence (IGF) during laparoscopic sleeve gastrectomy (LSG) in our center and how the perfusion of the staple line of the stomach affects the onset of fistula.

Materials and methods

82 patients underwent LSG with ICG fluorescence angiography at our center from January 2020 to December 2021. 5 ml of ICG was injected intravenously to identify the blood supply of the stomach, carefully assessing the angle of His.

Results

In the ICG-tested LSG, we recorded adequate perfusion in all patients but one: the leakage rate was 1.2%. This data is inferior to the non-tested patients’ group.

Conclusion

Intraoperative ICG testing may be helpful in determining which patients are at an increased risk for leakage but there are multiple factors contribute to the pathophysiology and the incidence of gastric fistula not only the perfusion.

Trial registration Retrospectively registrated

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Title: Can indocyanine green during laparoscopic sleeve gastrectomy be considered a new intraoperative modality for leak testing?
Authors: Giovanna Pavone
Alberto Fersini
Mario Pacilli
Michele De Fazio
Piercarmine Panzera
Antonio Ambrosi
Nicola Tartaglia
Publication date: 01-12-2022
Publisher: BioMed Central
Keyword: Sleeve Gastrectomy
Published in: BMC Surgery / Issue 1/2022
Electronic ISSN: 1471-2482
DOI: https://doi.org/10.1186/s12893-022-01796-5

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Can indocyanine green during laparoscopic sleeve gastrectomy be considered a new intraoperative modality for leak testing?

Abstract

Background

Materials and methods

Results

Conclusion

Keynote webinar | Spotlight on medication adherence

Springer Medicine

Abstract

Background

Materials and methods

Results

Conclusion

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