The Use of Fluorescence Imaging in Colon Interposition for Esophageal Replacement: A Technical Note

J Laparoendosc Adv Surg Tech A. 2020 Feb;30(2):103-109. doi: 10.1089/lap.2019.0244. Epub 2019 Jun 5.

Abstract

Every field of surgery has seen an explosion of new technologies aimed at improving surgical technique and reducing complications. The use of near-infrared (NIR) fluorescence to assess perfusion has been described in several surgical disciplines. NIR provides the surgeon with real-time perfusion assessment of a target organ or anastomosis and can be invaluable in aiding decision-making during the index operation. In the following article we discuss the use of fluorescence-guided perfusion assessment during colonic interposition for esophageal replacement. To our knowledge this is the first description of the use of fluorescence-guided perfusion assessment during colonic interposition.

Keywords: ICG; colonic interposition; esophagus; fluorescence-guided surgery; near infrared.

MeSH terms

  • Anastomosis, Surgical / methods*
  • Colon / diagnostic imaging
  • Colon / surgery*
  • Decision Making
  • Diagnostic Imaging / methods*
  • Digestive System Surgical Procedures*
  • Endoscopy / methods*
  • Esophagus / diagnostic imaging
  • Esophagus / surgery*
  • Fluorescence*
  • Humans
  • Infrared Rays
  • Perfusion
  • Postoperative Complications