Real-time indocyanine green lymphangiography in radical resection of right colon cancer allows the identification of chyle leakage

Chyle leakage can be caused by abdominal surgery and managed successfully without surgical treatment; however, no preventive measures are available. Therefore, we introduce a new method to prevent post-operative chyle leakage. To investigate the role of indocyanine green (ICG) lymphangiography i...

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Autores principales:	Daqing Cheng, Yunpeng Zhang, Bo Han, Peng Sun, Jue Wang, Quanjun Lin, Ming Xu
Formato:	article
Lenguaje:	EN
Publicado:	Termedia Publishing House 2021
Materias:	indocyanine green near infrared fluorescence right colon cancer chyle leakage. Medicine R
Acceso en línea:	https://doaj.org/article/468c64043bc24991903b68fd18154c5f
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spelling	oai:doaj.org-article:468c64043bc24991903b68fd18154c5f2021-12-02T18:54:28ZReal-time indocyanine green lymphangiography in radical resection of right colon cancer allows the identification of chyle leakage1428-25261897-430910.5114/wo.2021.105076https://doaj.org/article/468c64043bc24991903b68fd18154c5f2021-04-01T00:00:00Zhttps://www.termedia.pl/Real-time-indocyanine-green-lymphangiography-in-radical-resection-of-right-colon-cancer-allows-the-identification-of-chyle-leakage,3,43729,1,1.htmlhttps://doaj.org/toc/1428-2526https://doaj.org/toc/1897-4309Chyle leakage can be caused by abdominal surgery and managed successfully without surgical treatment; however, no preventive measures are available. Therefore, we introduce a new method to prevent post-operative chyle leakage. To investigate the role of indocyanine green (ICG) lymphangiography in the reduction of chyle ﬁstula formation after radical resection of right colon cancer. Five patients with a diagnosis of right colon cancer undergoing laparoscopic radical colectomy with D3 lymph node dissection were examined in this study. At the end of the operation, two points of 2.5 mg ICG were injected subserosally at the proximal end of the anastomosis (1 ml per point). Then the surgical field was screened by using ICG ﬂuorescence to accurately locate the chyle leakage. Chyle leakage was noted and repaired with a Hem-O-Lock. The volume of output of each drain after surgery was measured daily until the patients were discharged. We were able to observe ICG fluorescence in the lymphatic vessels within 3 minutes of ICG injection. This visualization allowed us to accurately locate and quickly repair chyle leakage within 5 minutes. Clinical observation after surgery and at a 1-month follow-up showed no chyle leakage in all 5 patients. Indocyanine green lymphangiography can feasibly guide the location and repair of chyle leakage after right colon cancer resection.Daqing ChengYunpeng ZhangBo HanPeng SunJue WangQuanjun LinMing XuTermedia Publishing Housearticleindocyanine green near infrared fluorescence right colon cancer chyle leakage.MedicineRENContemporary Oncology, Vol 25, Iss 1, Pp 64-67 (2021)
institution	DOAJ
collection	DOAJ
language	EN
topic	indocyanine green near infrared fluorescence right colon cancer chyle leakage. Medicine R
spellingShingle	indocyanine green near infrared fluorescence right colon cancer chyle leakage. Medicine R Daqing Cheng Yunpeng Zhang Bo Han Peng Sun Jue Wang Quanjun Lin Ming Xu Real-time indocyanine green lymphangiography in radical resection of right colon cancer allows the identification of chyle leakage
description	Chyle leakage can be caused by abdominal surgery and managed successfully without surgical treatment; however, no preventive measures are available. Therefore, we introduce a new method to prevent post-operative chyle leakage. To investigate the role of indocyanine green (ICG) lymphangiography in the reduction of chyle ﬁstula formation after radical resection of right colon cancer. Five patients with a diagnosis of right colon cancer undergoing laparoscopic radical colectomy with D3 lymph node dissection were examined in this study. At the end of the operation, two points of 2.5 mg ICG were injected subserosally at the proximal end of the anastomosis (1 ml per point). Then the surgical field was screened by using ICG ﬂuorescence to accurately locate the chyle leakage. Chyle leakage was noted and repaired with a Hem-O-Lock. The volume of output of each drain after surgery was measured daily until the patients were discharged. We were able to observe ICG fluorescence in the lymphatic vessels within 3 minutes of ICG injection. This visualization allowed us to accurately locate and quickly repair chyle leakage within 5 minutes. Clinical observation after surgery and at a 1-month follow-up showed no chyle leakage in all 5 patients. Indocyanine green lymphangiography can feasibly guide the location and repair of chyle leakage after right colon cancer resection.
format	article
author	Daqing Cheng Yunpeng Zhang Bo Han Peng Sun Jue Wang Quanjun Lin Ming Xu
author_facet	Daqing Cheng Yunpeng Zhang Bo Han Peng Sun Jue Wang Quanjun Lin Ming Xu
author_sort	Daqing Cheng
title	Real-time indocyanine green lymphangiography in radical resection of right colon cancer allows the identification of chyle leakage
title_short	Real-time indocyanine green lymphangiography in radical resection of right colon cancer allows the identification of chyle leakage
title_full	Real-time indocyanine green lymphangiography in radical resection of right colon cancer allows the identification of chyle leakage
title_fullStr	Real-time indocyanine green lymphangiography in radical resection of right colon cancer allows the identification of chyle leakage
title_full_unstemmed	Real-time indocyanine green lymphangiography in radical resection of right colon cancer allows the identification of chyle leakage
title_sort	real-time indocyanine green lymphangiography in radical resection of right colon cancer allows the identification of chyle leakage
publisher	Termedia Publishing House
publishDate	2021
url	https://doaj.org/article/468c64043bc24991903b68fd18154c5f
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Real-time indocyanine green lymphangiography in radical resection of right colon cancer allows the identification of chyle leakage

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