Real-time Intraoperative Fluorescent Lymphography: A New Technique for Lymphatic Sparing Surgery.
Identifieur interne : 008A88 ( Ncbi/Merge ); précédent : 008A87; suivant : 008A89Real-time Intraoperative Fluorescent Lymphography: A New Technique for Lymphatic Sparing Surgery.
Auteurs : G. Ietto [Italie] ; F. Amico [Italie] ; G. Soldini [Italie] ; C. Chiappa [Italie] ; M. Franchin [Italie] ; D. Iovino [Italie] ; A. Romanzi [Italie] ; G. Saredi [Italie] ; E. Cassinotti [Italie] ; L. Boni [Italie] ; M. Tozzi [Italie] ; G. Carcano [Italie]Source :
- Transplantation proceedings [ 1873-2623 ] ; 2016.
Descripteurs français
- KwdFr :
- Adulte d'âge moyen, Agents colorants, Chirurgie assistée par ordinateur (), Complications postopératoires (), Dissection (effets indésirables), Femelle, Fluorescence, Humains, Lymphoedème (imagerie diagnostique), Lymphoedème (étiologie), Lymphographie (), Maladies lymphatiques (), Maladies lymphatiques (imagerie diagnostique), Noeuds lymphatiques (imagerie diagnostique), Sujet âgé, Traitements préservant les organes (), Transplantation rénale (), Vaisseaux lymphatiques (), Vaisseaux lymphatiques (imagerie diagnostique), Vert indocyanine.
- MESH :
- effets indésirables : Dissection.
- imagerie diagnostique : Lymphoedème, Maladies lymphatiques, Noeuds lymphatiques, Vaisseaux lymphatiques.
- étiologie : Lymphoedème.
- Adulte d'âge moyen, Agents colorants, Chirurgie assistée par ordinateur, Complications postopératoires, Femelle, Fluorescence, Humains, Lymphographie, Maladies lymphatiques, Sujet âgé, Traitements préservant les organes, Transplantation rénale, Vaisseaux lymphatiques, Vert indocyanine.
English descriptors
- KwdEn :
- Aged, Coloring Agents, Dissection (adverse effects), Female, Fluorescence, Humans, Indocyanine Green, Kidney Transplantation (methods), Lymph Nodes (diagnostic imaging), Lymphatic Diseases (diagnostic imaging), Lymphatic Diseases (prevention & control), Lymphatic Vessels (diagnostic imaging), Lymphatic Vessels (surgery), Lymphedema (diagnostic imaging), Lymphedema (etiology), Lymphography (methods), Middle Aged, Organ Sparing Treatments (methods), Postoperative Complications (prevention & control), Surgery, Computer-Assisted (methods).
- MESH :
- chemical : Coloring Agents, Indocyanine Green.
- adverse effects : Dissection.
- diagnostic imaging : Lymph Nodes, Lymphatic Diseases, Lymphatic Vessels, Lymphedema.
- etiology : Lymphedema.
- methods : Kidney Transplantation, Lymphography, Organ Sparing Treatments, Surgery, Computer-Assisted.
- prevention & control : Lymphatic Diseases, Postoperative Complications.
- surgery : Lymphatic Vessels.
- Aged, Female, Fluorescence, Humans, Middle Aged.
Abstract
Many surgical procedures can produce persistent lymphorrhea, lymphoceles, and lymphedema after lymph node and lymph vessel damage. Appropriate visualization of the lymphatic system is challenging. Indocyanine green (ICG) is a well-known nontoxic dye for lymphatic flow evaluation. ICG fluorescence-guided lymphography has emerged as a promising technique for intraoperative lymphatic mapping.
DOI: 10.1016/j.transproceed.2016.08.017
PubMed: 27932150
Links toward previous steps (curation, corpus...)
- to stream PubMed, to step Corpus: 000477
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pubmed:27932150Le document en format XML
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<term>Coloring Agents</term>
<term>Dissection (adverse effects)</term>
<term>Female</term>
<term>Fluorescence</term>
<term>Humans</term>
<term>Indocyanine Green</term>
<term>Kidney Transplantation (methods)</term>
<term>Lymph Nodes (diagnostic imaging)</term>
<term>Lymphatic Diseases (diagnostic imaging)</term>
<term>Lymphatic Diseases (prevention & control)</term>
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<term>Lymphography (methods)</term>
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<term>Agents colorants</term>
<term>Chirurgie assistée par ordinateur ()</term>
<term>Complications postopératoires ()</term>
<term>Dissection (effets indésirables)</term>
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<term>Vaisseaux lymphatiques (imagerie diagnostique)</term>
<term>Vert indocyanine</term>
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<term>Indocyanine Green</term>
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<term>Lymphatic Vessels</term>
<term>Lymphedema</term>
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<term>Maladies lymphatiques</term>
<term>Noeuds lymphatiques</term>
<term>Vaisseaux lymphatiques</term>
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<keywords scheme="MESH" qualifier="methods" xml:lang="en"><term>Kidney Transplantation</term>
<term>Lymphography</term>
<term>Organ Sparing Treatments</term>
<term>Surgery, Computer-Assisted</term>
</keywords>
<keywords scheme="MESH" qualifier="prevention & control" xml:lang="en"><term>Lymphatic Diseases</term>
<term>Postoperative Complications</term>
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<term>Female</term>
<term>Fluorescence</term>
<term>Humans</term>
<term>Middle Aged</term>
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<term>Agents colorants</term>
<term>Chirurgie assistée par ordinateur</term>
<term>Complications postopératoires</term>
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<term>Traitements préservant les organes</term>
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<front><div type="abstract" xml:lang="en">Many surgical procedures can produce persistent lymphorrhea, lymphoceles, and lymphedema after lymph node and lymph vessel damage. Appropriate visualization of the lymphatic system is challenging. Indocyanine green (ICG) is a well-known nontoxic dye for lymphatic flow evaluation. ICG fluorescence-guided lymphography has emerged as a promising technique for intraoperative lymphatic mapping.</div>
</front>
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<pubmed><MedlineCitation Status="MEDLINE" Owner="NLM"><PMID Version="1">27932150</PMID>
<DateCreated><Year>2016</Year>
<Month>12</Month>
<Day>09</Day>
</DateCreated>
<DateCompleted><Year>2017</Year>
<Month>04</Month>
<Day>10</Day>
</DateCompleted>
<DateRevised><Year>2017</Year>
<Month>08</Month>
<Day>17</Day>
</DateRevised>
<Article PubModel="Print"><Journal><ISSN IssnType="Electronic">1873-2623</ISSN>
<JournalIssue CitedMedium="Internet"><Volume>48</Volume>
<Issue>9</Issue>
<PubDate><Year>2016</Year>
<Month>Nov</Month>
</PubDate>
</JournalIssue>
<Title>Transplantation proceedings</Title>
<ISOAbbreviation>Transplant. Proc.</ISOAbbreviation>
</Journal>
<ArticleTitle>Real-time Intraoperative Fluorescent Lymphography: A New Technique for Lymphatic Sparing Surgery.</ArticleTitle>
<Pagination><MedlinePgn>3073-3078</MedlinePgn>
</Pagination>
<ELocationID EIdType="pii" ValidYN="Y">S0041-1345(16)30457-2</ELocationID>
<ELocationID EIdType="doi" ValidYN="Y">10.1016/j.transproceed.2016.08.017</ELocationID>
<Abstract><AbstractText Label="BACKGROUND" NlmCategory="BACKGROUND">Many surgical procedures can produce persistent lymphorrhea, lymphoceles, and lymphedema after lymph node and lymph vessel damage. Appropriate visualization of the lymphatic system is challenging. Indocyanine green (ICG) is a well-known nontoxic dye for lymphatic flow evaluation. ICG fluorescence-guided lymphography has emerged as a promising technique for intraoperative lymphatic mapping.</AbstractText>
<AbstractText Label="OBJECTIVE" NlmCategory="OBJECTIVE">Our goal was to develop a high spatial resolution, real-time intraoperative imaging technique to avoid or recognize early deep lymphatic vessel damage.</AbstractText>
<AbstractText Label="METHODS" NlmCategory="METHODS">We intraoperatively performed ICG fluorescence-guided lymphography during a kidney transplant. ICG was injected in the subcutaneous tissue of the patient's groin in the Scarpa's triangle. A dedicated laparoscopic high-definition camera system was used.</AbstractText>
<AbstractText Label="RESULTS" NlmCategory="RESULTS">Soon after ICG injection, the lymphatic vessels were identified in the abdominal retroperitoneal compartment as fluorescent linear structures running side by side to the iliac vessels. Surgical dissection was therefore performed, avoiding iatrogenic damage to major lymphatic structures. Another ICG injection at the end of the procedure confirmed that the lymphatic vessels were intact without lymph spread.</AbstractText>
<AbstractText Label="CONCLUSIONS" NlmCategory="CONCLUSIONS">Intraoperative lymphatic mapping with an ICG fluorescence-sensitive camera system is a safe and feasible procedure. ICG real-time fluorescence lymphography can be used to avoid or recognize early deep lymphatic vessel damage and reduce postoperative complications related to the lymphatic system.</AbstractText>
<CopyrightInformation>Copyright © 2016 Elsevier Inc. All rights reserved.</CopyrightInformation>
</Abstract>
<AuthorList CompleteYN="Y"><Author ValidYN="Y"><LastName>Ietto</LastName>
<ForeName>G</ForeName>
<Initials>G</Initials>
<AffiliationInfo><Affiliation>General and Transplant Surgery Department, Insubria University, Varese, Italy. Electronic address: giuseppe.ietto@gmail.com.</Affiliation>
</AffiliationInfo>
</Author>
<Author ValidYN="Y"><LastName>Amico</LastName>
<ForeName>F</ForeName>
<Initials>F</Initials>
<AffiliationInfo><Affiliation>General Surgery Department, Insubria University, Varese, Italy.</Affiliation>
</AffiliationInfo>
</Author>
<Author ValidYN="Y"><LastName>Soldini</LastName>
<ForeName>G</ForeName>
<Initials>G</Initials>
<AffiliationInfo><Affiliation>General and Transplant Surgery Department, Insubria University, Varese, Italy.</Affiliation>
</AffiliationInfo>
</Author>
<Author ValidYN="Y"><LastName>Chiappa</LastName>
<ForeName>C</ForeName>
<Initials>C</Initials>
<AffiliationInfo><Affiliation>General and Transplant Surgery Department, Insubria University, Varese, Italy.</Affiliation>
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</Author>
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<Initials>A</Initials>
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<Initials>G</Initials>
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<Author ValidYN="Y"><LastName>Cassinotti</LastName>
<ForeName>E</ForeName>
<Initials>E</Initials>
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<Initials>L</Initials>
<AffiliationInfo><Affiliation>General Surgery Department, Insubria University, Varese, Italy.</Affiliation>
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</Author>
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<Initials>M</Initials>
<AffiliationInfo><Affiliation>Vascular Surgery Department, Insubria University, Varese, Italy.</Affiliation>
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</Author>
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<ForeName>G</ForeName>
<Initials>G</Initials>
<AffiliationInfo><Affiliation>General and Transplant Surgery Department, Insubria University, Varese, Italy.</Affiliation>
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<ISSNLinking>0041-1345</ISSNLinking>
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<PubMedPubDate PubStatus="revised"><Year>2016</Year>
<Month>07</Month>
<Day>14</Day>
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<PubMedPubDate PubStatus="accepted"><Year>2016</Year>
<Month>08</Month>
<Day>03</Day>
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<affiliations><list><country><li>Italie</li>
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<name sortKey="Cassinotti, E" sort="Cassinotti, E" uniqKey="Cassinotti E" first="E" last="Cassinotti">E. Cassinotti</name>
<name sortKey="Chiappa, C" sort="Chiappa, C" uniqKey="Chiappa C" first="C" last="Chiappa">C. Chiappa</name>
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<name sortKey="Iovino, D" sort="Iovino, D" uniqKey="Iovino D" first="D" last="Iovino">D. Iovino</name>
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