Fluorescence Image-Based Evaluation of Gastric Tube Perfusion during Esophagogastrostomy
10.5090/kjtcs.2020.53.4.178
- Author:
Yu Hua QUAN
1
;
Kook Nam HAN
;
Hyun Koo KIM
Author Information
1. Department of Thoracic and Cardiovascular Surgery, Korea University Guro Hospital, Korea University College of Medicine, Korea
- Publication Type:Collective of current Review, Lecture
- From:The Korean Journal of Thoracic and Cardiovascular Surgery
2020;53(4):178-183
- CountryRepublic of Korea
-
Abstract:
During esophagectomy and esophagogastrostomy, the prediction of anastomotic leakagerelies on the operating surgeon’s tactile or visual diagnosis. Therefore, anastomoticleaks are relatively unpredictable, and new intraoperative evaluation methods or tools areessential. A fluorescence imaging system enables visualization over a wide region of interest,and provides intuitive information on perfusion intraoperatively. Surgeons can choosethe best anastomotic site of the gastric tube based on fluorescence images in real timeduring surgery. This technology provides better surgical outcomes when used with anoptimal injection dose and timing of indocyanine green.