Hiroyuki Kitagawa1, Tsutomu Namikawa2, Masaya Munekage1, Toyokazu Akimori3, Michiya Kobayashi4, Kazuhiro Hanazaki1. 1. Department of Surgery, Kochi Medical School, Nankoku, Kochi, Japan. 2. Department of Surgery, Kochi Medical School, Nankoku, Kochi, Japan tsutomun@kochi-u.ac.jp. 3. Department of Surgery, Kochi Hata Prefectural Hospital, Yamanacho, Sukumo, Kochi, Japan. 4. Department of Human Health and Medical Sciences, Kochi Medical School, Nankoku, Kochi, Japan.
Abstract
AIM: The present study investigated the visualization of the arterial networks in the stomach (ANS) during gastric tube (GT) creation using indocyanine green fluorescence and the HyperEye Medical System (HEMS), and the feasibility of the HEMS-line-marking method (LMM). PATIENTS AND METHODS: We reviewed 51 consecutive patients who had undergone esophageal surgery with GT reconstruction. Patients for whom the HEMS was deployed after GT creation to confirm the anastomosed area's blood supply formed the control group (n=28). Patients for whom the HEMS was deployed before GT creation to confirm and mark the ANS border comprised the HEMS-LMM group (n=23). RESULTS: The HEMS-LMM visualized the ANS border, and the leakage rate decreased from 17.9% to 4.4% (p=0.204). CONCLUSION: The HEMS-LMM is safe and feasible for visualizing the blood supply border of the right gastroepiploic artery and the ANS before GT creation during esophageal surgery, and it might reduce leakage in esophageal surgery. Copyright
AIM: The present study investigated the visualization of the arterial networks in the stomach (ANS) during gastric tube (GT) creation using indocyanine green fluorescence and the HyperEye Medical System (HEMS), and the feasibility of the HEMS-line-marking method (LMM). PATIENTS AND METHODS: We reviewed 51 consecutive patients who had undergone esophageal surgery with GT reconstruction. Patients for whom the HEMS was deployed after GT creation to confirm the anastomosed area's blood supply formed the control group (n=28). Patients for whom the HEMS was deployed before GT creation to confirm and mark the ANS border comprised the HEMS-LMM group (n=23). RESULTS: The HEMS-LMM visualized the ANS border, and the leakage rate decreased from 17.9% to 4.4% (p=0.204). CONCLUSION: The HEMS-LMM is safe and feasible for visualizing the blood supply border of the right gastroepiploic artery and the ANS before GT creation during esophageal surgery, and it might reduce leakage in esophageal surgery. Copyright
Authors: Maxime D Slooter; Wietse J Eshuis; Miguel A Cuesta; Suzanne S Gisbertz; Mark I van Berge Henegouwen Journal: J Thorac Dis Date: 2019-04 Impact factor: 2.895