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Use of near-infrared imaging using indocyanine green associates with the lower incidence of postoperative complications for intestinal and mesenteric injury

Anastomotic leakage after intestinal resection is one of the most serious complications of surgical intervention for hollow viscus injury. Adequate vascular perfusion of the anastomotic site is essential to prevent anastomotic leakage. Near-infrared imaging using indocyanine green (NIR-ICG) is usefu...

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Autores principales: Yamaguchi, Keishi, Abe, Takeru, Nakajima, Kento, Watanabe, Chikara, Kawamura, Yusuke, Suwa, Hirokazu, Minami, Yuta, Nojiri, Kazunori, Ono, Hidetaka, Yoshida, Kenichi, Masui, Hidenobu, Doi, Tomoki, Takeuchi, Ichiro
Formato: Online Artículo Texto
Lenguaje:English
Publicado: Nature Publishing Group UK 2021
Materias:
Acceso en línea:https://www.ncbi.nlm.nih.gov/pmc/articles/PMC8669015/
https://www.ncbi.nlm.nih.gov/pubmed/34903816
http://dx.doi.org/10.1038/s41598-021-03361-1
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author Yamaguchi, Keishi
Abe, Takeru
Nakajima, Kento
Watanabe, Chikara
Kawamura, Yusuke
Suwa, Hirokazu
Minami, Yuta
Nojiri, Kazunori
Ono, Hidetaka
Yoshida, Kenichi
Masui, Hidenobu
Doi, Tomoki
Takeuchi, Ichiro
author_facet Yamaguchi, Keishi
Abe, Takeru
Nakajima, Kento
Watanabe, Chikara
Kawamura, Yusuke
Suwa, Hirokazu
Minami, Yuta
Nojiri, Kazunori
Ono, Hidetaka
Yoshida, Kenichi
Masui, Hidenobu
Doi, Tomoki
Takeuchi, Ichiro
author_sort Yamaguchi, Keishi
collection PubMed
description Anastomotic leakage after intestinal resection is one of the most serious complications of surgical intervention for hollow viscus injury. Adequate vascular perfusion of the anastomotic site is essential to prevent anastomotic leakage. Near-infrared imaging using indocyanine green (NIR-ICG) is useful for the objective assessment of vascular perfusion. The aim of this study was to evaluate the association of NIR-ICG with intestinal and mesenteric injuries. This was a retrospective, single-center study of patients undergoing surgery for intestinal and mesenteric injuries. NIR-ICG was used to evaluate vascular perfusion. Postoperative complications were assessed between NIR-ICG and non-NIR-ICG groups.The use of NIR-ICG was associated with a lower incidence of Clavien-Dindo grade ≥ III complications with a statistical tendency (p = 0.076). When limited to patients that underwent intestinal resection, the use of NIR-ICG was significantly associated with a lower risk of perioperative complications (p = 0.009). The use of NIR-ICG tended to associate with the lower incidence of postoperative complications after intestinal and mesenteric trauma surgery. NIR-ICG was associated with a significantly lower risk of complications in patients undergoing intestinal resection. The NIR-ICG procedure is simple and quick and is expected to be useful for intestinal and mesenteric trauma.
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spelling pubmed-86690152021-12-15 Use of near-infrared imaging using indocyanine green associates with the lower incidence of postoperative complications for intestinal and mesenteric injury Yamaguchi, Keishi Abe, Takeru Nakajima, Kento Watanabe, Chikara Kawamura, Yusuke Suwa, Hirokazu Minami, Yuta Nojiri, Kazunori Ono, Hidetaka Yoshida, Kenichi Masui, Hidenobu Doi, Tomoki Takeuchi, Ichiro Sci Rep Article Anastomotic leakage after intestinal resection is one of the most serious complications of surgical intervention for hollow viscus injury. Adequate vascular perfusion of the anastomotic site is essential to prevent anastomotic leakage. Near-infrared imaging using indocyanine green (NIR-ICG) is useful for the objective assessment of vascular perfusion. The aim of this study was to evaluate the association of NIR-ICG with intestinal and mesenteric injuries. This was a retrospective, single-center study of patients undergoing surgery for intestinal and mesenteric injuries. NIR-ICG was used to evaluate vascular perfusion. Postoperative complications were assessed between NIR-ICG and non-NIR-ICG groups.The use of NIR-ICG was associated with a lower incidence of Clavien-Dindo grade ≥ III complications with a statistical tendency (p = 0.076). When limited to patients that underwent intestinal resection, the use of NIR-ICG was significantly associated with a lower risk of perioperative complications (p = 0.009). The use of NIR-ICG tended to associate with the lower incidence of postoperative complications after intestinal and mesenteric trauma surgery. NIR-ICG was associated with a significantly lower risk of complications in patients undergoing intestinal resection. The NIR-ICG procedure is simple and quick and is expected to be useful for intestinal and mesenteric trauma. Nature Publishing Group UK 2021-12-13 /pmc/articles/PMC8669015/ /pubmed/34903816 http://dx.doi.org/10.1038/s41598-021-03361-1 Text en © The Author(s) 2021 https://creativecommons.org/licenses/by/4.0/Open Access This article is licensed under a Creative Commons Attribution 4.0 International License, which permits use, sharing, adaptation, distribution and reproduction in any medium or format, as long as you give appropriate credit to the original author(s) and the source, provide a link to the Creative Commons licence, and indicate if changes were made. The images or other third party material in this article are included in the article's Creative Commons licence, unless indicated otherwise in a credit line to the material. If material is not included in the article's Creative Commons licence and your intended use is not permitted by statutory regulation or exceeds the permitted use, you will need to obtain permission directly from the copyright holder. To view a copy of this licence, visit http://creativecommons.org/licenses/by/4.0/ (https://creativecommons.org/licenses/by/4.0/) .
spellingShingle Article
Yamaguchi, Keishi
Abe, Takeru
Nakajima, Kento
Watanabe, Chikara
Kawamura, Yusuke
Suwa, Hirokazu
Minami, Yuta
Nojiri, Kazunori
Ono, Hidetaka
Yoshida, Kenichi
Masui, Hidenobu
Doi, Tomoki
Takeuchi, Ichiro
Use of near-infrared imaging using indocyanine green associates with the lower incidence of postoperative complications for intestinal and mesenteric injury
title Use of near-infrared imaging using indocyanine green associates with the lower incidence of postoperative complications for intestinal and mesenteric injury
title_full Use of near-infrared imaging using indocyanine green associates with the lower incidence of postoperative complications for intestinal and mesenteric injury
title_fullStr Use of near-infrared imaging using indocyanine green associates with the lower incidence of postoperative complications for intestinal and mesenteric injury
title_full_unstemmed Use of near-infrared imaging using indocyanine green associates with the lower incidence of postoperative complications for intestinal and mesenteric injury
title_short Use of near-infrared imaging using indocyanine green associates with the lower incidence of postoperative complications for intestinal and mesenteric injury
title_sort use of near-infrared imaging using indocyanine green associates with the lower incidence of postoperative complications for intestinal and mesenteric injury
topic Article
url https://www.ncbi.nlm.nih.gov/pmc/articles/PMC8669015/
https://www.ncbi.nlm.nih.gov/pubmed/34903816
http://dx.doi.org/10.1038/s41598-021-03361-1
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