Fluorescence-Guided Surgery (FGS) during a Laparoscopic Redo Nissen Fundoplication: The First Case in Children.

Fluorescence-Guided Surgery (FGS) during a Laparoscopic Redo Nissen Fundoplication: The First Case in Children.
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DOI:
10.3390/children9070947
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发表时间:
2022-06-24
期刊:
影响因子:
2.4
通讯作者:
Giuliani, Stefano
Giuliani, Stefano
中科院分区:
医学4区
文献类型:
--
作者:
Paraboschi, Irene;Privitera, Laura;Loukogeorgakis, Stavros;Giuliani, Stefano

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相似文献

我们提出了第一例荧光引导手术(FGS)使用吲哚菁绿(ICG)在儿科redo-Nissen眼底复制。患者是一名17岁男性,胃食管症状复发,在10个月大时接受了初级抗反流手术。在复底术中,静脉给予ICG,以帮助观察肝、胃和膈右小腿之间的粘连,并保留食管小血管和胃左动脉。在这种情况下,FGS使手术比平常更容易,并可能降低术中并发症的风险。因此,我们认为这项新技术应定期用于这类复杂的腹腔内重做手术。
We present the first case of fluorescence-guided surgery (FGS) using indocyanine green (ICG) in a pediatric redo-Nissen fundoplication. The patient is a 17-year-old male with recurrent gastroesophageal symptoms who underwent primary antireflux surgery at 10 months of age. During the redo fundoplication, ICG was intravenously administered to help the visualization during the adhesiolysis between liver, stomach and right crus of the diaphragm and to spare small oesophageal vessels and the left gastric artery. In this case, FGS made the surgery easier than usual and likely reduced the risk of intra-operative complications. Therefore, we believe that this new technology should be regularly used in these types of complex intra-abdominal redo operations.
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