Does near-infrared (NIR) fluorescence angiography modify operative strategy during emergency procedures?

Surgical Endoscopy
Emilie LiotFrédéric Ris

Abstract

Bowel viability can be difficult to evaluate during emergency surgery. Near-infrared (NIR) fluorescence angiography allows an intraoperative assessment of organ perfusion during elective surgery and might help to evaluate intestinal perfusion during emergency procedures. The aim of this study was to assess if NIR modified operative strategy during emergency surgery. From July 2014 to December 2015, we prospectively evaluated all consecutive patients, who had NIR assessment during emergency surgery. Primary endpoint was the modification of operative strategy after the assessment with NIR. Secondary endpoints were general post-operative outcomes, including reoperation rate. Fifty-six patients were included in the study. Mean age was 64 ± 17 years. An exploratory laparoscopy was performed in 39% (n = 22) and an open surgery in 61% of cases (n = 34). Conversion rate to open surgery was 41% (n = 9). 32 patients had a bowel resection. In 32% of the cases (n = 18), the result of the NIR test led to a modification of the operative strategy. Among them, 33% (n = 6) had a larger resection or a resection, which was initially not planned. The other 12 patients (67%) had finally no resection, which was initially thought to be performed. Imp...Continue Reading

References

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Citations

Nov 29, 2020·BMC Surgery·Manato FujiiYukiyoshi Masaki
Jan 13, 2021·Der Chirurg; Zeitschrift für alle Gebiete der operativen Medizen·T O VilzB Stoffels
Oct 16, 2021·Colorectal Disease : the Official Journal of the Association of Coloproctology of Great Britain and Ireland·Francesco Guerra, Diego Coletta
May 2, 2020·Visceral Medicine·Kai NowakAndreas Lutz Heinrich Gerken

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Methods Mentioned

BETA
fluorescence imaging
dissection

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