Precision image-guided colonic surgery: proof of concept for enhanced preoperative and intraoperative vascular imaging.
Fiche publication
Date publication
septembre 2020
Journal
Surgical endoscopy
Auteurs
Membres identifiés du Cancéropôle Est :
Pr MARESCAUX Jacques
Tous les auteurs :
Forgione A, Barberio M, Agnus V, Swanström L, Marescaux J, Diana M, Gallix B
Lien Pubmed
Résumé
Colorectal surgery has benefited from advances in precision medicine such as total mesorectal resection, and recently, mesocolon resection, fluorescent perfusion imaging, and fluorescent node mapping. However, these advances fail to address the variable quality of mesocolon dissection and the directed extent of vascular dissection (including high ligation) or pre-resection anastomotic perfusion mapping, thereby impacting anastomotic leaks. We propose a new paradigm of precision image-directed colorectal surgery involving 3D preoperative resection modeling and intraoperative fluoroscopic and fluorescence vascular imaging which better defines optimal dissection planes and vascular vs. anatomy-based resection lines according to our hypothesis.
Mots clés
Endovascular procedure, Fluorescence-guided colonic resection, Fluorescence-guided surgery, Hybrid OR, Indocyanine green, Intra-arterial fluorescence
Référence
Surg Endosc. 2020 Sep 30;: