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Intraoperative near infrared fluorescence imaging in robotic low anterior resection: Three case reportsopen access

Authors
Bae S.U.Baek S.J.Hur H.Baik S.H.Kim N.K.Min B.S.
Issue Date
2013
Keywords
Fluorescence; Indocyanine green; Rectal neoplasms; Robotics
Citation
Yonsei Medical Journal, v.54, no.4, pp.1066 - 1069
Indexed
SCIE
SCOPUS
KCI
Journal Title
Yonsei Medical Journal
Volume
54
Number
4
Start Page
1066
End Page
1069
URI
https://scholarworks.korea.ac.kr/kumedicine/handle/2020.sw.kumedicine/11372
DOI
10.3349/ymj.2013.54.4.1066
ISSN
0513-5796
Abstract
The recent introduction of an intraoperative near infrared fluorescence (INIF) imaging system installed on the da Vinci Si® robotic system has enabled surgeons to identify intravascular NIF signals in real time. This technology is useful in identifying hidden vessels and assessing blood supply to bowel segments. In this study, we report 3 cases of patients with rectal cancer who underwent robotic low anterior resection (LAR) with INIF imaging for the first time in Asia. In September 2012, robotic- assisted rectal resection with INIF imaging was performed on three consecutive rectal cancer patients. LAR was performed in 2 cases, and abdominoperineal resection was performed in the third case. INIF imaging was used to identify the left colic branch of the inferior mesenteric artery and to assess blood supply to the distal rectum. We evaluated the utility of INIF imaging in performing robotic-assisted colorectal procedures. Our preliminary results suggest that this technique is safe and effective, and that INIF imaging may be a useful tool to colorectal surgeons. © Yonsei University College of Medicine 2013.
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Baek, Se Jin
안암병원 (Department of Colon and Rectal Surgery, Anam Hospital)
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