eISSN: 1897-4309
ISSN: 1428-2526
Contemporary Oncology/Współczesna Onkologia
Current issue Archive Manuscripts accepted About the journal Supplements Addendum Special Issues Editorial board Abstracting and indexing Subscription Contact Instructions for authors Ethical standards and procedures
SCImago Journal & Country Rank
1/2021
vol. 25
 
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abstract:
Case report

Real-time indocyanine green lymphangiography in radical resection of right colon cancer allows the identification of chyle leakage

Daqing Cheng
1
,
Yunpeng Zhang
1
,
Bo Han
2
,
Peng Sun
1
,
Jue Wang
1
,
Quanjun Lin
1
,
Ming Xu
1

1.
Tongren Hospital, Shanghai Jiao Tong University School of Medicine, Shanghai, China
2.
Department of General Surgery, Key Laboratory for Translational Research and Innovative Therapeutics of Gastrointestinal Oncology, Hongqiao International Institute of Medicine, Tongren Hospital, Shanghai Jiao Tong University School of Medicine, Shanghai, China
Contemp Oncol (Pozn) 2021; 25 (1): 64-67
Online publish date: 2021/04/15
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Chyle leakage can be caused by abdo­minal surgery and managed succes­sfully without surgical treatment; how­ever, no preventive measures are available. Therefore, we introduce a new method to prevent post-operative chyle leakage.

To investigate the role of indocyanine green (ICG) lymphangiography in the reduction of chyle fistula formation after radical resection of right colon cancer.

Five patients with a diagnosis of right colon cancer undergoing laparosco­pic radical colectomy with D3 lymph node dissection were examined in this study. At the end of the operation, two points of 2.5 mg ICG were injected subserosally at the proximal end of the anastomosis (1 ml per point). Then the surgical field was screened by using ICG fluorescence to accurately locate the chyle leakage. Chyle leakage was noted and repaired with a Hem-O-Lock. The volume of output of each drain after surgery was measured daily until the patients were discharged.

We were able to observe ICG fluorescence in the lymphatic vessels within 3 minutes of ICG injection. This visualization allowed us to accurately locate and quickly repair chyle leakage within 5 minutes. Clinical observation after surgery and at a 1-month follow-up showed no chyle leakage in all 5 patients.

Indocyanine green lymphangiography can feasibly guide the location and repair of chyle leakage after right colon cancer resection.
keywords:

indocyanine green, near infrared fluorescence, right colon cancer, chyle leakage

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