지원사업
학술연구/단체지원/교육 등 연구자 활동을 지속하도록 DBpia가 지원하고 있어요.
커뮤니티
연구자들이 자신의 연구와 전문성을 널리 알리고, 새로운 협력의 기회를 만들 수 있는 네트워킹 공간이에요.
논문 기본 정보
- 자료유형
- 학술저널
- 저자정보
- 발행연도
- 2017.6
- 수록면
- 145 - 153 (9page)
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Purpose: Identification of the infrapyloric artery (IPA) type is a key component of pylorus-preserving gastrectomy. As the indocyanine green (ICG) fluorescence technique is known to help visualize blood vessels and flow during reconstruction, we speculated that this emerging technique would be helpful in identifying the IPA type.
Materials and Methods: From August 2015 to February 2016, 20 patients who underwent robotic or laparoscopic gastrectomy were prospectively enrolled. After intravenous injection of approximately 3 mL of ICG (2.5 mg/mL), a near-infrared fluorescence apparatus was applied. The identified shape of the IPA was confirmed by examining the actual anatomy following infrapyloric dissection.
Results: The mean interval time between ICG injection and visualization of the artery was 22.2 seconds (range, 14?30 seconds), and the mean duration of the arterial phase was 16.1 seconds (range, 9?30 seconds). The overall positive predictive value (PPV) of ICG fluorescence in identifying the IPA type was 80% (16/20). The IPA type was incorrectly predicted in four patients, all of whom were obese with a body mass index (BMI) of more than 25 kg/m2.
Conclusions: Our preliminary results indicate that intraoperative vascular imaging using the ICG fluorescence technique may be helpful for robotic or laparoscopic pylorus-preserving gastrectomy.
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등록된 정보가 없습니다.
참고문헌 (26)
참고문헌 신청
Yada T / 2013 / The current state of diagnosis and treatment for early gastric cancer / Diagn Ther Endosc 2013:241320
Oh Jeong / 2011 / Clinicopathological Features and Surgical Treatment of Gastric Cancer in South Korea: The Results of 2009 Nationwide Survey on Surgically Treated Gastric Cancer Patients / Journal of Gastric Cancer 11(2):69~77
Isozaki H / 2016 / Diminished gastric resection preserves better quality of life in patients with early gastric cancer / Acta Med Okayama 70:119~130
Ronellenfitsch U / 2015 / Functional outcomes and quality of life after proximal gastrectomy with esophagogastrostomy using a narrow gastric conduit / Ann Surg Oncol 22:772~779
Fujita J / 2016 / Assessment of postoperative quality of life following pylorus-preserving gastrectomy and Billroth-I distal gastrectomy in gastric cancer patients : results of the nationwide postgastrectomy syndrome assessment study / Gastric Cancer 19:302~311
Oh Jeong / 2011 / Clinicopathological Features and Surgical Treatment of Gastric Cancer in South Korea: The Results of 2009 Nationwide Survey on Surgically Treated Gastric Cancer Patients / Journal of Gastric Cancer 11(2):69~77
Isozaki H / 2016 / Diminished gastric resection preserves better quality of life in patients with early gastric cancer / Acta Med Okayama 70:119~130
Ronellenfitsch U / 2015 / Functional outcomes and quality of life after proximal gastrectomy with esophagogastrostomy using a narrow gastric conduit / Ann Surg Oncol 22:772~779
Fujita J / 2016 / Assessment of postoperative quality of life following pylorus-preserving gastrectomy and Billroth-I distal gastrectomy in gastric cancer patients : results of the nationwide postgastrectomy syndrome assessment study / Gastric Cancer 19:302~311
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