Using fluorescence lymphangiography to define the ileocolic mesentery: proof of concept for the watershed area using real-time imaging
Recent advances in mesenteric science have demonstrated that the mesentery is a continuous structure with a ‘watershed’ area at the mesenteric apex between the right colon and terminal ileum, where lymphatic flow can proceed either proximally or distally. With this new understanding of the anatomy,...
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| Veröffentlicht in: | Techniques in coloproctology 2017-09, Vol.21 (9), p.757-760 |
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| creator | Keller, D. S. Joshi, H. M. Rodriguez-Justo, M. Walsh, D. Coffey, J. C. Chand, M. |
| description | Recent advances in mesenteric science have demonstrated that the mesentery is a continuous structure with a ‘watershed’ area at the mesenteric apex between the right colon and terminal ileum, where lymphatic flow can proceed either proximally or distally. With this new understanding of the anatomy, functional features are emerging, which can have an impact on surgical management. Fluorescence lymphangiography or lymphoscintigraphy with indocyanine green allows real-time visualization of lymphatic channels, which highlights sentinel lymph nodes and may facilitate identification of the ideal margins for mesenteric lymphadenectomy during bowel resection for colon cancer. By using this novel technology, it is possible to demonstrate a watershed area in the ileocolic region and may facilitate more precise mesenteric dissection. In the present study, we provide proof of concept for the ileocolic watershed area using fluorescence lymphangiography. |
| doi_str_mv | 10.1007/s10151-017-1677-x |
| format | Article |
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By using this novel technology, it is possible to demonstrate a watershed area in the ileocolic region and may facilitate more precise mesenteric dissection. 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| subjects | Abdominal Surgery Aged Colectomy - methods Colon - diagnostic imaging Colonic Neoplasms - surgery Colorectal cancer Colorectal Surgery Coloring Agents Female Fluorescein Angiography - methods Gastroenterology Humans Ileum - diagnostic imaging Indocyanine Green Lymph Node Excision - methods Lymph Nodes - anatomy & histology Lymph Nodes - diagnostic imaging Lymphography - methods Medicine Medicine & Public Health Mesentery - anatomy & histology Mesentery - diagnostic imaging Proctology Proof of Concept Study Surgery Technical Note Watersheds |
| title | Using fluorescence lymphangiography to define the ileocolic mesentery: proof of concept for the watershed area using real-time imaging |
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