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Title

Total robotic anterior resection with intracorporeal anastomosis under fluorescence navigation – a video vignette.

Authors

Midha, Nishtha; Arjunan, Ravi; Althaf, Syed; Chinduri, Srinivas; Sugoor, Pavan

Abstract

This article presents a video vignette demonstrating a total robotic anterior resection with intracorporeal anastomosis under fluorescence navigation for a sigmoid colon adenocarcinoma in a 46-year-old woman. The video showcases the use of indocyanine green (ICG) for intraoperative mapping of the left ureter, assessment of serosal bowel perfusion, and determination of the point of proximal colon transection. The technique involves mobilization of the colon, careful dissection to safeguard the left inferior mesenteric plexus, and subsequent resection and anastomosis. The use of ICG for fluorescence image guidance is gaining acceptance in colorectal surgery.

Subjects

SIGMOID colon; FLUORESCENCE; SURGICAL anastomosis; MESENTERIC veins; VIGNETTES; URETERS

Publication

Colorectal Disease, 2024, Vol 26, Issue 4, p817

ISSN

1462-8910

Publication type

Academic Journal

DOI

10.1111/codi.16902

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