Robotic right colectomy with complete mesocolic excision and indocyanine green guidance.

Abstract:

BACKGROUND:Robotic complete mesocolic excision (CME) has recently emerged as promising technique to enhance oncologic results in hemicolectomy for cancer. The potential near-infrared (NIR) fluorescence with indocyanine-green (ICG) dye for lymphatic mapping is under investigation and few small case-series are reported. METHODS:ICG solution was endoscopically injected the day before surgery in patients undergoing robotic right colectomy with CME using the Da Vinci Xi® system and the bottom to up technique. During surgery the ICG was excited by light in the near-infrared (NIR) spectrum of the Firefly™ system, of the Da Vinci Xi® system for image comparison in standard white light and NIR, and real-time visualization of the lymphatic drainage. RESULTS:Twenty patients affected by right colon cancer underwent robotic right colectomy with the bottom to up technique. No cases converted to open surgery were observed. During surgery, a fluorescent mapping of draining lymph nodes, was visualized in all the 20 patients. In seven patients (35%), lymph nodes outside the standard lymphatic basin were identified and removed. CONCLUSIONS:The association of robotic right colectomy with the bottom to up technique and ICG-guided lymphadenectomy is a feasible and safe procedure. ICG lymphatic mapping may help to perform a correct CME, although the independent impact of these procedures on oncologic outcome deserves further investigations.

journal_name

Minerva Chir

journal_title

Minerva chirurgica

authors

Spinoglio G,Petz W,Borin S,Piccioli AN,Bertani E

doi

10.23736/S0026-4733.18.07831-8

subject

Has Abstract

pub_date

2019-04-01 00:00:00

pages

165-169

issue

2

eissn

0026-4733

issn

1827-1626

pii

S0026-4733.18.07831-8

journal_volume

74

pub_type

杂志文章
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    authors: Costigliola P,Carannante E,Prisco T,Schiavone V,Iannelli E,Iannelli O

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    doi:

    authors: Tosato F,Marano S,Luongo B,Paltrinieri G,Mattacchione S,Bezzi M

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    doi:

    authors: Cardaci SB,Reddavid M,Fossati G,Ponzio S,Tramontano R

    更新日期:1995-03-01 00:00:00

  • [Segmental transplant of the pancreas in the pig with suppression of the exocrine secretion. Technical aspects].

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    doi:

    authors: Agnes S,Castagneto M,Alquati P,Boldrini G,Pittiruti M,Castiglioni GC

    更新日期:1980-05-31 00:00:00

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    doi:

    authors: Sciannameo F,Ronca P,Alberti D

    更新日期:1994-06-01 00:00:00

  • [Renal oncocytoma: 2 clinical cases].

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    pub_type: 杂志文章

    doi:

    authors: Mazzoni M,Boschi L,Zamboni W,Mandrioli M

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  • [Cardiorespiratory changes induced in man by the acute occlusion of the main bronchus].

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    doi:

    authors: Melloni G,Frigo V,Solca M,Mancini S,Negri G,Zannini P

    更新日期:1993-06-15 00:00:00

  • [Post-traumatic intrathoracic gastric volvulus. Presentation of a clinical case].

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    pub_type: 杂志文章

    doi:

    authors: Borsari A,Villa EM,Caleffi A,Poletti G,Ambrosino A

    更新日期:1989-11-15 00:00:00

  • Uniportal VATS lobectomy.

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    pub_type: 杂志文章,评审

    doi:

    authors: DE LA Torre M,González-Rivas D,Fernández R,Delgado M,Fieira E,Méndez L

    更新日期:2016-02-01 00:00:00

  • [Atypical metastases from gastric carcinoma. A primary and isolated case localized in the abdominal wall].

    abstract::The authors report a rare case of gastric carcinoma metastasis localised in the anterior abdominal wall which was an isolated and primary sign of disease. After having underlined the rarity of the case, there is a brief discussion of aspects related to the spread of primary tumours in relation to other cases reported ...

    journal_title:Minerva chirurgica

    pub_type: 杂志文章

    doi:

    authors: Del Cimmuto P,Del Papa U,Faccia M,Astolfi A,Capanna A,Cellini G

    更新日期:1992-09-15 00:00:00

  • Ruptured aneurysm of the popliteal artery. Is the diagnosis still difficult?

    abstract::The aneurysm of the popliteal artery is the most commonly treated non-aortoiliac aneurysm, accounting for more than 70% of all peripheral aneurysms. The rupture of a popliteal aneurysm is rare and it is often misdiagnosed. In the case of a 46-year old female patient here reported, the patient was referred to our depar...

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    pub_type: 杂志文章

    doi:

    authors: Agrafiotis AC,Horn D,Segers B,Lemaitre J,Bosschaerts T

    更新日期:2012-08-01 00:00:00

  • [A case of leiomyosarcoma of the rectum].

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    pub_type: 杂志文章

    doi:

    authors: Giordano A,Sanfelici G,Serenthà U,Remonda G,Enrichens F

    更新日期:1980-11-30 00:00:00

  • A controlled, randomised study on the efficacy of two overlays in the treatment of decubitus ulcers.

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    pub_type: 杂志文章,多中心研究,随机对照试验

    doi:

    authors: Cassino R,Ippolito AM,Cuffaro C,Corsi A,Ricci E

    更新日期:2013-02-01 00:00:00

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    authors: Rustichelli G,Balli C,Mengoli M

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    abstract::A particular cell-mediated immune response is tested in this work: the leukocyte adherence inhibition (L.A.I.) in the presence of organ tumor antigens. Forty-two patients suspected of having pancreatic cancer were submitted to the L.A.I. test and Ca 19.9 and TPA determination. The diagnosis of pancreatic cancer was ev...

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    authors: Meduri F,Bizzarini M,Diana F,Merenda R,Gerunda GE,Doni MG,Maffei Faccioli A

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    pub_type: 杂志文章,评审

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    authors: Milone L,Turner P,Gagner M

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  • [Schwannoma of the rectum. Clinico-therapeutic study].

    abstract::On the basis of a case of rectal Schwannoma and a review of the literature on this rare condition, stress is laid on the clinical features, diagnostic difficulties and indicated surgical therapy approaches. The need for radical operation, because of the tendency of the form to recur locally and because of the real pos...

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    authors: Arcidiaco M,Uggeri G,Rumi A,Valenti L

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  • [Surgical treatment of massive pulmonary embolism. Personal cases].

    abstract::5 cases of pulmonary embolism are reported. 3 of these were subjected to pulmonary embolectomy with complete success; repeated controls bear witness to the good long-term cardiorespiratory condition. Two patients died, one following angiography, the other at anaesthetic induction; this fact shows the desirability of s...

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    doi:

    authors: Ruberti U,Odero A,Giordanengo F,Miani S

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    doi:

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    doi:

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    doi:

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    abstract::Authors describe a rare case of malignant schwannoma of the omentum. The diagnosis of schwannomas is often late because of the absence of early clinical signs. Clinical, diagnostic and histopathological considerations of these neoplasias are described in this work. ...

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    doi:

    authors: Ottonello M,Tagarelli G,Bertirotti S,Santi F,Tommasi GV,Sanguineti G

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    doi:

    authors: Reale D,Guarino M,Squillaci S,Bianchini E,Forloni B,Merisio I,Pascale M,Micoli G

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  • [Acute pancreatitis. Review of cases and considerations on personal experience].

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    doi:

    authors: Spagliardi E,Palombo D

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  • [Primary leiomyosarcoma of the mesentery].

    abstract::A case of primary leiomyosarcoma of the mesentery is described. Only seven other cases have been reported in the literature, which means that this was an accidental finding. The histological features of the case are illustrated. It is suggested that this tumour originates in the muscle cells of the mesenteric vessels....

    journal_title:Minerva chirurgica

    pub_type: 杂志文章

    doi:

    authors: Abate S,Ferulano GP,Vetrani A,Donatiello GB,Vanni L

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  • [Notes on 4000 surgical operations for biliary tract calculosis. I. Papillotomy and papillosphincterotomy. Indications and results].

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    doi:

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    doi:

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    doi:

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