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Indocyanine green colonic perfusion demonstration following robotic da Vinci X inferior mesenteric artery ligation for the treatment of type II endoleak.

19/5/2022

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Author(s):  Lambert, J., Al Majid, S., Salaman, R., Gavan, D., Sheikh, A. & Gill, M.
Source: The International Journal of Medical Robotics and Computer Assisted Surgery, 2022 Apr 20, pp. e2407. 
Abstract: We describe the technical operative details of the robotic repair of a type II endoleak (T2E) following endovascular abdominal aortic aneurysm repair (EVAR). We demonstrate that indocyanine green (ICG) can be used intra-operatively to demonstrate perfusion of the colon following ligation of the inferior mesenteric artery (IMA) vessel feeding the aneurysm sac.
Conclusion: A total robotic approach can be performed safely with intra-operative ICG used to demonstrate colonic perfusion as an added safety measure.
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