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. 2023 Aug 8;12(16):5173.
doi: 10.3390/jcm12165173.

A Hypothetical New Challenging Use for Indocyanine Green Fluorescence during Laparoscopic Appendectomy: A Mini-Series of Our Experience and Literary Review

Noemi Zorzetti  1   2 , Augusto Lauro  2 , Manuela Cuoghi  1 , Marco La Gatta  1 , Ignazio R Marino  3 , Salvatore Sorrenti  2 , Vito D'Andrea  2 , Andrea Mingoli  2 , Giuseppe Giovanni Navarra  1
Affiliations

A Hypothetical New Challenging Use for Indocyanine Green Fluorescence during Laparoscopic Appendectomy: A Mini-Series of Our Experience and Literary Review

Noemi Zorzetti et al. J Clin Med. .

Abstract

Laparoscopic appendectomy (LA) is a well-standardized surgical procedure, but there are still controversies about the different devices to be used for the appendiceal stump closure and the related postoperative complications. Indocyanine green (ICG) fluorescence angiography (FA) has already been shown to be helpful in elective and emergency surgery, providing intraoperative information on tissue and organ perfusion, thus guiding the surgical decisions and the technical strategies. According to these two aspects, we report a mini-series of the first five patients affected by gangrenous and flegmonous acute appendicitis intraoperatively evaluated with ICG-FA during LA. The patients were admitted to the Emergency Department with an usual range of symptoms for acute appendicitis. The patients were successfully managed by fully LA with the help of a new hypothetical challenging use of ICG-FA.

Keywords: acute appendicitis; fluorescence; indocyanine green; laparoscopic appendectomy; new technologies.

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Conflict of interest statement

The authors declare no conflict of interest.

Figures

Figure 1
Figure 1
Radiological features.
Figure 1
Figure 1
Radiological features.
Figure 2
Figure 2
Visualization of the appendicular bases with ICG-FA.
Figure 2
Figure 2
Visualization of the appendicular bases with ICG-FA.
Figure 2
Figure 2
Visualization of the appendicular bases with ICG-FA.
Figure 3
Figure 3
Intraoperative WL presentation of gangrenous appendicitis in P3, P4, and P5.
Figure 3
Figure 3
Intraoperative WL presentation of gangrenous appendicitis in P3, P4, and P5.
Figure 4
Figure 4
Visualization of the appendicular stump with ICG-FA.
Figure 4
Figure 4
Visualization of the appendicular stump with ICG-FA.
See this image and copyright information in PMC

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