We present the first case of fluorescence‐guided surgery (FGS) using indocyanine green (ICG) in a pediatric redo‐Nissen fundoplication. The patient is a 17‐year‐old male with recurrent gastroesophageal symptoms who underwent primary antireflux surgery at 10 months of age. During the redo fundoplication, ICG was intravenously administered to help the visualization during the adhesiolysis between liver, stomach and right crus of the diaphragm and to spare small oesoph-ageal vessels and the left gastric artery. In this case, FGS made the surgery easier than usual and likely reduced the risk of intra‐operative complications. Therefore, we believe that this new tech-nology should be regularly used in these types of complex intra‐abdominal redo operations.

Fluorescence-Guided Surgery (FGS) during a Laparoscopic Redo Nissen Fundoplication: The First Case in Children / I. Paraboschi, L. Privitera, S. Loukogeorgakis, S. Giuliani. - In: CHILDREN. - ISSN 2227-9067. - 9:7(2022 Jun 24), pp. 947.1-947.6. [10.3390/children9070947]

Fluorescence-Guided Surgery (FGS) during a Laparoscopic Redo Nissen Fundoplication: The First Case in Children

I. Paraboschi
Primo
;
2022

Abstract

We present the first case of fluorescence‐guided surgery (FGS) using indocyanine green (ICG) in a pediatric redo‐Nissen fundoplication. The patient is a 17‐year‐old male with recurrent gastroesophageal symptoms who underwent primary antireflux surgery at 10 months of age. During the redo fundoplication, ICG was intravenously administered to help the visualization during the adhesiolysis between liver, stomach and right crus of the diaphragm and to spare small oesoph-ageal vessels and the left gastric artery. In this case, FGS made the surgery easier than usual and likely reduced the risk of intra‐operative complications. Therefore, we believe that this new tech-nology should be regularly used in these types of complex intra‐abdominal redo operations.
Nissen fundoplication; antireflux surgery; children; device; fluorescence-guided surgery; indocyanine green; near-infrared; real-time imaging; redo surgery
Settore MEDS-14/B - Chirurgia pediatrica e infantile
24-giu-2022
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Utilizza questo identificativo per citare o creare un link a questo documento: https://hdl.handle.net/2434/1124952
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