A new surgical technique and intraoperative flourescent molecular imaging for biliary reconstruction

dc.contributor.authorSencan A.
dc.contributor.authorGridley C.
dc.contributor.authorNguyen H.T.
dc.contributor.authorSencan A.
dc.date.accessioned2024-07-22T08:12:04Z
dc.date.available2024-07-22T08:12:04Z
dc.date.issued2016
dc.description.abstractUp to date, many surgical techniques have been described for biliary reconstruction. The aim of this study is to try a new surgical technique for biliary reconstruction and also to show whether intraoperative fluorescent molecular imaging (IFMI) is effective to evaluate the perfusion of the new biliary conduit. Two adult pigs were operated. Cholecystectomy and removal of the extrahepatic biliary tract were performed by robotic surgery. A duodenal conduit was created from the duodenum by open surgery. The distal end of the conduit was sutured to portohepatis by end-to-end anastomosis. The perfusion of the conduit was evaluated by photo-dynamic eye. Although the viability of both of the duodenal conduits were macroscopically evaluated as normal, it was screened by IFMI that the middle and distal parts of the conduit were not well-vascularized and that only the base portion of the conduit had sufficient blood supply. As a result, IFMI is a good intraoperative diagnostic tool for showing tissue viability. This new technique may not be used for biliary reconstruction as described here. However, the development of alternative techniques to increase the viability of the conduit may enable the use of this technique successfully. © 2016 OMU.
dc.identifier.DOI-ID10.5835/jecm.omu.33.01.008
dc.identifier.issn13094483
dc.identifier.urihttp://akademikarsiv.cbu.edu.tr:4000/handle/123456789/15888
dc.language.isoEnglish
dc.publisherOndokuz Mayis Universitesi
dc.subjectadult
dc.subjectanimal experiment
dc.subjectcholecystectomy
dc.subjectcirculation
dc.subjectduodenum
dc.subjectend to end anastomosis
dc.subjecthepatobiliary system
dc.subjectmolecular imaging
dc.subjectnonhuman
dc.subjectperfusion
dc.subjectpig
dc.subjectrobot assisted surgery
dc.subjectsurgery
dc.subjectsurgical technique
dc.titleA new surgical technique and intraoperative flourescent molecular imaging for biliary reconstruction
dc.typeArticle

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