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Foregut Laparoscopic Esophagogastric Bypass Using Colonic Interposition for Corrosive Esophageal and Gastric Stricture
Case description
This video was part of the Video Loop during the SAGES 2020 Virtual Meeting. Topic: Foregut Laparoscopic esophagogastric bypass using colonic interposition for corrosive esophageal and gastric stricture: Application of Indocyanine Green (ICG)-fluorescence imaging for evaluate vascular and tissue perfusion. Suun Sathornviriyapong, Thawatchai Tullavardhana, HRH Princess MahaChakri Sirindhorn Medical Center (MSMC) Hospital, Srinakharinwirot University.
Esophageal stricture is a late complication from corrosive ingestion. Esophagogastric bypass with colonic interposition surgery usually performed in those patients who fail to endoscopic dilatation. Open surgery is conventional approach, however minimal invasive surgery is challenging. Loss of tactile sensation is disadvantage of laparoscopic approach to evaluate vascular perfusion.
In this video we descried surgical technique of laparoscopic colonic interposition using right side colon with ICG fluorescence imaging use as real-time intraoperative angiography for evaluate conduit feeding vascular anatomy and colonic wall tissue perfusion evaluation. This technology contributes advantages as reduce anastomosis leakage from inadequate tissue perfusion.
