Surgery and OncologySurgery and OncologyХирургия и онкология2949-5857Publishing House ABV Press17810.17650/2220-3478-2016-6-3-23-28ORIGINAL REPORTSОРИГИНАЛЬНЫЕ ИССЛЕДОВАНИЯIntraoperative fluorescence angiography in objectification of relegated colon perfusion in oncocoloproctology: first Russian experience and review of the literatureИнтраоперационная флуоресцентная ангиография в объективизации перфузии низводимой ободочной кишки в онкоколопроктологии: первый российский опыт и обзор литературыKochatkovA. V.КочатковА. В.
Russian Federation
koc_koc@inbox.ruLyadovV. K.ЛядовВ. К.
Russian Federation
PivenA. V.ПивеньА. В.
Russian Federation
KalashnikovN. D.КалашниковН. Д.
Russian Federation
Oncocoloproctological center at the Department of surgical oncology, Medical Rehabilitation Center Ministry of Health RussiaЦентр онкоколопроктологии отделения онкологии хирургического профиля ФГАУ «Лечебно-реабилитационный центр» Минздрава России111020166323281110201611102016Copyright ©; 2016, ABV-pressCopyright ©; 2016, АБВ-пресс2016ABV-pressАБВ-прессhttps://onco-surgery.info/jour/about/editorialPolicieshttps://onco-surgery.info/jour/article/view/178

Sufficient length, as well as an adequacy of the blood supply to the distal part of the relegated colon in the formation of primary anastomosis are major intraoperative factors that can reduce the number of anastomotic leak in case of colon resections. Intraoperative fluorescence angiography allows you to assess an adequacy of the blood supply. It is easily feasible and reproducible technique. In this paper we publish our first experience of using this technique in 7 patients. In 1 of them intraoperative surgical tactics was changed after the study. Further developments in this direction are necessary in order to evaluate clinical significance of intraoperative fluorescence angiography in perfusion objectification during surgical operations on the colon.

Достаточность длины, а также адекватность кровоснабжения дистальной части низводимой ободочной кишки при формировании первичного анастомоза являются основными интраоперационными факторами, которые позволяют уменьшить числонесостоятельностей анастомозов при резекциях толстой кишки. Интраоперационная флуоресцентная ангиография позволяет объективно оценить адекватность кровоснабжения и является легко выполнимой и воспроизводимой методикой. В данной работе мы публикуем свой первый опыт использования данной методики у 7 пациентов, у 1 из которых после исследования изменена интраоперационная хирургическая тактика. Дальнейшие разработки в данном направлении необходимы для оценки клини-ческой значимости интраоперационной флуоресцентной ангиографии в объективизации перфузии при операциях на толстой кишке.

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