Possibilities of tissue perfusion assessment in abdominal surgery: integration into the intraoperative system of safety control points

V.A. Kashchenko

North-Western District Scientific and Clinical Center named after L.G. Sokolov of the Federal Medical and Biological Agency;
St. Petersburg State University

ORCID: 0000-0002-4958-5850

A.A. Kamshilin

North-Western District Scientific and Clinical Center named after L.G. Sokolov of the Federal Medical and Biological Agency;
Institute of Automation and Control Processes, Far Eastern Branch of the Russian Academy of Sciences

ORCID: 0000-0003-2506-9736

V.V. Zaitsev

ORCID: 0000-0003-3366-8376

R.V. Pavlov

North-Western District Scientific and Clinical Center named after L.G. Sokolov of the Federal Medical and Biological Agency;
St. Petersburg State University

ORCID: 0000-0003-2187-2388

A.A. Bogatikov

North-Western District Scientific and Clinical Center named after L.G. Sokolov of the Federal Medical and Biological Agency;
St. Petersburg State University

ORCID: 0000-0002-2510-2308

A.V. Lodigin

North-Western District Scientific and Clinical Center named after L.G. Sokolov of the Federal Medical and Biological Agency;
St. Petersburg State University

ORCID: 0000-0002-5535-6915

O.B. Guschina

North-Western District Scientific and Clinical Center named after L.G. Sokolov of the Federal Medical and Biological Agency;
St. Petersburg State University

ORCID: 0009-0001-3279-3813

N.A. Boyko

North-Western District Scientific and Clinical Center named after L.G. Sokolov of the Federal Medical and Biological Agency;
St. Petersburg State University

ORCID: 0000-0003-4509-4226

Possibilities of tissue perfusion assessment in abdominal surgery: integration into the intraoperative system of safety control points

Authors:

V.A. Kashchenko, A.A. Kamshilin, V.V. Zaitsev, R.V. Pavlov, A.A. Bogatikov, A.V. Lodigin, O.B. Guschina, N.A. Boyko

More about the authors

Journal: Pirogov Russian Journal of Surgery. 2023;(9‑2): 33‑42

DOI: 10.17116/hirurgia202309233

Downloaded: 65

Download PDF (RU)

Contact the author

Table of contents

To cite this article:

Kashchenko VA, Kamshilin AA, Zaitsev VV, Pavlov RV, Bogatikov AA, Lodigin AV, Guschina OB, Boyko NA. Possibilities of tissue perfusion assessment in abdominal surgery: integration into the intraoperative system of safety control points. Pirogov Russian Journal of Surgery. 2023;(9‑2):33‑42. (In Russ.)
https://doi.org/10.17116/hirurgia202309233

Доказательная гастроэнтерология: pro et contra

Актуальные вопросы педиатрической практики

Использование инфографики авторами научных работ

Close metadata

OBJECTIVE

To evaluate the possibility of integrating tissue perfusion assessment techniques (ICG perfusion and imaging photoplethysmography — iPPG) into the system of intraoperative control points of laparoscopic interventions with a reconstructive component.

MATERIALS AND METHODS

Quantitative assessment of ICG fluorescence and iPPG were used during 8 laparoscopically assisted interventions: gastrectomy for gastric cancer (total — 2 and distal — 1) and colorectal resections (left-sided colorectal resections — 4 and right hemicolectomy — 1).

RESULTS

Four stages are presented for the assessment of tissue perfusion: initial assessment, before intestine transection, before anastomosis formation, and evaluation of anastomosis. From the point of view of the significance of clinical decision-making, the «before intestine transection» stage is of great importance, due to the ease of transferring the resection level to the optimal tissue perfusion zone.

CONCLUSION

Integration of tissue perfusion assessment techniques into the system of intraoperative checkpoints is possible and promising.

Keywords:

tissue perfusion

indocyanine green ICG

fluorescence angiography

imaging photoplethysmography (iPPG)

safe surgery

Authors:

V.A. Kashchenko

North-Western District Scientific and Clinical Center named after L.G. Sokolov of the Federal Medical and Biological Agency;
St. Petersburg State University

ORCID: 0000-0002-4958-5850

A.A. Kamshilin

ORCID: 0000-0003-2506-9736

V.V. Zaitsev

ORCID: 0000-0003-3366-8376

R.V. Pavlov

North-Western District Scientific and Clinical Center named after L.G. Sokolov of the Federal Medical and Biological Agency;
St. Petersburg State University

ORCID: 0000-0003-2187-2388

A.A. Bogatikov

North-Western District Scientific and Clinical Center named after L.G. Sokolov of the Federal Medical and Biological Agency;
St. Petersburg State University

ORCID: 0000-0002-2510-2308

A.V. Lodigin

North-Western District Scientific and Clinical Center named after L.G. Sokolov of the Federal Medical and Biological Agency;
St. Petersburg State University

ORCID: 0000-0002-5535-6915

O.B. Guschina

North-Western District Scientific and Clinical Center named after L.G. Sokolov of the Federal Medical and Biological Agency;
St. Petersburg State University

ORCID: 0009-0001-3279-3813

N.A. Boyko

North-Western District Scientific and Clinical Center named after L.G. Sokolov of the Federal Medical and Biological Agency;
St. Petersburg State University

ORCID: 0000-0003-4509-4226

Received:

12.06.2023

Accepted:

10.07.2023

List of references:

Karliczek A, Harlaar NJ, Zeebregts CJ, Wiggers T, Baas PC, van Dam GM. Surgeons lack predictive accuracy for anastomotic leakage in gastrointestinal surgery. International Journal of Colorectal Disease. 2009;24(5):569-576. https://doi.org/10.1007/s00384-009-0658-6
van Genderen ME, Paauwe J, de Jonge J, van der Valk RJ, Lima A, Bakker J, van Bommel J. Clinical assessment of peripheral perfusion to predict postoperative complications after major abdominal surgery early: a prospective observational study in adults. Critical Care. 2014;18(3):R114. https://doi.org/10.1186/cc13905
Jafari MD, Wexner SD, Martz JE, McLemore EC, Margolin DA, Sherwinter DA, Lee SW, Senagore AJ, Phelan MJ, Stamos MJ. Perfusion assessment in laparoscopic left-sided/anterior resection (PILLAR II): a multi-institutional study. Journal of the American College of Surgeons. 2015;220(1):82-92.e1. https://doi.org/10.1016/j.jamcollsurg.2014.09.015
Blanco-Colino R, Espin-Basany E. Intraoperative use of ICG fluorescence imaging to reduce the risk of anastomotic leakage in colorectal surgery: a systematic review and meta-analysis. Techniques in Coloproctology. 2018;22(1):15-23. https://doi.org/10.1007/s10151-017-1731-8
Wu T, Blazek V, Schmitt HJ. Photoplethysmography imaging: a new noninvasive and noncontact method for mapping of the dermal perfusion changes. Optical Techniques and Instrumentation for the Measurement of Blood Composition, Structure, and Dynamics. Priezzhev A.V., Öberg P.A. Optical Techniques and Instrumentation for the Measurement of Blood Composition, Structure, and Dynamics. Proceedings of SPIE. 2000;4163:62-70.
Verkruysse W, Svaasand LO, Nelson JS. Remote plethysmographic imaging using ambient light. Optics Express. 2008;16(26):21434-21445. https://doi.org/10.1364/oe.16.021434
Marcinkevics Z, Rubins U, Zaharans J, Miscuks A, Urtane E, Ozolina-Moll L. Imaging photoplethysmography for clinical assessment of cutaneous microcirculation at two different depths. Journal of Biomedical Optics. 2016;21(3):35005. https://doi.org/10.1117/1.JBO.21.3.035005
Volynsky MA, Margaryants NB, Mamontov OV, Kamshilin AA. Contactless monitoring of microcirculation reaction on local temperature changes. Applied Sciences. 2019;9(22):4947.
Rasche S, Huhle R, Junghans E, de Abreu MG, Ling Y, Trumpp A, Zaunseder S. Association of remote imaging photoplethysmography and cutaneous perfusion in volunteers. Scientific Reports. 2020;10(1):16464. https://doi.org/10.1038/s41598-020-73531-0
Lyubashina OA, Mamontov OV, Volynsky MA, Zaytsev VV, Kamshilin AA. Contactless Assessment of Cerebral Autoregulation by Photoplethysmographic Imaging at Green Illumination. Frontiers in Neuroscience. 2019;13:1235. https://doi.org/10.3389/fnins.2019.01235
Mamontov OV, Shcherbinin AV, Romashko RV, Kamshilin AA. Intraoperative imaging of cortical blood flow by camera-based photoplethysmography at green light. Applied Sciences. 2020;10(18):6192.
Kamshilin AA, Zaytsev VV, Lodygin AV, Kashchenko VA. Imaging photoplethysmography as an easy-to-use tool for monitoring changes in tissue blood perfusion during abdominal surgery. Scientific Reports. 2022;12(1):1143. https://doi.org/10.1038/s41598-022-05080-7
Kashchenko VA, Zaytsev VV, Ratnikov VA, Kamshilin AA. Intraoperative visualization and quantitative assessment of tissue perfusion by imaging photoplethysmography: comparison with ICG fluorescence angiography. Biomedical Optics Express. 2022;13(7):3954-3966. https://doi.org/10.1364/BOE.462694

Close metadata