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Kashchenko V.A.

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

Kamshilin A.A.

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

Zaitsev V.V.

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

Pavlov R.V.

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

Bogatikov A.A.

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

Lodigin A.V.

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

Guschina O.B.

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

Boyko N.A.

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

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

Authors:

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

More about the authors

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

DOI: 10.17116/hirurgia202309233

Read: 2418 times

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Table of contents

POSSIBILITIES OF TISSUE PERFUSION ASSESSMENT IN ABDOMINAL SURGERY: INTEGRATION INTO THE INTRAOPERATIVE SYSTEM OF SAFETY CONTROL POINTS
POSSIBILITIES OF TISSUE PERFUSION ASSESSMENT IN ABDOMINAL SURGERY: INTEGRATION INTO THE INTRAOPERATIVE SYSTEM OF SAFETY CONTROL POINTS

To cite this article:

Kashchenko VA, Kamshilin AA, Zaitsev VV, et al. . 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

Подписка 2026 Хирургия. Журнал им. Н.И. Пирогова (Pirogov Russian Journal of Surgery)
МСФ на ЯМ
Использование инфографики авторами научных работ
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Abstract:

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:

Kashchenko V.A.

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

Kamshilin A.A.

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

Zaitsev V.V.

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

Pavlov R.V.

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

Bogatikov A.A.

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

Lodigin A.V.

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

Guschina O.B.

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

Boyko N.A.

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

Received:

12.06.2023

Accepted:

10.07.2023

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References:

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  9. 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
  10. 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
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  12. 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
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