THE USEFULNESS OF INTRAOPERATIVE INDOCYANINE GREEN FLUORESCENCE IMAGING WHILE PERFORMING INTESTINAL ANASTOMOSIS FOR TRAUMATIC INTESTINAL AND MESENTERIC INJURIES DUE TO BLUNT ABDOMINAL TRAUMA

Abstract

　　Indocyanine green (ICG) fluorescence imaging is being increasingly used to evaluate intestinal blood flow during colorectal surgery. However, few studies have evaluated this procedure for trauma assessment. We report our experience of treating a patient with gastrointestinal injury due to blunt trauma, where the extent of bowel resection was determined using intraoperative ICG fluorescence imaging. A 37-year-old man who was injured after falling from a height of approximately 3 m was admitted to our hospital. Contrast-enhanced computed tomography revealed intra-abdominal hemorrhage and mesenteric injury ; therefore, emergency laparotomy was performed. As the patient’s hemodynamics were stable, one-stage intestinal anastomosis was performed. Intraoperative ICG-imaging was used to evaluate intestinal blood flow to assist in determining the colonic dissection line and avoid the risk of anastomotic leakage. The patient was discharged from the hospital without any complications. The results suggest that this evaluation method is useful for patients with trauma.