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Fluorescence Guided Surgery Special Supplement published by Peer Reviewed Journal Surgery

In conjunction with the International Society of Fluorescence Guided Surgery (ISFGS), this special supplement covers six major surgical specialties, with contributions by 140 leading surgeons and experts in fluorescence guided surgery, across five continents with majority having over 5 years+ experience with Indocyanine Green (ICG).

General Consensus

Laparoscopic Cholecystectomy

Colorectal surgery

Plastic reconstruction

On Laparoscopic Cholecystectomy

  • Consensus that Near Infrared Cholangiography (NIFC):
    • Is useful for severe or acute cholecystitis
    • Is useful for patients with gallstones
    • Increases bile duct visualization
    • Reduces overall surgery risk including risk of bile duct injury
    • Reduces risk of conversion to open surgery

On Colorectal Surgery

  • Consensus that Fluorescence Angiography
    • Helps makes important decisions on perfusion in right sided anastomosis
    • Helps assess perfusion in left sided anastomosis
    • Decreases the risk of anastomosis

On Plastic Surgery

  • ICG-A significantly impacts how soft tissue is visualized in trauma patients
  • Relative to clinical assessment alone, ICG-A lowers overall risk of surgical debridement in plastic surgery
  • ICG-A helps prevent mastectomy skin flap necrosis
  • ICG-A is better at assessing tissue viability than surgeons own clinical assessment