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Abstract：
The two most essential technical aspects of any gastrointestinal anastomosis are adequate perfusion and sufficient reach. For ileal pouch-anal anastomosis (IPAA), a trade-off exists between these two factors, as lengthening manoeuvers to avoid tension may require vascular ligation. In this technical note, we describe two cases in which we used indocyanine green (ICG) fluorescence angiography (FA) to assess perfusion of the pouch after vascular ligation to acquire sufficient reach. In both cases, FA allowed us to distinguish better between an arterial inflow problem and venous congestion than white light assessment. Both pouches remained viable and no anastomotic leakage occurred. Our results indicate that ICG FA is of great value after vascular ligation to obtain reach during IPAA.
摘要：
任何胃肠吻合的两个最基本的技术方面是足够的灌注和足够的范围。对于回肠袋-肛门吻合术(IPAA),这两个因素之间存在权衡，因为延长操作以避免紧张可能需要血管结扎。在本技术说明中，我们描述了两个病例,其中我们使用吲哚菁绿(ICG)荧光血管造影(FA)评估血管结扎后的囊灌注,以获得足够的范围.在这两种情况下，与白光评估相比，FA使我们能够更好地区分动脉流入问题和静脉充血。两个袋都保持可行，没有发生吻合口漏。我们的结果表明，ICGFA在血管结扎后在IPAA期间获得达到的价值很大。
