|
|
|
| Robotic-assisted placement of hepatic artery infusion pump for the treatment of colorectal liver metastases: Role of indocyanine green (with video) |
| Mario Spaggiari a , ∗, Kiara A Tulla a , Gabriela Aguiluz b , Pierpaolo Di Cocco a , Lola Castro Gil a , Enrico Benedetti a , IvoG Tzvetanov a , PierCristoforo Giulianotti b |
a Division of Transplantation, Department of Surgery, University of Illinois at Chicago, Chicago, IL, USA
b Division of General, Minimally Invasive, and Robotic Surgery, Department of Surgery, University of Illinois at Chicago, Chicago, IL, USA
∗ Corresponding author.
E-mail address: mspaggia@uic.edu (M. Spaggiari). |
|
|
|
|
Abstract Surgical resection remains the only definitive treatment for colorectal liver metastasis (CRLM). However, only a minority of cases are deemed resectable at the time of diagnosis. Systemic chemotherapy along with hepatic artery infusion (HAI) is an effective and safe regional chemotherapy modality for the downstaging of patients with isolated unresectable CRLM [1]. This modality improves patient response rate up to 80% and secondary resection rate up to 47% in isolated unresectable CRLM [2]. The limited usage of this therapy could be due to the morbidity and mortality associated with open surgery in a population with a reduced chance of long-term survival. The application of minimally invasive techniques circumvents the complications related to laparotomy and decreases the recovery time needed to initiate chemotherapy [3]. Although the robotic-assisted HAI pump placement has been pre- viously described [1,4], to our best knowledge, we report the first case using indocyanine green (ICG) for in vivo perfusion test.
|
|
|
|
|
|
|
|
|
2022, Vol. 21 
