Publications by authors named "H A Rodriguez-Zentner"

Introduction: Fluorescence-guided surgery has emerged as a complement of traditional laparoscopic surgery with the advantage that is adaptable to existent platforms. The purpose of this article is to describe our technique for ureteral identification with indocyanine green (ICG) during laparoscopic colorectal surgery.

Materials And Surgical Technique: We report a case series of all patients who underwent laparoscopic colorectal surgery and ureteral injection of ICG in a private third level hospital.

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Article Synopsis
  • A study explored the effectiveness of near-infrared fluorescence cholangiography (NIFC) in improving the visualization of biliary anatomy during laparoscopic cholecystectomy, with varying techniques and dosages noted in use.
  • A Delphi survey involving 28 international experts determined that NIFC is superior to traditional white light for identifying biliary structures and reducing surgical risks, particularly beneficial for obese patients and those with inflammation.
  • Consensus was achieved on the importance of dosing indocyanine green based on body weight and the necessity of administering it at least 45 minutes before surgery to enhance visibility, but timing for injections remained undecided.
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  • The incidence of early-onset colorectal cancer (diagnosed in individuals under 50) is on the rise globally, with distinct clinical and molecular characteristics compared to late-onset cases.
  • Factors contributing to this increase may include diet, obesity, antibiotic use, and changes in gut microbiome, with most cases occurring sporadically rather than being genetically inherited.
  • There is a need for tailored preventive and therapeutic approaches for early-onset colorectal cancer, as younger patients often present with more severe disease stages but similar outcomes to older patients after treatment.
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