All of the relevant financial relationships listed below have been mitigated. This individual has no financial relationships with ineligible companies.
All of the relevant financial relationships listed below have been mitigated.
Ivan Corona, MD: This individual has no financial relationships with ineligible companies.
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Purpose/Background: The case of a 34-year-old female with familial adenomatous polyposis (FAP) is presented, who was treated at a secondary level hospital in Tijuana Mexico using minimally invasive technology and indocyanine green, with favorable results.
Methods/Interventions: A 34-year-old female with a family history of first- and second-degree relatives with familial adenomatous polyposis (FAP) was assessed, although she did not undergo genetic testing she had a significant genetic risk for colon cancer.
colonoscopy diagnosed her with familial adenomatous polyposis affecting from the rectum to the cecum, with multiple biopsies showing tubular adenomas with low-grade dysplasia, as well as a gastric polyp negative for malignancy.
A video is presented in which a total oncological proctocolectomy is performed. Extracorporeal resection and J-pouch ileal construction are done, confirming its irrigation with ICG fluorescence. The pouch is stapled to the anus using a circular stapler, and irrigation is again observed with indocyanine green.
The surgery and follow up was made at Mexico's public health institute.
Results/Outcomes: Favorable postoperative outcome, with oral intake resuming at 24 hours and discharge at 72 hours without complications. Final histopathology revealed multiple tubular adenomas throughout the entire colon.
Conclusion/Discussion: The use of minimally invasive techniques and indocyanine green reduces complications in colorectal surgery, hospital stay, and anastomotic leaks. Proctocolectomy is a surgery associated with high morbidity, so the use of technology is necessary to avoid complications and improve survival rates in young patients.
