{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,8,28]],"date-time":"2026-08-28T21:12:12Z","timestamp":1787951532006,"version":"build-2784847793"},"reference-count":31,"publisher":"Wiley","issue":"4","license":[{"start":{"date-parts":[[2022,5,4]],"date-time":"2022-05-04T00:00:00Z","timestamp":1651622400000},"content-version":"vor","delay-in-days":0,"URL":"http:\/\/onlinelibrary.wiley.com\/termsAndConditions#vor"}],"content-domain":{"domain":["onlinelibrary.wiley.com"],"crossmark-restriction":true},"short-container-title":["Robotics Computer Surgery"],"published-print":{"date-parts":[[2022,8]]},"abstract":"<jats:title>Abstract<\/jats:title><jats:sec><jats:title>Background<\/jats:title><jats:p>The robotic Heller\u2010Dor (RHD) procedure for oesophageal achalasia (EA) is safe and effective. We aim to evaluate the intraoperative use of fluorescence imaging, as an alternative means to intraoperative endoscopy, to assess myotomy at the end of the procedure.<\/jats:p><\/jats:sec><jats:sec><jats:title>Methods<\/jats:title><jats:p>Thirty\u2010four patients affected with EA underwent RHD. The myotomy was assessed intraoperatively by endoscopy in group A (17 patients), and by fluorescence imaging in group B (17 patients). Perioperative and long\u2010term results were compared.<\/jats:p><\/jats:sec><jats:sec><jats:title>Results<\/jats:title><jats:p>In group A, one mucosal tear was identified during intraoperative endoscopy. In group B, indocyanine green (ICG) helped identify residual muscle fibres in three cases. No perforation of the oesophageal mucosa occurred in group B.<\/jats:p><\/jats:sec><jats:sec><jats:title>Conclusions<\/jats:title><jats:p>Fluorescence\u2010imaging improved the identification of residual muscle fibres and made it possible to verify the integrity of the mucosa without the use of intraoperative endoscopy. A significant reduction in operative times has been related to the use of this technique.<\/jats:p><\/jats:sec>","DOI":"10.1002\/rcs.2411","type":"journal-article","created":{"date-parts":[[2022,4,26]],"date-time":"2022-04-26T22:04:08Z","timestamp":1651010648000},"update-policy":"https:\/\/doi.org\/10.1002\/crossmark_policy","source":"Crossref","is-referenced-by-count":5,"title":["Robotic Heller\u2010Dor procedure for oesophageal achalasia: Fluorescence\u2010guided intraoperative assessment of myotomy. A retrospective single\u2010centre experience"],"prefix":"10.1002","volume":"18","author":[{"ORCID":"https:\/\/orcid.org\/0000-0003-3603-1338","authenticated-orcid":false,"given":"Andrea","family":"Romanzi","sequence":"first","affiliation":[{"name":"Department of General Surgery Valduce Hospital  Como Italy"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Lucia","family":"D'Alba","sequence":"additional","affiliation":[{"name":"Department of Gastroenterology and Digestive Endoscopy Azienda Ospedaliera San Giovanni Addolorata  Rome Italy"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Pasquale","family":"Campagna","sequence":"additional","affiliation":[{"name":"Department of General Surgery Belcolle Hospital  Viterbo Italy"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Raffaello","family":"Mancini","sequence":"additional","affiliation":[{"name":"Department of Robotic General Surgery Azienda Ospedaliera San Giovanni Addolorata  Rome 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