Safe anastomosis in laparoscopic and robotic low anterior resection for rectal cancer: A narrative review and outcomes study from an expert tertiary center

Asari, Sadaki; Cho, M.S.; Kim, Nam Kyu

doi:10.1016/j.ejso.2014.10.060

Cited by 33 publications

(20 citation statements)

References 65 publications

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“…The incidence of complications in this study was 7%, which was similar to other studies [ 8 , 10 , 35 ]. The initial complication rate in the year 2015 (40%, 4/10) was too high, even with ICG perfusion tests, but complications decreased rapidly in 2016 (2.8%, 1/36) and 2017 (2.5%, 1/40).…”

Section: Discussionsupporting

confidence: 92%

Quantitative analysis of colon perfusion pattern using indocyanine green (ICG) angiography in laparoscopic colorectal surgery

et al. 2018

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Section: Discussionsupporting

confidence: 92%

Quantitative analysis of colon perfusion pattern using indocyanine green (ICG) angiography in laparoscopic colorectal surgery

et al. 2018

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“…IGFI was used to guarantee a reliable anastomosis, in order to prevent complications related to the anastomosis. Previous studies have clearly demonstrated that IGFI can reduce anastomotic complications, and the incidence of complications in this study was 11.9 %, which was similar to that of other studies [28][29] . Fortunately, no patient suffered anastomotic leak and only one patient suffered anastomosis-related bleeding that was successfully treated conservatively.…”

Section: Postoperative Recovery and Complicationssupporting

confidence: 91%

Indocyanine green fluorescence imaging to assess bowel perfusion during totally laparoscopic surgery for colon cancer

Mandula

et al. 2020

Preprint

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Aim: To retrospectively evaluate the feasibility and safety of intraoperative assessment of bowel perfusion in totally laparoscopic surgery for colon cancer using indocyanine green fluorescence imaging (IGFI).Methods: From October 2017 to June 2019, consecutive patients with colon cancer who underwent totally laparoscopic surgery were enrolled retrospectively and grouped into the IGFI group (n=84) and control group (n=105). In the IGFI group, indocyanine green (ICG) was injected intravenously, and the bowel perfusion was observed using a fluorescence camera system prior to and after completion of the anastomosis.Results: The two groups were demographically comparable. The IGFI group exhibited a significantly shorter operative time (p=0.0374) while intraoperative blood loss did not significantly differ among the groups (p=0.062). In the IGFI group, average time to perfusion fluorescence was 48.4±14.0 s after ICG injection, and four patients (4.8%) were required to choose a more proximal point of resection due to the lack of adequate fluorescence at the point previously selected. There were no differences in terms of pathological outcomes, postoperative recovery and the postoperative complication rates between the groups (p＞0.05). Conclusion: IGFI shows promise as a safe and feasible tool to assess bowel perfusion during a totally laparoscopic surgery for colon cancer and may reduce the operative time.

show abstract

“…IGFI was used to guarantee a reliable anastomosis, in order to prevent complications related to the anastomosis. Previous studies have clearly demonstrated that IGFI can reduce anastomotic complications, and the incidence of complications in this study was 11.9%, which was similar to that of other studies [24][25] . Fortunately, no patient suffered anastomotic leak and only one patient suffered anastomosis-related bleeding that was successfully treated conservatively.…”

Section: Postoperative Recovery and Complicationssupporting

confidence: 91%

Indocyanine green fluorescence imaging to assess bowel perfusion during totally laparoscopic surgery for colon cancer

Mandula

et al. 2020

Preprint

View full text Add to dashboard Cite

Aim: To retrospectively evaluate the feasibility and safety of intraoperative assessment of bowel perfusion in totally laparoscopic surgery for colon cancer using indocyanine green fluorescence imaging (IGFI). Methods: From October 2017 to June 2019, consecutive patients with colon cancer who underwent totally laparoscopic surgery were enrolled retrospectively and grouped into the IGFI group (n=84) and control group (n=105). In the IGFI group, indocyanine green (ICG) was injected intravenously, and the bowel perfusion was observed using a fluorescence camera system prior to and after completion of the anastomosis. Results: The two groups were demographically comparable.The IGFI group exhibited a significantly shorter operative time (p=0.0374) while intraoperative blood loss did not significantly differ among the groups (p=0.062). In the IGFI group, average time to perfusion fluorescence was 48.4±14.0 s after ICG injection, and four patients (4.8%) were required to choose a more proximal point of resection due to the lack of adequate fluorescence at the point previously selected. There were no differences in terms of pathological outcomes, postoperative recovery and the postoperative complication rates between the groups (p 0.05). Conclusion: IGFI shows promise as a safe and feasible tool to assess bowel perfusion during a totally laparoscopic surgery for colon cancer and may reduce the operative time.

show abstract

Safe anastomosis in laparoscopic and robotic low anterior resection for rectal cancer: A narrative review and outcomes study from an expert tertiary center

Cited by 33 publications

References 65 publications

Quantitative analysis of colon perfusion pattern using indocyanine green (ICG) angiography in laparoscopic colorectal surgery

Quantitative analysis of colon perfusion pattern using indocyanine green (ICG) angiography in laparoscopic colorectal surgery

Indocyanine green fluorescence imaging to assess bowel perfusion during totally laparoscopic surgery for colon cancer

Indocyanine green fluorescence imaging to assess bowel perfusion during totally laparoscopic surgery for colon cancer

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