Assessment of Anastomotic Perfusion in Left-Sided Robotic Assisted Colorectal Resection by Indocyanine Green Fluorescence Angiography
Joint Authors
Shapera, Emanuel A.
Hsiung, Roger W.
Source
Issue
Vol. 2019, Issue 2019 (31 Dec. 2019), pp.1-4, 4 p.
Publisher
Hindawi Publishing Corporation
Publication Date
2019-07-14
Country of Publication
Egypt
No. of Pages
4
Main Subjects
Abstract EN
Background.
Indocyanine green fluorescent angiography (IcGA) has been used with success in guiding intraoperative management to prevent colorectal anastomotic complications.
Prior studies in open and laparoscopic colorectal surgery, such as PILLAR II, have demonstrated a low anastomotic leak rate (1.4%).
As the minimally invasive approach progresses from laparoscopic to robotic approach, the effect and safety of IcGA in assessing anastomotic perfusion in the latter deserve further investigation.
Methods.
The objective of the study was to determine the safety of IcGA in guiding intraoperative management of robotic assisted colorectal resection via perfusion assessment.
The design was single-surgeon, retrospective case-control study.
74 patients underwent left-sided robotic assisted colorectal resection and anastomosis with IcGA guidance.
30 historical controls underwent left-sided robotic assisted colorectal resection and anastomosis without IcGA.
Clinical, demographic, operative, and outcome variables were tabulated.
Results.
In the control group, 1 patient suffered a postoperative anastomotic stricture requiring no surgery, and 1 patient suffered an anastomotic dehiscence requiring return to the operating room.
There were no anastomotic complications in the IcGA group, including 4 patients who underwent a change in the chosen level of anastomosis based on intraoperative IcGA.
Conclusion.
IcGA is safe to use as demonstrated by the very low rate of complications in this case series.
It is also safe to rely on to guide re-resection and recreation of an anastomosis intraoperatively by demonstration of blood flow.
This may help offset the loss of tactile feedback and assessment of tension in the robotic platform.
American Psychological Association (APA)
Shapera, Emanuel A.& Hsiung, Roger W.. 2019. Assessment of Anastomotic Perfusion in Left-Sided Robotic Assisted Colorectal Resection by Indocyanine Green Fluorescence Angiography. Minimally Invasive Surgery،Vol. 2019, no. 2019, pp.1-4.
https://search.emarefa.net/detail/BIM-1193677
Modern Language Association (MLA)
Shapera, Emanuel A.& Hsiung, Roger W.. Assessment of Anastomotic Perfusion in Left-Sided Robotic Assisted Colorectal Resection by Indocyanine Green Fluorescence Angiography. Minimally Invasive Surgery No. 2019 (2019), pp.1-4.
https://search.emarefa.net/detail/BIM-1193677
American Medical Association (AMA)
Shapera, Emanuel A.& Hsiung, Roger W.. Assessment of Anastomotic Perfusion in Left-Sided Robotic Assisted Colorectal Resection by Indocyanine Green Fluorescence Angiography. Minimally Invasive Surgery. 2019. Vol. 2019, no. 2019, pp.1-4.
https://search.emarefa.net/detail/BIM-1193677
Data Type
Journal Articles
Language
English
Notes
Includes bibliographical references
Record ID
BIM-1193677