Immunofluorescence in Robotic Colon and Rectal Surgery
Matthew C Bobel1, Ariella Altman1, Wolfgang B Gaertner1
1Division of Colon and Rectal Surgery, Department of Surgery, University of Minnesota, Minneapolis, Minnesota.
Clinics in Colon and Rectal Surgery
|September 10, 2021
Summary
Indocyanine green fluorescence imaging enhances surgical visualization and may reduce anastomotic leaks in colorectal surgery. Further large-scale studies are needed to confirm its benefits.
Area of Science:
- Surgical Technology
- Colorectal Surgery
- Medical Imaging
Background:
- Indocyanine green (ICG) fluorescence imaging is gaining traction in surgery.
- It aims to improve visualization, lymph node retrieval, and reduce anastomotic leaks.
- Current evidence includes small, noncomparative trials on safety and feasibility for assessing perfusion.
Purpose of the Study:
- To review the current use of ICG fluorescence imaging in colon and rectal surgery.
- To explore emerging applications, particularly in robotic colorectal resections.
Main Methods:
- Review of existing literature on ICG fluorescence imaging in colorectal surgery.
- Discussion of current and potential future applications.
Main Results:
- Small trials suggest ICG fluorescence imaging is safe and feasible for assessing anastomotic perfusion.
- Potential impact on anastomotic leak rates has been observed.
Conclusions:
- ICG fluorescence imaging shows promise in enhancing colorectal surgery.
- Larger prospective and randomized studies are essential to validate its role and impact.
