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The Role of Indocyanine Green Fluorescence in Complex Laparoscopic Cholecystectomy Navigation
Published on: January 31, 2025
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Indocyanine green in left side colorectal surgery segmental resection to decrease anastomotic leak: A parallel
Andrea Romboli1, Elena Orlandi2, Chiara Citterio2
1Department of General Surgery, Piacenza General Hospital, Piacenza, Italy.
Heliyon
|December 17, 2024
Summary
Indocyanine Green (ICG) angiography significantly reduced anastomotic leakage (AL) after left colon resections. This study suggests ICG enhances surgical safety by improving vascular assessment, leading to better patient outcomes.
Area of Science:
- Colorectal Surgery
- Surgical Innovation
- Patient Safety
Background:
- Anastomotic leakage (AL) is a significant complication after colorectal surgery.
- Indocyanine Green (ICG) angiography is used to assess tissue perfusion but its impact on AL in left segmental colon resections is not well-established.
Purpose of the Study:
- To investigate the effect of Indocyanine Green (ICG) angiography on reducing anastomotic leakage (AL) after elective left segmental colon resection.
- To evaluate the impact of ICG on postoperative morbidity and length of stay.
Main Methods:
- Retrospective, monocentric cohort study of 115 patients undergoing left/transverse colon resection (Jan 2017-July 2023).
- Patients divided into ICG and no-ICG groups.
- Primary outcome: AL; Secondary outcomes: morbidity, length of stay.
Main Results:
- Anastomotic leakage (AL) occurred in 6 patients (9.5%) in the no-ICG group versus 0 patients (0%) in the ICG group.
- No significant correlation found between ICG use and confounding factors.
- Shorter postoperative length of stay observed in the ICG group.
Conclusions:
- ICG angiography was associated with a reduction in anastomotic leakage (AL) after left segmental colon resection.
- Findings suggest a potential benefit of ICG in improving surgical outcomes.
- Further large-scale studies are warranted to confirm these results.
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