Intraluminal Anastomotic Assessment Using Indocyanine Green Near-Infrared Imaging for Left-Sided Colonic and Rectal Resections: a Systematic Review

被引：7
作者：
Lauricella, Sara [1 ]
Peyser, Daniel [1 ]
Carrano, Francesco Maria [2 ]
Sylla, Patricia [1 ]
机构：
[1] Icahn Sch Med Mt Sinai Hosp, Dept Surg, Div Colon & Rectal Surg, 5 East 98Th St,Box 1259, New York, NY 10029 USA
[2] Busto Arsizio Circolo Hosp ASST Valle Olona, Dept Gen Surg, Busto Arsizio, Italy
来源：
JOURNAL OF GASTROINTESTINAL SURGERY | 2023年 / 27卷 / 03期
关键词：
Intraluminal ICG; taTME; Total mesorectal excision; Indocyanine green; Anastomotic leak; Rectal resection; Colorectal surgery; Fluorescence; TOTAL MESORECTAL EXCISION; ANTERIOR RESECTION; RISK-FACTORS; CURATIVE RESECTION; COLORECTAL SURGERY; LEAKAGE; CANCER; FLUORESCENCE; PERFUSION; ANGIOGRAPHY;
D O I：
10.1007/s11605-022-05564-x
中图分类号：
R57 [消化系及腹部疾病];
学科分类号：
摘要：
Background Indocyanine green fluorescence angiography (ICG-FA) has been used in colorectal surgery to assess anastomotic perfusion and reduce the risks of anastomotic leaks. The main objective of this paper is to review the data on the transanal application of ICG-FA for the intraluminal assessment of colorectal anastomosis. MethodsA literature search was conducted for articles published between 2011 and 2021 using PubMed and Cochrane databases, related to the application of ICG for the intraluminal assessment of colorectal anastomosis. Original scientific manuscripts, review articles, meta-analyses, and case reports were considered eligible. ResultsA total of 305 studies have been identified. After abstract screening for duplicates, 285 articles remained. Of those, 271 were not related to the topic of interest, 4 were written in a language other than English, and 4 had incomplete data. Six articles remained for the final analysis. The intraluminal assessment of colorectal anastomosis with ICG-FA is feasible, safe, and may reduce the incidence of leaks. ConclusionThe intraluminal assessment of anastomotic perfusion via ICG-FA may be a promising novel application of ICG technology. More data is needed to support this application further to reduce leak rates after colorectal surgery, and future randomized clinical trials are awaited.
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页码：615 / 625
页数：11
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