Vol. 72 No. 3 (2020)
Original Articles

Could we pevent anastomotic leak in colorectal oncological surgery by using indocyanine green fluorescence angiography?

Published 2020-04-28

How to Cite

1.
Elía-Guedea M, Echazarreta-Gallego E, Córdoba-Díaz de Laspra E, Pérez-Tierra Ruiz J, Ramírez-Rodríguez JM. Could we pevent anastomotic leak in colorectal oncological surgery by using indocyanine green fluorescence angiography?. Rev Cir. [Internet]. 2020 Apr. 28 [cited 2026 Aug. 21];72(3). Available from: https://revistacirugia.cl/index.php/revistacirugia/article/view/514

Abstract

Aim: Anastomotic leakage (AL) following colorectal surgery is one of the most devastating complication. The use of indocyanine green fluorescence angiography has been developed as a promising tool to reduce the incidence of AL. The aim of this study is to evaluate the impact of this technique on the prevention of AL.

Materials and Method: A prospective study was carried out, including 59 patients undergoing resective colorectal surgery. It was performed intraoperatively indocyanine green angiography evaluation of the anastomotic perfusión in all of then.

Results: The section point was modified in 9 patients (15.25%); in which no AL was registered. The overall complication rate was 35.59% (n = 21), founding 3 anastomotic dehiscences in the serie.

Conclusion: In conclusion, in our experience this technique is an additional strategy in the prevention of the AL. Randomized control trial including more patients will be necessary to obtain conclusive results.