The influence of fluorescence imaging on the location of bowel transection during robotic left-sided colorectal surgery

2014 ◽  
Vol 28 (5) ◽  
pp. 1695-1702 ◽  
Author(s):  
Minia Hellan ◽  
Giuseppe Spinoglio ◽  
Alessio Pigazzi ◽  
Jorge A. Lagares-Garcia
2019 ◽  
Vol 18 (4) ◽  
pp. 139-150
Author(s):  
M. V. Alekseev ◽  
Yu. A. Shelygin ◽  
E. G. Rybakov

AIM: to evaluate of efficacy of fluorescence angiography (FA) in reducing the anastomotic leakage (AL) rate after colorectal surgery in meta-analysis.SEARCH STRATEGY: PubMed were searched up to May 2019 for studies comparing fluorescence imaging with standard approach. The primary outcome measure was colorectal anastomotic leakage (AL) rate. The Newcastle-Ottawa scale was used for quality assessment. A meta-analysis with random-effects model was performed to calculate odds ratios (ORs) from the original data.RESULTS: Two thousand four hundred and sixty-six patients from 7 non-randomized studies and 1 randomized study were included. Fluorescence imaging significantly reduced the AL rate in patients after colorectal surgery (OR 0.58; 95%CI 0.39-0.85; p=0.006) and after rectal cancer surgery (OR 0.28; 95%CI, 0.14-0.55; p=0.0002). A limitation of this meta-analysis is the inclusion of only one randomized study.CONCLUSION: Fluorescence angiography with indocyanine green is a method of preventing of leakage of colorectal anastomosis. The results of randomized clinical trials are needed to confirm the effectiveness of this technique.


2017 ◽  
Vol 31 (10) ◽  
pp. 4184-4193 ◽  
Author(s):  
Toshiaki Wada ◽  
Kenji Kawada ◽  
Ryo Takahashi ◽  
Mami Yoshitomi ◽  
Koya Hida ◽  
...  

2020 ◽  
Vol 17 (12) ◽  
pp. 1277-1283
Author(s):  
Amandeep Ghuman ◽  
Sandra Kavalukas ◽  
Stephen P. Sharp ◽  
Steven D. Wexner

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