Efficacy of intraoperative ICG fluorescence imaging evaluation for preventing anastomotic leakage after left-sided colon or rectal cancer surgery: a propensity score-matched analysis

Safety and Efficacy of Indocyanine Green in Colorectal Cancer Surgery: A Systematic Review and Meta-Analysis of 11,047 Patients

“…A total of 1936 references were finally confirmed by the electronic search, and 73 potentially relevant studies were selected after screening the titles and abstracts. Among the 73 potentially relevant studies, a total of 32 met the inclusion criteria [ 18 , 19 , 20 , 21 , 22 , 23 , 24 , 25 , 26 , 27 , 28 , 29 , 30 , 31 , 32 , 33 , 34 , 35 , 36 , 37 , 38 , 39 , 40 , 41 , 42 , 43 , 44 , 45 , 46 , 47 , 48 , 49 ]. Table 1 and Table S1 summarize the study characteristics.…”

“…Fluorescence radiography and near-infrared angiography can help estimate blood microcirculation. However, a change of the transection line level owing to blood supply assessed as insufficient in fluorescein angiography did not prevent anastomotic leak in ther out of eighteen cases (16.7%) [ 48 ]. This could support the thesis by Kin et al [ 33 ], implying that success is an effect of a combination of more than one factor concerning microcirculation.…”

“…The following supporting information can be downloaded at: . Table S1: Methodology characteristics of the included trials [ 18 , 19 , 20 , 21 , 22 , 23 , 24 , 25 , 26 , 27 , 28 , 29 , 30 , 31 , 32 , 33 , 34 , 35 , 36 , 37 , 38 , 39 , 40 , 41 , 42 , 43 , 44 , 45 , 46 , 47 , 48 , 49 ]; Table S2: Pooled analysis in subgroups of randomized and non-randomized trials; Table S3: PRISMA checklist. Figure S1: A summary table of the review authors’ judgements for each risk of bias item for each randomized study; Figure S2: A plot of the distribution of the review authors’ judgements for each risk of bias item across randomized studies; Figure S3: A summary table of the review authors’ judgements for each risk of bias item for each non-randomized study; Figure S4: A plot of the distribution of the review authors’ judgements for each risk of bias item across non-randomized studies.…”

Clinical impact of the triple‐layered circular stapler for reducing the anastomotic leakage in rectal cancer surgery: Porcine model and multicenter retrospective cohort analysis

“…Other than anastomotic strength and intrarectal pressure, it has been reported that the blood flow and tension at the anastomotic site are important factors related to AL. 26 , 27 , 28 , 29 A recently proposed technology with which to evaluate the blood flow is indocyanine green fluorescence‐guided visualization, and the clinical significance of this method has been reported. 29 , 30 Some studies have shown that high ligation of the inferior mesenteric artery is associated with a higher risk of AL, although this finding is controversial.…”

Prevention of anastomotic leakage using a polyglycolic acid sheet in double-stapling technique anastomosis for rectal surgery

“…Therefore, various surgical techniques have been devised. For example, an evaluation of the intestinal blood flow using indocyanine green (ICG) fluorescent [ 6 , 7 ], sufficient mobilization of the left colon including splenic flexure for tension-free anastomosis [ 8 , 9 ], improvements in stapling devices [ 10 , 11 ] and the placement of a transanal tube for decompression of anastomosis [ 12 , 13 ]. However, anastomotic leakage in rectal surgery remains one of the most serious postoperative complications.…”