Article
Surgery
Rachel Q. Liu, Ahmad Elnahas, Ephraim Tang, Nawar A. Alkhamesi, Jeffrey Hawel, Abdulaziz Alnumay, Christopher M. Schlachta
Summary: The routine use of ICG-FA for colorectal anastomosis was found to be cost saving and a dominating strategy. However, there is a need for more prospective, randomized controlled trials to improve the quality of evidence.
SURGICAL ENDOSCOPY AND OTHER INTERVENTIONAL TECHNIQUES
(2022)
Review
Medicine, General & Internal
Shijun Xia, Wenjiang Wu, Lidan Luo, Lijuan Ma, Linchong Yu, Yue Li
Summary: We conducted a systematic review and meta-analysis to determine the efficacy of indocyanine green fluorescence angiography (ICGFA) in reducing anastomotic leakage after rectal cancer resection. The results showed that the use of ICGFA during surgery decreased the incidence of anastomotic leakage. However, larger multicenter randomized controlled trials are needed for further validation.
FRONTIERS IN MEDICINE
(2023)
Review
Gastroenterology & Hepatology
Dongliang Liu, Lichuan Liang, Liu Liu, Zhiqiang Zhu
Summary: The use of ICG-FA can reduce the risk of anastomotic leakage, reoperation, and overall complications in colorectal cancer surgery, but there is no statistically significant difference in mortality rate.
INTERNATIONAL JOURNAL OF COLORECTAL DISEASE
(2021)
Review
Gastroenterology & Hepatology
Jiajing Lin, Bingqiu Zheng, Suyong Lin, Zhihua Chen, Shaoqin Chen
Summary: The study found that intraoperative indocyanine green fluorescence angiography can reduce the rate of anastomotic leak, postoperative complications, and reoperation after colorectal cancer resection. However, there was no significant difference in operation time and surgical site infection rate between the two groups.
INTERNATIONAL JOURNAL OF COLORECTAL DISEASE
(2021)
Review
Surgery
Gang Tang, Donglin Du, Jie Tao, Zhengqiang Wei
Summary: The study shows that indocyanine green (ICG) is effective in reducing the incidence of anastomotic leakage after colorectal surgery, without prolonging the operation time or increasing postoperative complications.
FRONTIERS IN SURGERY
(2022)
Review
Surgery
Hua-Yang Pang, Xiao-Long Chen, Xiao-Hai Song, Danil Galiullin, Lin-Yong Zhao, Kai Liu, Wei-Han Zhang, Kun Yang, Xin-Zu Chen, Jian-Kun Hu
Summary: Intraoperative use of ICGFA can significantly reduce the incidence of anastomotic leakage in rectal cancer surgery and lead to shorter postoperative stays. Further research with larger sample sizes is needed to confirm the effectiveness of ICGFA in this context.
LANGENBECKS ARCHIVES OF SURGERY
(2021)
Review
Oncology
Masayoshi Iwamoto, Kazuki Ueda, Junichiro Kawamura
Summary: Anastomotic leakage is a feared complication of colorectal surgery and is strongly associated with tissue perfusion. Indocyanine green fluorescence angiography (ICG-FA) is an innovative technique that allows visualization of anastomotic perfusion. Several clinical trials have shown promising results in reducing the risk of anastomotic leakage with ICG-FA, but further large-scale studies are needed. The current evaluation method of ICG-FA is subjective, and objective evaluation methods using quantitative parameters are being investigated. Standardized and high-quality studies are warranted to validate the utility of ICG-FA in colorectal surgery.
Article
Oncology
Tom Pampiglione, Manish Chand
Summary: Fluorescence angiography (FA) with indocyanine green (ICG) has become an established technique in colorectal surgery, providing visual representation of perfusion to aid intraoperative decision making. Studies have shown that routine use of FA can reduce the rate of anastomotic leak, but its limitation lies in the inability to quantify perfusion.
SURGICAL ONCOLOGY-OXFORD
(2022)
Review
Surgery
Sameh Hany Emile, Sualeh Muslim Khan, Steven D. Wexner
Summary: The use of indocyanine green fluorescence angiography (ICG-FA) for assessing colorectal anastomoses was found to be associated with lower odds of anastomotic leak compared to traditional white light assessment. However, changing the surgical plan based on ICG-FA may increase the risk of anastomotic leak.
SURGICAL ENDOSCOPY AND OTHER INTERVENTIONAL TECHNIQUES
(2022)
Article
Oncology
Rao-Jun Luo, Zi-Yi Zhu, Zheng-Fu He, Yong Xu, Yun-Zheng Wang, Ping Chen
Summary: This study confirmed the potential of ICG-FA to reduce the rate of anastomotic leakage in McKeown MIE.
FRONTIERS IN ONCOLOGY
(2021)
Review
Surgery
Maxwell S. Renna, Mariusz T. Grzeda, James Bailey, Alison Hainsworth, Sebastien Ourselin, Michael Ebner, Tom Vercauteren, Alexis Schizas, Jonathan Shapey
Summary: This systematic review and meta-analysis evaluated the commonly used bowel perfusion assessment technologies in colorectal surgery and their association with anastomotic leak risk. Indocyanine green fluorescence angiography, hyperspectral imaging, and laser speckle contrast imaging all showed comparable results in reducing the incidence of anastomotic leak.
BRITISH JOURNAL OF SURGERY
(2023)
Article
Surgery
Zonglin Li, Yejiang Zhou, Gang Tian, Yi Liu, Yifan Jiang, Xin Li, Min Song
Summary: This study evaluated the impact of Indocyanine green (ICG) fluorescence angiography on anastomotic leakage (AL) rate after colorectal anastomoses for rectal cancer (RC) patients. Thirteen studies involving 2593 patients showed that ICG fluorescence angiography significantly reduced AL rates and overall complication rates in patients undergoing RC surgery. More high-quality randomized controlled trials are necessary to confirm the benefits of ICG fluorescence angiography.
Article
Oncology
Akihiro Kondo, Kensuke Kumamoto, Eisuke Asano, Dongping Feng, Hideki Kobara, Keiichi Okano
Summary: This study confirmed the significant reduction in anastomotic leakage (AL) during laparoscopic rectal cancer surgery with the use of indocyanine green (ICG) fluorescence angiography. Changes in the surgical plan based on ICG fluorescence visibility may improve short-term outcomes for rectal cancer patients.
WORLD JOURNAL OF SURGICAL ONCOLOGY
(2022)
Article
Medicine, General & Internal
Ruben P. J. Meijer, Robin A. Faber, Okker D. Bijlstra, Jeffrey P. B. M. Braak, Elma Meershoek-Klein Kranenbarg, Hein Putter, J. Sven D. Mieog, Koos Burggraaf, Alexander L. Vahrmeijer, Denise E. Hilling, Avoid Study Group
Summary: ICG-guided surgery shows potential in reducing anastomotic leakage after colorectal surgery, and a randomized controlled trial is needed to further evaluate its value.
Review
Medicine, General & Internal
Zoe Garoufalia, Steven D. D. Wexner
Summary: ICG imaging is increasingly used in colorectal surgery for perfusion assessment, ureteral and urethral assessment, lymphatic mapping, and assessment of hepatic and peritoneal metastases. Although evidence level is low, promising results have been observed, especially in reducing anastomotic leaks. ICG imaging is a safe and relatively cheap imaging modality in colorectal surgery.
JOURNAL OF CLINICAL MEDICINE
(2023)