1. Does routine use of indocyanine green fluorescence angiography prevent anastomotic leaks? A retrospective cohort analysis
- Author
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Paul Kolarsick, Roy M. Dressner, William P. Boyan, Bogdan Protyniak, Michael L. Arvanitis, Abi James, and Anthony Dinallo
- Subjects
Adult ,Indocyanine Green ,Male ,medicine.medical_specialty ,Leak ,Decision Making ,Anastomotic Leak ,030230 surgery ,Anastomosis ,03 medical and health sciences ,chemistry.chemical_compound ,0302 clinical medicine ,medicine ,Humans ,Fluorescein Angiography ,Coloring Agents ,Aged ,Retrospective Studies ,Aged, 80 and over ,medicine.diagnostic_test ,business.industry ,Retrospective cohort study ,General Medicine ,Middle Aged ,Fluorescein angiography ,Colorectal surgery ,chemistry ,030220 oncology & carcinogenesis ,Angiography ,Surgery ,Female ,Radiology ,business ,Indocyanine green ,Perfusion ,Colorectal Surgery - Abstract
Background Insufficient perfusion to anastomoses in colorectal surgery is known to lead to complications. This study aims to evaluate whether routine use of fluorescence angiography (FA) alters the incidence of anastomotic leaks after colorectal surgery. Methods This was a retrospective study of 554 colorectal resections with and without the use of intraoperative fluorescence angiography. Anastomotic leak rates and whether angiography altered surgical management were the main outcomes measured. Results The anastomotic leak rate was found to be 1.3% both with and without use of FA (p > 0.05). Significantly more alterations were made to planned anastomotic site in FA group (n = 13, 5.6%) as compared to the group prior to use of FA in whom no alterations were made (p Conclusions No significant difference was found in anastomotic leak rates between the two groups studied. Routine use of fluorescence angiography significantly altered intra-operative decision-making without discernible change in clinical outcome.
- Published
- 2018