Indocyanine green fluorescence angiography: a new ERAS item

Updates in Surgery
Antonio BresciaFulger Lazar

Abstract

ERAS protocol and indocyanine green fluorescence angiography (ICG-FA) represent the new surgical revolution minimizing complications and shortening recovery time in colorectal surgery. As of today, no studies have been published in the literature evaluating the impact of the ICG-FA in the ERAS protocol for the patients suitable for colorectal surgery. The aim of our study was to assess whether the systematic evaluation of intestinal perfusion by ICG-FA could improve patients outcomes when managed with ERAS perioperative protocol, thus reducing surgical complication rate. This is a retrospective case-control study. From March 2014 to April 2017, 182 patients underwent laparoscopic colorectal surgery for benign and malignant diseases. All the patients were enrolled in ERAS protocol. Two groups were created: Group A comprehended 107 patients managed within the ERAS pathway only and Group B comprehended 75 patients managed as well as with ERAS pathway plus the intraoperative assessment of intestinal perfusion with ICG-FA. Two board-certified laparoscopic colorectal surgeons jointly performed all procedures. Six (5.6%) clinically relevant anastomotic leakages (AL) occurred in Group A, while there was none in Group B, demonstrating t...Continue Reading

References

Mar 3, 2004·Diseases of the Colon and Rectum·Linda BasseHenrik Kehlet
Jan 7, 2005·The British Journal of Surgery·P M MarkusH Becker
Mar 25, 2005·Diseases of the Colon and Rectum·Graham BranaganUNKNOWN Wessex Colorectal Cancer Audit Working Group
Jun 16, 2006·The British Journal of Surgery·J WindUNKNOWN Enhanced Recovery after Surgery (ERAS) Group
Jan 18, 2008·ANZ Journal of Surgery·Kamran Zargar-Shoshtari, Andrew G Hill
Mar 11, 2008·Lancet·Henrik Kehlet
Jan 23, 2009·The British Journal of Surgery·P O HendryUNKNOWN Enhanced Recovery After Surgery Study Group
Feb 12, 2009·Colorectal Disease : the Official Journal of the Association of Coloproctology of Great Britain and Ireland·C J WalterJ R Monson
Feb 18, 2009·International Journal of Colorectal Disease·A KarliczekG M van Dam
Feb 21, 2009·Journal of the American College of Surgeons·T Peter Kingham, H Leon Pachter
May 6, 2009·International Journal of Colorectal Disease·Nikolaos GouvasParis P Tekkis
May 22, 2009·Journal of Gastrointestinal Surgery : Official Journal of the Society for Surgery of the Alimentary Tract·Cagla EskiciogluRobin S McLeod
Jul 30, 2009·Annals of Surgery·Pierre A ClavienMasatoshi Makuuchi
Sep 26, 2009·Journal of Gastrointestinal Surgery : Official Journal of the Society for Surgery of the Alimentary Tract·Pascal H E TeeuwenA J A Bremers
Jun 15, 2011·World Journal of Gastrointestinal Surgery·Linas UrbanavičiusDonatas Venskutonis
Nov 10, 2011·Diseases of the Colon and Rectum·Elizabeth C WickMartin A Makary
Aug 14, 2012·ANZ Journal of Surgery·Celia KeaneTim Eglinton
Sep 19, 2012·JAMA Surgery·Celeste Y KangMichael J Stamos
Oct 12, 2012·World Journal of Surgery·U O GustafssonUNKNOWN International Association for Surgical Metabolism and Nutrition (IASMEN)
Feb 14, 2013·Der Chirurg; Zeitschrift für alle Gebiete der operativen Medizen·W KunertA Kirschniak
Apr 11, 2014·Surgical Endoscopy·Subramanian NachiappanOmar Faiz
Dec 3, 2014·Journal of the American College of Surgeons·Mehraneh D JafariMichael J Stamos
Dec 4, 2014·European Journal of Surgical Oncology : the Journal of the European Society of Surgical Oncology and the British Association of Surgical Oncology·S A L AsariN K Kim

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