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Intraoperative fluorescence angiography and risk factors of anastomotic leakage in mini-invasive low rectal resections

The result's identifiers

  • Result code in IS VaVaI

    <a href="https://www.isvavai.cz/riv?ss=detail&h=RIV%2F61988987%3A17110%2F21%3AA2202DE4" target="_blank" >RIV/61988987:17110/21:A2202DE4 - isvavai.cz</a>

  • Alternative codes found

    RIV/61989100:27240/21:10247724

  • Result on the web

    <a href="https://www.webofscience.com/wos/woscc/full-record/WOS:000572624400007?SID=E1pRUgPdy5nfVZ29Get" target="_blank" >https://www.webofscience.com/wos/woscc/full-record/WOS:000572624400007?SID=E1pRUgPdy5nfVZ29Get</a>

  • DOI - Digital Object Identifier

    <a href="http://dx.doi.org/10.1007/s00464-020-07982-x" target="_blank" >10.1007/s00464-020-07982-x</a>

Alternative languages

  • Result language

    angličtina

  • Original language name

    Intraoperative fluorescence angiography and risk factors of anastomotic leakage in mini-invasive low rectal resections

  • Original language description

    Background One of the prerequisites for proper healing of the anastomosis after a colorectal resection is adequate blood supply to the connected intestinal segments. It has been proposed that adequate visualization of the blood flow using indocyanine green (ICG) could lead to the reduction in the incidence of anastomotic leakage (AL). The aim of this study was to assess the effectiveness of intraoperative fluorescence angiography (FA) in decreasing the incidence of AL after minimally invasive low anterior resection (LAR) with total mesorectal excision (TME) in rectal cancer patients and to determine predictors of anastomotic leak. Methods From August 2015 to January 2019, data from 100 patients who underwent mini-invasive TME for rectal cancer using FA with indocyanine green (ICG) were prospectively collected and analyzed. They were compared with retrospectively analyzed data from a historical control group operated by one team of surgeons before the introduction of FA from November 2012 to August 2015 (100 patients). All patients from both groups were operated sequentially in one oncological center in Novy Jicin. Results The incidence of AL was significantly lower in the ICG group (19% vs. 9%,p = 0.042,chi(2)test). In fifteen patients in the ICG group (15%), the resection line was moved due to insufficient perfusion. Using Pearson's chi(2)test, diabetes (p = 0.036) and application of a transanal drain (NoCoil) (p = 0.032) were identified as other risk factors (RFs) for AL. Conclusion The use of ICG to visualize tissue perfusion in low rectal resections for cancer can lead to a reduction of AL.

  • Czech name

  • Czech description

Classification

  • Type

    J<sub>imp</sub> - Article in a specialist periodical, which is included in the Web of Science database

  • CEP classification

  • OECD FORD branch

    30212 - Surgery

Result continuities

  • Project

  • Continuities

    V - Vyzkumna aktivita podporovana z jinych verejnych zdroju

Others

  • Publication year

    2021

  • Confidentiality

    S - Úplné a pravdivé údaje o projektu nepodléhají ochraně podle zvláštních právních předpisů

Data specific for result type

  • Name of the periodical

    Surgical Endoscopy and Other Interventional Techniques

  • ISSN

    0930-2794

  • e-ISSN

  • Volume of the periodical

    35

  • Issue of the periodical within the volume

    9

  • Country of publishing house

    US - UNITED STATES

  • Number of pages

    9

  • Pages from-to

    5015-5023

  • UT code for WoS article

    000572624400007

  • EID of the result in the Scopus database