Abstract

Evaluation of Colonic Perfusion for Colorectal Cancer Surgery Using Indocyanine Green Fluorescence Imaging

Highlights

  • Surgical resection is the first choice for the most of patients with colorectal cancer (CRC)

  • No complication clearly associated with indocyanine green (ICG) administration was observed such as allergy

  • Postoperative Anastomotic leakage (AL) occurred in 6 patients

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Summary

Introduction

Surgical resection is the first choice for the most of patients with colorectal cancer (CRC). Surgical resection is often occurred to postoperative complications such as anastomotic stricture, abdominal abscesses, and anastomotic leakage (AL) 1) 2). AL is one of the most serious of postoperative complications and it occurs relatively frequently in the cases of the rectal cancer surgery. This complication is reported to occur with approximately 1.5% of colon cancer surgery and approximately 5­20% of rectal cancer surgery 3). The colonic perfusion at anastomotic site is the one of most important cause of AL 4). Indocyanine green (ICG) fluorescence imaging, wherein the colon is exposed to near infrared rays after intravenous injection of ICG, has been

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