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Intestine and Lower Gastrointestinal Tract ·

Fluorescence Imaging Cuts Anastomotic Leakage in Colorectal Surgery

Indocyanine green fluorescence angiography significantly lowers anastomotic leakage rates in colorectal surgery, improving patient outcomes.

  • Anastomotic leakage was 7.9% in the indocyanine green group compared to 11.6% in controls (risk ratio 0.69, p < .001).
  • The finding is robust, supported by a review of 4,636 patients across seven trials.

Surgeons should consider using fluorescence angiography to enhance surgical safety, especially for high-risk patients.

  • More research is needed for specific cases like low anastomoses.

Review by Brucchi F, Boni L (…) Baldari L et 6 al. in BMC Surg

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