Artificial Intelligence Indocyanine Green (ICG) Perfusion for Colorectal Cancer Intra-operative Tissue Classification

METHODS Intraoperative white-light and NIR-fluorescence multispectral videos of primary colorectal tumours in patients undergoing diagnostic and therapeutic intervention were used for both AI model training and testing. These contained mucosal tumours subsequently determined as being benign or malignant with their surrounding area of macroscopically normal tissue, as viewed in both white light and NIR after…

Commentary On: Indocyanine Green does not Decrease the Need for Bail-out Operation in an Acute Care Surgery Population

The authors of this publication are to be commended for conducting this retrospective study analyzing the impact of near infrared fluorescent cholangiography (NIFC) in patients undergoing laparoscopic cholecystectomy (LC) for symptomatic or complicated cholelithiasis in an acute care setting. In this study, a total of 198 patients who underwent LC were evaluated. Acute cholecystitis was…

Consensus Conference Statement on the general use of Near-infrared Fluorescence Imaging and Indocyanine Green Guided Surgery Results of a Modified Delphi Study

Background: In recent decades, the use of near-infrared light and fluores- cence-guidance during open and laparoscopic surgery has exponentially expanded across various clinical settings. However, tremendous variability exists in how it is performed. Objective: In this first published survey of international experts on fluorescence-guided surgery, we sought to identify areas of consensus and non- consensus across 4…

Does Intraoperative Indocyanine Green Fluorescence Angiography Decrease the Incidence of Anastomotic Leakage in Colorectal Surgery? A Systematic Review and Meta-Analysis

ABSTRACT Background Colorectal anastomoses in patients with colorectal cancer carry a high risk of leakage. Indocyanine green fluorescence angiography (ICG-FA) is a new technique that allows surgeons to assess the blood perfusion of the anastomosis during operation. This meta-analysis aimed to evaluate whether ICG-FA could prevent anastomotic leakage (AL) in colorectal surgery. Methods Four databases…

The Impact of Indocyanine-green Fluorescence Angiography on Intraoperative Decision-making and Postoperative Outcome in Free Flap Surgery

ABSTRACT Background Reliable perfusion of the distal portions of free flaps is decisive for the reconstructive success. Indocyanine green near-infrared video angiography (ICG-NIR-VA) has been adopted for objective assessment of free flap tissue perfusion but is thus far not used on a routine basis. Therefore, we investigated its intraoperative impact on decision-making and postoperative outcome.…

Intraureteral Indocyanine Green Augments Ureteral Identification And Avoidance During Complex Robotic‐assisted Colorectal Surgery

ABSTRACT Aim Up to 10% of patients undergoing non‐urologic abdominopelvic operations suffer a ureteral injury. While preoperative ureteral stenting to facilitate ureteral identification is common, it does not reduce the incidence of intraoperative ureteral injury and is not without risk. As we continue to broaden the application of minimally invasive surgical techniques, a new form…

Indocyanine Green Fluorescence Angiography and the Incidence of Anastomotic Leak after Colorectal Resection for Colorectal Cancer: A Meta-analysis

ABSTRACT BACKGROUND Anastomotic leak is a life-threatening complication of colorectal surgery. Recent studies showed that indocyanine green fluorescence angiography might be a method to prevent anastomotic leak. OBJECTIVE The purpose of this study was to investigate whether intraoperative indocyanine green fluorescence angiography can reduce the incidence of anastomotic leak. DATA SOURCES Potential relevant studies were identified from the…

Indocyanine Green Fluorescence Angiography Decreases the Risk of Colorectal Anastomotic Leakage: Systematic Review and Meta-analysis

Background Anastomotic leakage after a colorectal resection results in devastating consequences for patients. Indocyanine green fluorescence angiography is a modality to visualize vascular perfusion at the anastomotic site and can help surgeons decide the viability of the anastomosis. We performed this systematic review and meta-analysis to evaluate the efficacy of indocyanine green fluorescence angiography in…