Intraoperative fluorescence angiography in objectification of relegated colon perfusion in oncocoloproctology: first Russian experience and review of the literature

Abstract

Sufficient length, as well as an adequacy of the blood supply to the distal part of the relegated colon in the formation of primary anastomosis are major intraoperative factors that can reduce the number of anastomotic leak in case of colon resections. Intraoperative fluorescence angiography allows you to assess an adequacy of the blood supply. It is easily feasible and reproducible technique. In this paper we publish our first experience of using this technique in 7 patients. In 1 of them intraoperative surgical tactics was changed after the study. Further developments in this direction are necessary in order to evaluate clinical significance of intraoperative fluorescence angiography in perfusion objectification during surgical operations on the colon.

Keywords

• fluorescence angiography
• blood circulation
• anastomotic leak
• rectal cancer
• colon cancer
• colorectal surgery