| Title |
Indocyanine green-enhanced fluorescence to assess bowel perfusion during laparoscopic colorectal resection
|
|---|---|
| Published in |
Surgical Endoscopy, October 2015
|
| DOI | 10.1007/s00464-015-4540-z |
| Pubmed ID | |
| Authors |
Luigi Boni, Giulia David, Gianlorenzo Dionigi, Stefano Rausei, Elisa Cassinotti, Abe Fingerhut |
| Abstract |
Anastomotic leakage after colorectal surgery is a severe complication. One possible cause of anastomotic leakage is insufficient vascular supply. The aim of this study was to evaluate the feasibility and the usefulness of intraoperative assessment of vascular anastomotic perfusion in colorectal surgery using indocyanine green (ICG)-enhanced fluorescence. Between May 2013 and October 2014, all anastomosis and resection margins in colorectal surgery were investigated using fluorescence angiography (KARL STORZ GmbH & Co. KG, Tuttlingen, Germany) intraoperatively to assess colonic perfusion prior to and after completion of the anastomosis, both in right and left colectomies. A total of 107 patients undergoing colorectal laparoscopic resections were enrolled: 40 right colectomies, 10 splenic flexure segmental resections, 35 left colectomies, and 22 anterior resections. In 90 % of cases, the indication for surgery was cancer and high ligation of vessels was performed. Based on the fluorescence intensity, the surgical team judged the distal part of the proximal bowel to be anastomosed insufficiently perfused in 4/107 patients (two anterior, one sigmoid and one segmental splenic flexure resections for cancer), and consequently, further proximal "re-resection" up to a "fluorescent" portion was performed. None of these patients had a clinical leak. The overall morbidity rate was 30 %; one patient undergoing right colectomy had an anastomotic leakage, apparently unrelated to ischemia; there were no clinical evident anastomotic leakages in colorectal resections including all low anterior resections. ICG-enhanced fluorescent angiography provides useful intraoperative information about the vascular perfusion during colorectal surgery and may lead to change the site of resection and/or anastomosis, possibly affecting the anastomotic leak rate. Larger further randomized prospective trials are needed to validate this new technique. |
X Demographics
The data shown below were collected from the profiles of 13 X users who shared this research output. Click here to find out more about how the information was compiled.
Geographical breakdown
| Country | Count | As % |
|---|---|---|
| United Kingdom | 3 | 23% |
| Spain | 2 | 15% |
| United States | 2 | 15% |
| France | 2 | 15% |
| Chile | 1 | 8% |
| Luxembourg | 1 | 8% |
| Unknown | 2 | 15% |
Demographic breakdown
| Type | Count | As % |
|---|---|---|
| Practitioners (doctors, other healthcare professionals) | 5 | 38% |
| Members of the public | 5 | 38% |
| Scientists | 2 | 15% |
| Science communicators (journalists, bloggers, editors) | 1 | 8% |
Mendeley readers
The data shown below were compiled from readership statistics for 198 Mendeley readers of this research output. Click here to see the associated Mendeley record.
Geographical breakdown
| Country | Count | As % |
|---|---|---|
| Turkey | 1 | <1% |
| Italy | 1 | <1% |
| Slovakia | 1 | <1% |
| Brazil | 1 | <1% |
| Unknown | 194 | 98% |
Demographic breakdown
| Readers by professional status | Count | As % |
|---|---|---|
| Researcher | 30 | 15% |
| Other | 25 | 13% |
| Student > Ph. D. Student | 19 | 10% |
| Student > Bachelor | 19 | 10% |
| Student > Master | 19 | 10% |
| Other | 37 | 19% |
| Unknown | 49 | 25% |
| Readers by discipline | Count | As % |
|---|---|---|
| Medicine and Dentistry | 119 | 60% |
| Engineering | 9 | 5% |
| Biochemistry, Genetics and Molecular Biology | 2 | 1% |
| Veterinary Science and Veterinary Medicine | 2 | 1% |
| Agricultural and Biological Sciences | 2 | 1% |
| Other | 8 | 4% |
| Unknown | 56 | 28% |
Attention Score in Context
This research output has an Altmetric Attention Score of 17. This is our high-level measure of the quality and quantity of online attention that it has received. This Attention Score, as well as the ranking and number of research outputs shown below, was calculated when the research output was last mentioned on 27 February 2024.
All research outputs
#2,022,633
of 24,654,416 outputs
Outputs from Surgical Endoscopy
#178
of 6,609 outputs
Outputs of similar age
#28,929
of 288,795 outputs
Outputs of similar age from Surgical Endoscopy
#3
of 104 outputs
Altmetric has tracked 24,654,416 research outputs across all sources so far. Compared to these this one has done particularly well and is in the 91st percentile: it's in the top 10% of all research outputs ever tracked by Altmetric.
So far Altmetric has tracked 6,609 research outputs from this source. They receive a mean Attention Score of 4.1. This one has done particularly well, scoring higher than 97% of its peers.
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We're also able to compare this research output to 104 others from the same source and published within six weeks on either side of this one. This one has done particularly well, scoring higher than 98% of its contemporaries.