Siripong Cheewatanakornkul, MD, Nan-ak Wiboonkwan. Prince Of Songkla University
Anastomotic leakage is one of the most feared complications in colorectal surgery. Although, technical advancements have led to an overall reduction of other complications, anastomosis leakages still require an operation in 95 % of cases. Moreover, most patients, who have anastomosis leakage have to live with temporary ostomy, or even permanent colostomy.Recent systematic reviews reveal that the gender of the (male) patients, narrow pelvis, low rectal cancer and preoperative chemoradiation are individual factors associated with an increase leak rates. Despite the cause of a leak being multifactorial, some factors can be easily modified to prevent a leak. Avoidance of inadequate perfusion of the colon during the creation of anastomosis is, however, one of the keys.So far, there is a growing body of literature that focuses on the importance of assessment of perfusion using fluorescence enhancing technology.
This video demonstrated application of fluorescence imaging in complex laparoscopic case. Integration of this new technology with current minimally invasive surgery technique may reduce the complication from anastomosis and blie leakages in case of simultaneous resection of primary tumor and synchronous metastasis.
Presented at the SAGES 2017 Annual Meeting in Houston, TX.
Abstract ID: 88492
Program Number: V051
Presentation Session: Colorectal Videos Session
Presentation Type: Video