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Chinese Journal of Colorectal Diseases(Electronic Edition) ›› 2023, Vol. 12 ›› Issue (06): 441-447. doi: 10.3877/cma.j.issn.2095-3224.2023.06.001

• Guideline and Consensus •     Next Articles

Chinese expert consensus on applying indocyanine green near infrared fluorescence imaging technique to evaluate anastomotic blood supply during laparoscopic colorectal surgery(2023 edition)

Colorectal Cancer Professional Committee, Chinese Medical Doctor Association, Colorectal Cancer Professional Committee, Chinese Anti-Cancer Association, Colorectal Cancer Branch, Beijing Association of Holistic Integrative Medicine   

  • Received:2023-09-16 Online:2023-12-25 Published:2024-01-11

Abstract:

Anastomotic leak is one of the most severe complications following colorectal surgery. Indocyanine green (ICG) near-infrared fluorescence angiography (NIR-FA) technology can effectively assess the blood supply of the intestinal stump after specimen resection intraoperatively, reducing the incidence of anastomotic leaks. Currently, there is controversy regarding how to apply ICG NIR-FA technology to evaluate anastomotic blood supply during laparoscopic colorectal surgery. This article synthesizes the latest research findings both domestically and internationally, providing a comprehensive overview of the feasibility, safety, administration methods, and specific intraoperative procedures of ICG. It proposes 8 consensus statements aimed at offering guidance and reference for colorectal surgeons in China to use ICG NIR-FA technology for assessing anastomotic blood supply. Unresolved issues within this consensus still require further clinical practice and the active pursuit of high-quality clinical research for gradual exploration and resolution.

Key words: Indocyanine green (ICG), Near-infrared fluorescence angiography technology, Colorectal surgery, Anastomotic leakage

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