title: Discriminatory influence of Pinpoint perfusion imaging on diversion ileostomy after laparoscopic low anterior resection.
abstract: While still debated, it was advised to perform a protective temporary ileostomy after a low anterior resection (LAR). This might help to decrease the leak rate and therefore offers the patient better outcomes. Anastomotic leak can occur in many situations after a LAR and the control of the risk factors helps to adapt the need of an ileostomy. Near infrared technology allows assessing the microvascularisation of the anastomosis at the time of surgery and therefore might be an important tool to avoid a stoma in given situation. This article reviews the evidences with the use of this technology.
authors.affiliation: Division of Visceral Surgery, Departments of Surgery, Geneva University Hospitals and Medical School, Geneva, Switzerland.
authors.forename: F
authors.initials: F
authors.lastname: Ris
authors.affiliation: Division of Visceral Surgery, Departments of Surgery, Geneva University Hospitals and Medical School, Geneva, Switzerland.|Department of Colorectal Surgery, Oxford University Hospitals NHS trust, Oxford, UK.
authors.forename: N C
authors.initials: NC
authors.lastname: Buchs
authors.affiliation: Division of Visceral Surgery, Departments of Surgery, Geneva University Hospitals and Medical School, Geneva, Switzerland.
authors.forename: P
authors.initials: P
authors.lastname: Morel
authors.affiliation: Department of Colorectal Surgery, Oxford University Hospitals NHS trust, Oxford, UK.
authors.forename: N J
authors.initials: NJ
authors.lastname: Mortensen
authors.affiliation: Department of Colorectal Surgery, Oxford University Hospitals NHS trust, Oxford, UK.
authors.forename: R
authors.initials: R
authors.lastname: Hompes
mesh_terms: D000328:Adult; D000714:Anastomosis, Surgical / Q000009:adverse effects / Q000379:methods; D057868:Anastomotic Leak / Q000209:etiology / Q000517:prevention & control*; D013505:Digestive System Surgical Procedures / Q000009:adverse effects / Q000379:methods; D006801:Humans; D007081:Ileostomy / Q000379:methods*; D007422:Intestines / Q000098:blood supply / Q000601:surgery*; D010535:Laparoscopy / Q000009:adverse effects / Q000379:methods; D008875:Middle Aged; D055420:Perfusion Imaging / Q000379:methods*; D012307:Risk Factors
keywords: Pinpoint; ileostomy; indocyanine green; leak; low anterior resection; near infrared