Fluorescence-based bowel anastomosis perfusion evaluation: results from the IHU-IRCAD-EAES EURO-FIGS registry.

摘要: Anastomotic leakage (AL) is one of the dreaded complications following surgery in digestive tract. Near-infrared fluorescence (NIRF) imaging a means to intraoperatively visualize anastomotic perfusion, facilitating image-guided (FIGS) with purpose reduce incidence AL. The aim this study was analyze current practices and results NIRF anastomosis tract through EURO-FIGS registry. Analysis data prospectively collected by registry members provided patient procedural along ICG dose, timing, consequences imaging. Among included upper-GI, colorectal, bariatric surgeries, subgroup analysis performed identify risk factors associated complications. A total 1240 patients were study. patients, 74.8% whom operated on for cancer, originated from 8 European countries 30 hospitals. 54 surgeons procedures. In 83.8% cases, pre-anastomotic dose administered, 60.1% post-anastomotic administered. significant difference (p < 0.001) found given four pathology groups registered (range: 0.013–0.89 mg/kg) negative correlation between BMI. 27.3% procedures, choice level guided which that these cases changed first decided based visual findings conventional white light 98.7% use partly or strongly sense confidence about anastomosis. 133 occurred, without any statistical significance anastomoses, whether they ICG-guided not. provides an insight into clinical practice across Europe respect perfusion during surgery.