Intraoperative left-sided colorectal anastomotic testing in clinical practice: a multi-treatment machine-learning analysis of the iCral3 prospective cohort.

Journal: Updates in surgery
PMID: 38767835

Abstract

BACKGROUND: Current evidence about intraoperative anastomotic testing after left-sided colorectal resections is still controversial. The aim of this study was to analyze the impact of Indocyanine Green fluorescent angiography (ICG-FA) and air-leak test (ALT) over standard assessment on anastomotic leakage (AL) rates according to surgeon's perception of anastomosis perfusion and/or integrity in clinical practice.

Authors

  • Marco Catarci
    General Surgery Unit, Sandro Pertini Hospital, ASL Roma 2, Via dei Monti Tiburtini, 385, 00157, Rome, Italy. marco.catarci@aslroma2.it.
  • Stefano Guadagni
    Department of General Surgery, Ospedale civile San Salvatore, University of L'Aquila, L'Aquila, Italy.
  • Francesco Masedu
    Department of Applied Clinical Sciences and Biotechnology, University of L'Aquila, L'Aquila, Italy.
  • Gianluca Guercioni
    General Surgery Unit, "C. E G. Mazzoni" Hospital, Ascoli Piceno, Italy.
  • Giacomo Ruffo
    General Surgery Unit, IRCCS Sacro Cuore Don Calabria Hospital, Negrar di Valpolicella, VR, Italy.
  • Massimo Giuseppe Viola
    General Surgery Unit, Cardinale G. Panico Hospital, Tricase, LE, Italy.
  • Felice Borghi
    Department of Oncologic Surgery, Candiolo Cancer Institute, FPO - IRCCS - Str. Prov. 142, Km 3,95, Candiol, TO, Italy.
  • Marco Scatizzi
    General Surgery Unit, Santa Maria Annunziata & Serristori Hospital, Florence, Italy.
  • Alberto Patriti
    Division of General, Minimally Invasive and Robotic Surgery, Department of Surgery, ASL Umbria 2, Ospedale San Matteo degli Infermi, Spoleto, Italy, albertopatriti@gmail.com.
  • Gian Luca Baiocchi

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