Indocyanine Green Fluorescence Imaging in Prevention of Colorectal Anastomotic Leakage

Indocyanine Green Fluorescence Imaging in Prevention of Colorectal Anastomotic Leakage

This is a randomized, controlled, parallel, multicenter trial to determine the difference in post-operative anastomotic leakages in colorectal surgery, where anastomosis perfusion is evaluated using indocyanine green fluorescence imaging as an addition to standard surgical practice compared to surgical practice alone.

Inclusion Criteria:

• All consenting patients in the catchment area of participating hospitals who undergo elective colorectal surgery with planned primary anastomosis are eligible for this study.
• Of rectal cancer patients only those with pathology in the proximal third will be included in the study (defined by area proximal from peritoneal fold).

Exclusion Criteria:

• Emergent patients
• Patients with proven diverticular abscess and colonic fistulas are excluded
• Patients with planned open surgery are excluded.