Anastomosis After Right Hemicolectomy ICG Perfusion Test
5 months ago
Patient with advanced colon cancer underwent laparoscopic right hemicolectomy to avoid intestinal obstruction. After the intracorporeal anastomosis is performed, ICG perfusion test is done to verify good blood supply of the anstomosis. Impared blood supply is the main cause of anastomotic leak alongside with tension. There are several modes of perfusion detection including the infrared (greyish colours). In the end of the video one can see the specimen just above the liver and compare the zero fluorescence as all vessels are already sealed or ligated (here we position it to have enough space to perform the anastomosis, then it is removed through short suprapubic incision with sparing the rectus muscles).