Robot‑assisted surgery for rectal cancer using ICG fluorescence angiography

06/2019

MUDr. Daniel Langer; prof. MUDr. Miroslav Ryska, CSc.

Chirurgická klinika 2. LF UK a Ústřední vojenská nemocnice - Vojenská fakultní nemocnice, Praha

SUMMARY

Colorectal cancer significantly contributes to the overall oncological burden of the Czech population. Surgical treatment is crucial in multimodal therapeutic approach. Robot-assisted surgery, primarily used for benign conditions, has quickly become an important method of treatment for malignancies. In the treatment of rectal carcinoma, as well as other conditions, the Da Vinci system brings indisputable advantages to the surgeon given the preparation in narrow pelvic space, which significantly contributes to increased safety of the procedure. The Da Vinci system is routinely used in surgical treatment of rectal cancer at many foreign and domestic workplaces. A feared surgical complication with possible fatal consequences for the patient is anastomotic insufficiency. Assessment of tissue perfusion during surgery by fluorescence angiography using indocyanine green in the near-infrared spectrum represents a potential possibility of reducing the frequency of anastomotic leaks.

Key words

rectal carcinoma, surgical treatment, robotic system da Vinci, anastomotic leak, fluorescence angiography