Video of Exploring the Use of Indocyanine Green (ICG) in Colorectal Surgery - Steven D Wexner
In this video, we will discuss that In the field of colorectal surgery, where surgical precision and complication avoidance are paramount, the use of Indocyanine Green (ICG) fluorescence imaging has emerged as a revolutionary adjunct. In this video titled "Exploring the Use of Indocyanine Green (ICG) in Colorectal Surgery," world-renowned colorectal surgeon Dr. Steven D. Wexner shares his expert insights on how ICG is improving intraoperative decision-making and reducing risks, especially in anastomotic integrity and oncologic accuracy.
What is Indocyanine Green (ICG)?
ICG is a fluorescent dye that, when illuminated with near-infrared (NIR) light, emits a green fluorescence that allows surgeons to visualize blood flow, tissue perfusion, and lymphatic drainage in real time. After intravenous administration, ICG binds to plasma proteins and remains intravascular, making it an ideal agent to evaluate tissue viability during surgery.
Key Insights from Dr. Steven D. Wexner’s Presentation
Anastomotic Perfusion Assessment
Dr. Wexner emphasizes that one of the major benefits of ICG in colorectal surgery is the ability to assess the vascular supply of bowel segments before performing an anastomosis. This helps reduce the risk of anastomotic leaks, a common and serious postoperative complication.
Real-Time Decision Making
With ICG, surgeons can make immediate intraoperative adjustments, such as revising the transection line if perfusion appears suboptimal. This dynamic feedback loop enhances confidence and safety in high-stakes colorectal procedures.
Oncologic Applications
ICG is increasingly being used for lymphatic mapping, allowing for more accurate lymph node harvesting in oncologic resections. It also aids in tumor localization, particularly in minimally invasive and robotic approaches.
ICG in Robotic Colorectal Surgery
In robotic-assisted procedures, the integrated NIR imaging capabilities of systems like the da Vinci platform make the use of ICG seamless and highly effective. Dr. Wexner points out how robotic integration has enhanced the practicality and precision of ICG fluorescence guidance.
Clinical Outcomes and Evidence
Several studies and clinical experiences shared by Dr. Wexner reveal that ICG-guided surgery is associated with fewer complications, reduced hospital stays, and improved postoperative outcomes, especially in high-risk and elderly patients.
Applications of ICG in Colorectal Surgery
Anterior resection and low anterior resection
Rectal cancer surgery
Diverticular disease resections
Minimally invasive and robotic colorectal procedures
Lymphadenectomy and tumor mapping
Conclusion
Dr. Steven D. Wexner’s expert commentary reaffirms that ICG fluorescence imaging is not just a surgical innovation—it is a standard of excellence in modern colorectal surgery. Its role in reducing complications and enhancing oncological precision makes it an indispensable tool in the colorectal surgeon’s armamentarium.
Watch the full video to explore how ICG is reshaping colorectal surgical strategies through enhanced visualization and smarter decision-making. Don’t forget to like, comment, and subscribe for more surgical insights and educational content from the forefront of minimal access surgery.
What is Indocyanine Green (ICG)?
ICG is a fluorescent dye that, when illuminated with near-infrared (NIR) light, emits a green fluorescence that allows surgeons to visualize blood flow, tissue perfusion, and lymphatic drainage in real time. After intravenous administration, ICG binds to plasma proteins and remains intravascular, making it an ideal agent to evaluate tissue viability during surgery.
Key Insights from Dr. Steven D. Wexner’s Presentation
Anastomotic Perfusion Assessment
Dr. Wexner emphasizes that one of the major benefits of ICG in colorectal surgery is the ability to assess the vascular supply of bowel segments before performing an anastomosis. This helps reduce the risk of anastomotic leaks, a common and serious postoperative complication.
Real-Time Decision Making
With ICG, surgeons can make immediate intraoperative adjustments, such as revising the transection line if perfusion appears suboptimal. This dynamic feedback loop enhances confidence and safety in high-stakes colorectal procedures.
Oncologic Applications
ICG is increasingly being used for lymphatic mapping, allowing for more accurate lymph node harvesting in oncologic resections. It also aids in tumor localization, particularly in minimally invasive and robotic approaches.
ICG in Robotic Colorectal Surgery
In robotic-assisted procedures, the integrated NIR imaging capabilities of systems like the da Vinci platform make the use of ICG seamless and highly effective. Dr. Wexner points out how robotic integration has enhanced the practicality and precision of ICG fluorescence guidance.
Clinical Outcomes and Evidence
Several studies and clinical experiences shared by Dr. Wexner reveal that ICG-guided surgery is associated with fewer complications, reduced hospital stays, and improved postoperative outcomes, especially in high-risk and elderly patients.
Applications of ICG in Colorectal Surgery
Anterior resection and low anterior resection
Rectal cancer surgery
Diverticular disease resections
Minimally invasive and robotic colorectal procedures
Lymphadenectomy and tumor mapping
Conclusion
Dr. Steven D. Wexner’s expert commentary reaffirms that ICG fluorescence imaging is not just a surgical innovation—it is a standard of excellence in modern colorectal surgery. Its role in reducing complications and enhancing oncological precision makes it an indispensable tool in the colorectal surgeon’s armamentarium.
Watch the full video to explore how ICG is reshaping colorectal surgical strategies through enhanced visualization and smarter decision-making. Don’t forget to like, comment, and subscribe for more surgical insights and educational content from the forefront of minimal access surgery.
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