The DOI matches its Crossref record; 28 of the 28 references it cites were found in a registry or an index.
Perfusion Assessment in Laparoscopic Left-Sided/Anterior Resection (PILLAR II): A Multi-Institutional Study
Open accessAbstract
BACKGROUND: Our primary objective was to demonstrate the utility and feasibility of the intraoperative assessment of colon and rectal perfusion using fluorescence angiography (FA) during left-sided colectomy and anterior resection. Anastomotic leak (AL) after colorectal resection increases morbidity, mortality, and, in cancer cases, recurrence rates. Inadequate perfusion may contribute to AL. The PINPOINT Endoscopic Fluorescence Imaging System allows for intraoperative assessment of anastomotic perfusion. STUDY DESIGN: This is a prospective, multicenter, open-label, clinical trial that assessed the feasibility and utility of FA for intraoperative perfusion assessment during left-sided colectomy and anterior resection at 11 centers in the United States. RESULTS: A total of 147 patients were enrolled, of whom 139 were eligible for analysis. Diverticulitis (44%), rectal cancer (25%), and colon cancer (21%) were the most prevalent indications for surgery. The mean level of anastomosis was 10 ± 4 cm from the anal verge. Splenic-flexure mobilization was performed in 81% and high ligation of the inferior mesenteric artery in 61.9% of patients. There was a 99% success rate for FA, and FA changed surgical plans in 11 (8%) patients, with the majority of changes occurring at the time of transection of the proximal margin (7%). Overall morbidity rates were 17%. The anastomotic leak rate was 1.4% (n = 2). There were no anastomotic leaks in the 11 patients who had a change in surgical plan based on intraoperative perfusion assessment with FA. CONCLUSIONS: PINPOINT is a safe and feasible tool for intraoperative assessment of tissue perfusion during colorectal resection. There were no anastomotic leaks in patients in whom the anastomosis was revised based on inadequate perfusion with FA.
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Pharmacological interventions for somatoform disorders in adults
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A Review of Indocyanine Green Fluorescent Imaging in Surgery
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Risk factors for anastomotic leakage after resection of rectal cancer
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Anastomotic Leaks After Intestinal Anastomosis: It??s Later Than You Think
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Colonic Anastomotic Leak: Risk Factors, Diagnosis, and Treatment
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Surgeons lack predictive accuracy for anastomotic leakage in gastrointestinal surgery
Karliczek, A., Harlaar, N. J., Zeebregts, C. J., Wiggers, T., Baas, P. C., & van Dam, G. M. (2009) · International Journal of Colorectal Disease · doi:10.1007/s00384-009-0658-6 · Cited by 464
Cited by
2017 WSES guidelines on colon and rectal cancer emergencies: obstruction and perforation
Pisano, M., Zorcolo, L., Merli, C., Cimbanassi, S., Poiasina, E., Ceresoli, M., Agresta, F., Allievi, N., Bellanova, G., Coccolini, F., et al. (2018) · World Journal of Emergency Surgery · doi:10.1186/s13017-018-0192-3 · Cited by 396
Self-citationvan Manen, L., Handgraaf, H. J. M., Diana, M., Dijkstra, J., Ishizawa, T., Vahrmeijer, A. L., & Mieog, J. S. D. (2018) · Journal of Surgical Oncology · doi:10.1002/jso.25105 · Cited by 322
Application of Fluorescent Dyes in Visceral Surgery: State of the Art and Future Perspectives
Nowak, K., Karampinis, I., & Gerken, A. L. H. (2020) · Visceral Medicine · doi:10.1159/000506910 · Cited by 32
Vaassen, H. G. M., Wermelink, B., Manohar, S., Geelkerken, R. H., & Lips, D. J. (2022) · BJS Open · doi:10.1093/bjsopen/zrac058 · Cited by 7
Metadata
- Authors
- Jafari, M. D., Wexner, S. D., Martz, J. E., McLemore, E. C., Margolin, D. A., Sherwinter, D. A., Lee, S. W., Senagore, A. J., Phelan, M. J., & Stamos, M. J.
- Venue
- Journal of the American College of Surgeons
- Published
- 2015-01
- Volume
- 220
- Issue
- 1
- Pages
- 82-92e1
- ISSN
- 1072-7515 (ISSN-L)
- OpenAlex
- W2103925331
- Cited by
- 560
- References
- 28
- FWCI
- 11.35
- Type
- journal article
- Language
- en
- Open access
- hybrid
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- Jafari, M. D., Wexner, S. D., Martz, J. E., McLemore, E. C., Margolin, D. A., Sherwinter, D. A., Lee, S. W., Senagore, A. J., Phelan, M. J., & Stamos, M. J. (2015). Perfusion Assessment in Laparoscopic Left-Sided/Anterior Resection (PILLAR II): A Multi-Institutional Study. Journal of the American College of Surgeons. https://doi.org/10.1016/j.jamcollsurg.2014.09.015
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Contains information from the Semantic Scholar Academic Graph Datasets, made available under the ODC Attribution License (ODC-BY 1.0).
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