{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,9,12]],"date-time":"2026-09-12T19:01:42Z","timestamp":1789239702736,"version":"build-2803163510"},"reference-count":24,"publisher":"Wiley","issue":"4","license":[{"start":{"date-parts":[[2015,10,21]],"date-time":"2015-10-21T00:00:00Z","timestamp":1445385600000},"content-version":"vor","delay-in-days":0,"URL":"http:\/\/onlinelibrary.wiley.com\/termsAndConditions#vor"}],"funder":[{"DOI":"10.13039\/501100003725","name":"National Research Foundation of Korea","doi-asserted-by":"publisher","award":["2013R1A2A1A03070986"],"award-info":[{"award-number":["2013R1A2A1A03070986"]}],"id":[{"id":"10.13039\/501100003725","id-type":"DOI","asserted-by":"publisher"}]}],"content-domain":{"domain":[],"crossmark-restriction":false},"short-container-title":["Robotics Computer Surgery"],"published-print":{"date-parts":[[2016,12]]},"abstract":"<jats:title>Abstract<\/jats:title><jats:sec><jats:title>Background<\/jats:title><jats:p>There have been few studies describing the use of indocyanine green (ICG) fluorescent imaging during robot\u2010assisted (RA) sphincter\u2010saving operations (SSOs) and assessing its potential role in reducing anastomotic leak (AL).<\/jats:p><\/jats:sec><jats:sec><jats:title>Methods<\/jats:title><jats:p>A consecutive cohort of 436 rectal cancer patients who underwent curative RA SSOs were prospectively enrolled during 2010\u20132014, including 123 patients with ICG imaging (ICG<jats:sup>+<\/jats:sup> group) and 313 patients without ICG imaging (ICG<jats:sup>\u2013<\/jats:sup> group).<\/jats:p><\/jats:sec><jats:sec><jats:title>Results<\/jats:title><jats:p>ICG imaging appeared to be helpful in identifying competent perfusion of the bowel adjacent to the anastomosis in 13 patients (10.6%) who might be susceptible to bowel ischaemia, including restrictive mesocolon. AL was remarkably greater in the ICG<jats:sup>\u2013<\/jats:sup> group compared with the ICG<jats:sup>+<\/jats:sup> group (5.4% vs 0.8%; <jats:italic>p<\/jats:italic> = 0.031).<\/jats:p><\/jats:sec><jats:sec><jats:title>Conclusions<\/jats:title><jats:p>ICG imaging during RA SSO provides accurate real\u2010time knowledge of the perfusion status at or near the anastomosis, specifically reducing AL in patients who may incur bowel ischaemia. 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