Role of transanal tube placement in preventing anastomotic leakage in rectal cancer surgery with sufficient perfusion confirmed by indocyanine green fluorescence imaging

1

Rectal cancer surgery has improved with total mesorectal excision (TME), reducing local recurrence and enhancing survival rates.
2

Anastomotic leakage (AL) remains a significant complication in rectal surgery, impacting recovery and survival despite advances in surgical techniques.
3

Indocyanine green (ICG) fluorescence imaging is used intraoperatively to assess bowel perfusion and reduce the incidence of AL.
4

Transanal tube (TA) placement may lower intraluminal pressure and facilitate intestinal content passage, potentially reducing AL risk.
5

This study evaluates the effectiveness of TA placement in patients with rectal cancer and adequate perfusion confirmed by ICG imaging.

Techniques In Coloproctology

by Koichiro Okada, Gaku Ohira, Ryota Miura, Toru Tochigi, Tetsuro Maruyama, Atsushi Hirata, Michihiro Maruyama, Hisahiro Matsubara
December 24, 2025

1