Sphincter-saving surgery versus abdominoperineal resection in low rectal cancer: the role of indocyanine green fluorescence angiography in surgical decision-making - Takeaways - MDSpire

Sphincter-saving surgery versus abdominoperineal resection in low rectal cancer: the role of indocyanine green fluorescence angiography in surgical decision-making

  • By

  • Mihaela C. Misca

  • Sorin V. Petrea

  • Roxana D. Boanta

  • Sorin Aldoescu

  • Eduard Catrina

  • Mihaela E. Vilcu

  • V. Grigorean

  • V. Strambu

  • Iulian Brezean

  • July 9, 2026

  • 0 min

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  • 1

    The study involved 70 patients with low rectal cancer, of whom 27 underwent sphincter-saving surgery.

  • 2

    Indocyanine green fluorescence angiography (ICG-FA) was performed in 22 patients, influencing resection line modification in 40% of cases.

  • 3

    A radical (R0) resection was achieved in 19 of 21 patients with recorded margin status.

  • 4

    Postoperative complications occurred in 56% of patients, primarily classified as Clavien–Dindo grade I–II.

  • 5

    The study highlights the feasibility of sphincter-saving surgery but notes substantial morbidity associated with the procedure.

Original Source(s)

Sphincter-saving surgery versus abdominoperineal resection in low rectal cancer: the role of indocyanine green fluorescence angiography in surgical decision-making

  • by Mihaela C. Misca, Sorin V. Petrea, Roxana D. Boanta, Sorin Aldoescu, Eduard Catrina, Mihaela E. Vilcu, V. Grigorean, V. Strambu, Iulian Brezean

  • July 9, 2026

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