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This unedited 360 video shows how indocyanine green (ICG) is injected by the anaesthetic team into a peripheral cannula during a laparoscopic high anterior resection for a sigmoid cancer in order to provide a Near-Infrared (NIR) perfusion angiogram using the PINPOINT System by NOVADAQ (as seen elsewhere on this channel). This is being done just at the point where the proximal colon has been prepared for transection after medial to lateral mobilisation of the left colon including high ligation of the inferior mesenteric artery. The ICG and NIR assessment will be repeated after construction of the anastomosis. 3mls of ICG (25 mg/10mls H2O) is injected into a peripheral cannula 30 seconds into the video (the first 15 seconds relate to positioning of the 360 camera, the next 30 seconds the preparation of the ICG for injection) with the injection at 45 seconds. The nearinfrared perfusion of the bowel can be seen beginning at 1 min 15secs into the video, 30 seconds after the ICG bolus was administered. The 360 video allows you to pan about the room by clicking and dragging anywhere on the screen and you can see the perfusion best on the screen over the head of the anaesthetist. The video will play very nicely via a smart tube using the YOUTUBE app and can also be viewed with VR headset on this APP also. This video is associated with a text under submission for publication in the journal Colorectal Disease. Click Subscribe to this channel for the most up to date content. Author: Ronan Cahill, Adam Tattersall. Mater Misericordiae University Hospital, Dublin, Ireland. University College Dublin E-Mail: [email protected] Video associated with Colorectal Disease Journal (published by Wiley and associated with the Association of Coloproctology Great Britain and Ireland (ACPGBI), European Society of Coloproctology (ESCP) and Spanish Society of Coloproctology (SSC).