Peer-Reviewed Publication
Surg Endosc2026October 12, 2026Journal Article

TRIDENT: inTRaoperative Imaging DEvice based on endogeNous opTical properties to evaluate bowel oxygenation in left-sided colorectal resections. Observational first-in-human pilot safety trial.

Alfonso Lapergola1,2, Luca Baratelli3, Gabriel Szydlo Shein4, Guillaume Philouze1, Sylvain Kpekou3, Arturo Pardo3, Frédéric Triponez5,6, Didier Mutter1,2, Sylvain Gioux3, Michele Diana7,8,9
1Department of General, Digestive, and Endocrine Surgery, University Hospital of Strasbourg, Strasbourg, France.
2IHU-Strasbourg, Institute of Image-Guided Surgery, Strasbourg, France.
3Intuitive Surgical, Aubonne, Switzerland.
4ICube Laboratory, Photonics Instrumentation for Health, Strasbourg, France.
5Department of Surgery, University Hospital of Geneva, Geneva, Switzerland.
6Medical Faculty, University of Geneva, Geneva, Switzerland.
7ICube Laboratory, Photonics Instrumentation for Health, Strasbourg, France. michele.diana@unige.ch.
8Department of Surgery, University Hospital of Geneva, Geneva, Switzerland. michele.diana@unige.ch.
9Medical Faculty, University of Geneva, Geneva, Switzerland. michele.diana@unige.ch.

Abstract

BACKGROUND: Adequate tissue oxygenation at the anastomotic site is a key determinant of healing after colorectal surgery. Current intraoperative imaging technologies aimed at assessing bowel perfusion present several limitations, including the need for exogenous contrast agents, limited quantification capabilities, or suboptimal integration within the surgical workflow. Single Snapshot Imaging of…

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