Near-Infrared Fluorescence Image-Guided Surgery in Esophageal and Gastric Cancer Operations

Author:

Ekman Marcin1ORCID,Girnyi Sergii1,Marano Luigi2,Roviello Franco2,Chand Manish3,Diana Michele123ORCID,Polom Karol1ORCID

Affiliation:

1. Department of Surgical Oncology, Medical University of Gdansk, Gdansk, Poland

2. Department of Medicine, Surgery and Neurosciences, Unit of General Surgery and Surgical Oncology, University of Siena, Siena, Italy

3. Wellcome EPSRC Centre for Interventional and Surgical Sciences (WEISS), University College London, London

Abstract

Background Near-infrared fluorescence image-guided surgery helps surgeons to see beyond the classical eye vision. Over the last few years, we have witnessed a revolution which has begun in the field of image-guided surgery. Purpose, and Research design Fluorescence technology using indocyanine green (ICG) has shown promising results in many organs, and in this review article, we wanted to discuss the 6 main domains where fluorescence image-guided surgery is currently used for esophageal and gastric cancer surgery. Study sample and data collection Visualization of lymphatic vessels, tumor localization, fluorescence angiography for anastomotic evaluation, thoracic duct visualization, tracheal blood flow analysis, and sentinel node biopsy are discussed. Conclusions It seems that this technology has already found its place in surgery. However, new possibilities and research avenues in this area will probably make it even more important in the near future.

Publisher

SAGE Publications

Subject

Surgery

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