Internal medicine

Radiology

Pathology

Esophagectomy

Thoracic duct

Cancer

Surgery

Vascularity

Esophageal cancer

Lymph node

Lymph

Lymphadenectomy

Indocyanine green

Medicine

Anastomosis

Deleted Journal

Intraoperative fluorescence imaging (FI) with indocyanine green has several potential uses during esophagectomy. Intravascular injection for enhancing the visualization of conduit vascularity and assessing macro and microperfusion has the most literature support and may help reduce anastomotic leaks. Peritumoral injection has been reported for use in identifying sentinel nodes during lymphadenectomy and intralymphatic injection may be used to help preserve or ligate the thoracic duct. The authors' own technique of FI for conduit assessment is described. They routinely use this strategy to guide anastomosis placement and reduce leaks.

The Role of Intraoperative Fluorescence Imaging During Esophagectomy