Thoracic duct identification with indocyanine green fluorescence to prevent chyle leaks during minimally invasive esophagectomy.

ABSTRACT:

Introduction

Chylothorax (CT) is a rare yet serious complication after esophagectomy. Identification of the thoracic duct (TD) during esophagectomy is challenging due to its anatomical variation. Real-time identification of TD may help to prevent its injury. Near infra-red imaging with Indocyanine green (ICG) is a novel technique that recently has been used to overcome this issue.

Methods

Patients who underwent minimally invasive esophagectomy for esophageal cancer were divided into two groups with and without ICG. We injected ICG into bilateral superficial inguinal lymph nodes. Identification of TD and its injuries during the operation was evaluated and compared with the non-ICG group.

Results

Eighteen patients received ICG, and 18 patients underwent surgery without

SUBMITTER: Mahmoodzadeh H 

PROVIDER: S-EPMC10995935 | biostudies-literature | 2024 Apr

REPOSITORIES: biostudies-literature