Identification of the Thoracic Duct Using Indocyanine Green During Cervical Lymphadenectomy.

ABSTRACT:

Background

Injury to the thoracic duct (TD) is the most common complication after a left lateral neck dissection, and it carries a high degree of morbidity. Currently, no routine diagnostic imaging is used to assist with TD identification intraoperatively. This report describes the first clinical experience with lymphangiography using indocyanine green (ICG) during lateral neck dissections.

Methods

In six patients undergoing left lateral neck dissection (levels 2-4) for either thyroid cancer or melanoma, 2.5-5 mg of ICG was injected in the dorsum of the left foot 15 min before imaging. Intraoperative imaging was performed with a hand-held near infrared (NIR) camera (Hamamatsu, PDE-Neo, Hamamatsu City, Japan).

Results

In five patients, the TD was visualized using NIR f

SUBMITTER: Chakedis J 

PROVIDER: S-EPMC6181776 | biostudies-literature | 2018 Nov

REPOSITORIES: biostudies-literature