Near infra-red fluorescence identification of the thoracic duct to prevent chyle leaks during oesophagectomy.

ABSTRACT:

Background

Chyle leaks following oesophagectomy are a frustrating complication of surgery with considerable morbidity. The use of near infra-red (NIR) fluorescence in surgery is an emerging technology and the use of fluorescence to identify the thoracic duct has been demonstrated in animal work and early human case reports. This study evaluated the use mesenteric and enteral administration of indocyanine green (ICG) in humans to identify the thoracic duct during oesophagectomy.

Methods

Patients undergoing oesophagectomy were recruited to the study. Administration of ICG via an enteral route or mesenteric injection was evaluated. Fluorescence was assessed using a NIR fluorescence enabled laparoscope system with a visual scoring system and signal to background ratios. Visualis

SUBMITTER: Barnes TG 

PROVIDER: S-EPMC9160097 | biostudies-literature | 2022 Jul

REPOSITORIES: biostudies-literature