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DOI: 10.1055/s-0041-1733487
Hybrid ICG-augmented laparoscopic and robotic distal esophagectomy and gastrectomy
Introduction In a time of growing surgical and technical innovations, indocyanine green (ICG) augmented surgery is adopted for several indications. Surgical treatment of gastric cancer by using ICG-augmentation is an object of modern treatment and investigations.
Aim We introduce a hybrid surgical approach for distal esophagectomy and gastrectomy for cancer of the gastroesophageal junction, combining the possible benefits of ICG-augmentation and robotic preparation.
Material and methods We performed ICG-staining of the tumor site via endoscopy. Therefore indocyanine green diluted with 20 % human albumin was injected in four quadrants around the expected tumor. The day after, a DaVici-laparoscopic gastrectomy/ distal esophagectomy was performed.
Results ICG-staining of tumor site and lymphatic tissue was detected to securely resect all colored areas.
Conclusions We introduced a possibility of a hybrid ICG-augmented laparoscopic and robotic distal esophagectomy and gastrectomy for tumors of the gastroesophageal junction.
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Publication History
Article published online:
07 September 2021
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