RSS-Feed abonnieren
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.
Publikationsverlauf
Artikel online veröffentlicht:
07. September 2021
© 2021. Thieme. All rights reserved.
Georg Thieme Verlag KG
Rüdigerstraße 14, 70469 Stuttgart, Germany