Hemodynamics of the Reconstructed Gastric Tube During Esophagectomy: Assessment of Outcomes with Indocyanine Green Fluorescence

Abstract

The gastric tube was divisible into three zones according to the dominant arteries present in the greater curvature under ICG fluorescence. The left gastroepiploic artery was enhanced in a direction opposite that of physiological blood flow in all cases. The median period from initial enhancement of the root of the right gastroepiploic artery to the most cranial branch of the left gastroepiploic artery until perfusion up to the tip of the gastric tube did not differ significantly between the "good" and the "sparse or absent" groups (P = 0.24, 0.68) CONCLUSIONS: It is essential to preserve the whole vessel arcade of the greater curvature to achieve good blood perfusion in the gastric tube. The ICG fluorescence method has potential usefulness for evaluation of blood flow in the gastric tube.

Double vascularized omentum lymphatic transplant (VOLT) for the treatment of lymphedema

“…Dissection is carried up to the greater curvature of the stomach, where the gastroepiploic vessels are clipped and divided. In most cases, the left and right gastroepiploic vessels are in continuity, but in some instances there may be no direct connection . The short gastric vessels are divided, as dissection continues to the proximal right gastroepiploic vessels.…”

“…In most cases, the left and right gastroepiploic vessels are in continuity, but in some instances there may be no direct connection. 18 The short The second portion of the omentum flap is then transferred to the…”

Current Trends and Emerging Future of Indocyanine Green Usage in Surgery and Oncology: An Update

“…Other examples of NIR-guided reconstruction are described for breast and esophageal cancer. [72][73][74][75] ECONOMIC CONSIDERATIONS NIR guidance has the potential of reducing healthcare expenditure if improved outcomes warrant replacement of current technologies at a reduced unit cost. Lymphoscintigraphy is the standard for detecting nodal metastasis, but it is invasive, false-negatives exceed 5 %, radiation is detected, and it is costly and time consuming.…”

Esophageal Anastomotic Leak

“…A few small case series have identified a larger degree of conduit ischemia in patients who developed anastomotic complications [38][39][40][41]. The sensitivity of this method in predicting leakage, however, remains to be seen.…”