V-21. Enhancing Safety in McKeown Esophagectomy Using Multitarget Indo Cyanine Green Fluorescence Imaging

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ID: 326151
2026
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Ranked #286 of 453 articles by views in diseases of the esophagus : official journal of the international society for diseases of the esophagus

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Abstract
Abstract Topic Esophageal Cancer: Surgical Treatment of Esophageal Cancer – technique Video Description What the Video Shows This video demonstrates the use of multitarget indocyanine green (ICG) fluorescence imaging during thoracolaparoscopic McKeown esophagectomy. ICG was employed for intraoperative visualization of the thoracic duct, enhanced delineation of the trachea and main bronchi during mediastinal dissection, and assessment of gastric conduit vascularity prior to reconstruction. The video highlights timing, dosing strategy, imaging modes, and technical integration of fluorescence guidance across thoracic and abdominal phases. Why This Video Is Important Anastomotic leak, chylothorax, and airway injury remain major concerns in esophagectomy. This video demonstrates a novel, comprehensive application of ICG fluorescence targeting multiple critical structures within a single procedure, extending its role beyond conduit perfusion alone. The multitarget approach enhances intraoperative safety, anatomical clarity, and decision-making, and is rarely demonstrated in surgical videos. The technique is reproducible and particularly relevant for advanced minimally invasive esophageal surgeons.
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Authors N Ramesh, Ramakrishnan Parthasarathi, Chinnusamy Palanivelu, S Saravana Kumar, M Bharath Cumar, Jami Yaswanth Sai Yaswanth Sai, C G Abhinav
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Journal diseases of the esophagus : official journal of the international society for diseases of the esophagus
Year 2026
DOI
10.1093/dote/doag077.421
URL
https://academic.oup.com/dote/article-pdf/39/Supplement_1/doag077.421/70761084/doag077.421.pdf
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