Intraoperative near-infrared lymphography with indocyanine green may aid lymph node dissection during robot-assisted resection of gastroesophageal junction cancer.

Journal: Surgical endoscopy
Published Date: Mar 1, 2023

Abstract

BACKGROUND: Adequate lymphadenectomy during gastroesophageal junction (GEJ) cancer resection is essential, because lymph node (LN) metastasis correlates with increased recurrence risk. Fluorescence lymphography with indocyanine green (ICG) has been used for LN mapping in several surgical specialties; however, reports on GEJ cancer are lacking. Therefore, we investigated whether intraoperative ICG lymphography could facilitate LN harvest during robot-assisted resection of GEJ cancer.

Authors

  • Jens Osterkamp
    OesophagoGastric Cancer Surgery Group (OGCS), Department of Surgery and Transplantation, Rigshospitalet, University Hospital of Copenhagen, Inge Lehmanns Vej 7, 2100, Copenhagen Ø, Denmark. jens.thomas.fredrik.osterkamp.02@regionh.dk.
  • Rune Strandby
    OesophagoGastric Cancer Surgery Group (OGCS), Department of Surgery and Transplantation, Rigshospitalet, University Hospital of Copenhagen, Inge Lehmanns Vej 7, 2100, Copenhagen Ø, Denmark.
  • Nikolaj Nerup
    OesophagoGastric Cancer Surgery Group (OGCS), Department of Surgery and Transplantation, Rigshospitalet, University Hospital of Copenhagen, Inge Lehmanns Vej 7, 2100, Copenhagen Ø, Denmark.
  • Morten-Bo Svendsen
    Copenhagen Academy for Medical Education and Simulation (CAMES) - CAMES Rigshospitalet, University Hospital of Copenhagen, Copenhagen, Denmark.
  • Lars-Bo Svendsen
    OesophagoGastric Cancer Surgery Group (OGCS), Department of Surgery and Transplantation, Rigshospitalet, University Hospital of Copenhagen, Inge Lehmanns Vej 7, 2100, Copenhagen Ø, Denmark.
  • Michael Achiam
    OesophagoGastric Cancer Surgery Group (OGCS), Department of Surgery and Transplantation, Rigshospitalet, University Hospital of Copenhagen, Inge Lehmanns Vej 7, 2100, Copenhagen Ø, Denmark.

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