Application of indocyanine green assisted fluorescence on laparoscopic surgeries

doi:10.3877/cma.j.issn.1674-6899.2023.02.013

Abstract

Abstract:

The fluorescence imaging system under laparoscopic surgeries can provide a fused vision of fluorescence and conventional white light. Surgeons can have a more intuitive and three-dimensional image perception of the intraoperative anatomy. Indocyanine green (ICG) is the most common used clinical fluorescence imaging agent used in the field of general surgery. It has accurately marked tumors and surgical margins, demonstrated sentinel and lymph nodes in tumor drainage area, and identified metastases. Thus, ICG has the ability to improve surgical efficiency, increase perioperative benefits, reduce postoperative complications, and to provide protection and guidance for surgery. This review summarized the application of ICG fluorescence imaging in laparoscopic surgeries, including gallbladder and biliary tract surgeries, gastrointestinal surgeries, pancreatic surgeries, and thyroid/parathyroid surgeries. Recent advances are reviewed to provide future perspectives for laparoscopy fluorescence imaging, including 3D stereoscopic imaging, multicolor gradient fluorescence, and new fluorescent agents.

Key words: Fluorescence imaging, Laparoscopic surgery, Indocyanine green, Fluorescence-guided surgery

Jiayi Li, Sen Yang, Zhihong Wang, Bozheng Lin, Xianlin Han, Quan Liao, Surong Hua. Application of indocyanine green assisted fluorescence on laparoscopic surgeries[J]. Chinese Journal of Laparoscopic Surgery(Electronic Edition), 2023, 16(02): 124-128.

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