Use of Near-infrared Incisionless Fluorescent Cholangiography (Nifc) for Identification of the Anatomy in Biliary Surgery

Case Report The following case study discusses a 37 years old, morbidly obese woman (BMI 43 Kg/m2) with impaired fasting glucose and no significant surgical history who presented to the clinic with a 3-month history of right upper quadrant (RUQ) abdominal pain, especially after meals. The physical exam revealed tenderness in the RUQ with a…

Indocyanine Green Perfusion Assessment During Colonic Interposition for Graft Necrosis after Esophagectomy

Case Report A 72-year-old Caucasian male with a past medical history of type 2 diabetes mellitus, hypertension, hyperlipidemia, myocardial infarction, gastric ulcer, gastroesophageal reflux disease (GERD), presented to the clinic complaining of lower chest discomfort and progressive dysphagia to both liquid and solid food for approximately four months. At the endoscopy he was found to…

The use of Fluorescence Imaging in Colon Interposition for Esophageal Replacement: A Technical Note

Abstract Every field of surgery has seen an explosion of new technologies aimed at improving surgical technique and reducing complications. The use of near-infrared (NIR) fluorescence to assess perfusion has been described in several surgical disciplines. NIR provides the surgeon with real-time perfusion assessment of a target organ or anastomosis and can be invaluable in…

Indocyanine Green Use in Laparoscopic Cholecystectomy

ABSTRACT Laparoscopic cholecystectomy is the surgical treatment of choice for benign diseases of the gallbladder because of the advantage of shorter postoperative hospital stays with faster recovery and cosmetic superiority. However, complications like iatrogenic vascular and bile duct injury are associated with a severe outcome. Most of the intraoperative injuries during use of the laparoscopic…

A Novel Method for Near‐infrared Fluorescence Imaging of the Urethra During Perineal and Transanal Surgery: Demonstration in a Cadaveric Model

ABSTRACT Aim Transanal total mesorectal excision is a promising novel sphincter‐saving procedure for low rectal cancer. However, the transanal bottom‐up dissection is associated with increased rates of iatrogenic urethral injuries. Near‐infrared fluorescence (NIRF) imaging, given its deeper tissue penetration, has been explored in a limited number of studies for enhanced intra‐operative urethral visualization. In this…

Intraoperative Near-infrared Imaging Can Identify Canine Mammary Tumors, a Spontaneously Occurring, Large Animal Model of Human Breast Cancer

ABSTRACT Introduction Current methods of intraoperative margin assessment in breast conserving surgery are impractical, unreliable, or time consuming. We hypothesized that intraoperative near-infrared (NIR) imaging with an FDA-approved NIR optical contrast agent could identify canine mammary tumors, a spontaneous large animal model of human breast cancer, during surgery. Methods Dogs with mammary tumors underwent a…